Lilas Feminine Pain Relief Patch
NDC Package 72670-001-03

View Billable Units, 11-Digit Conversion Format, and RxNorm mappings
Table of Contents
    1. Package Information
    2. Other Packages
    3. Frequently Asked Questions

Package Information

This product is EXCLUDED from the official NDC directory because the listing data was inactivated by the FDA.

Lilas Feminine Pain Relief Patch is adults and children 12 years of age and older apply to the affected area no more than 2 times dailydry the skin at application area before applying the patchopen pouch & remove patchpeel of protective film and apply sticky side to affected areachildren under 12 years of age consult a doctor. Marketed by Lilas Wellness, Inc., this product is identified by NDC 72670-001 and is authorized under FDA application part348.

Identification & Billing

NDC Package Code
72670-001-03
Package Description
3 POUCH in 1 PACKAGE / 1 PATCH in 1 POUCH
Product Code
72670-001
11-Digit Billing Format
72670000103

Clinical Specifications

Proprietary Name
Lilas Feminine Pain Relief Patch
Dosage Form
-
Usage Information
Adults and children 12 years of age and older apply to the affected area no more than 2 times dailydry the skin at application area before applying the patchopen pouch & remove patchpeel of protective film and apply sticky side to affected areachildren under 12 years of age consult a doctor

Regulatory & Marketing

Labeler Name
Lilas Wellness, Inc.
FDA Application #
part348
Marketing Category
OTC MONOGRAPH NOT FINAL - A product marketed pursuant to an Over-the-Counter (OTC) Drug Monograph that is not final.
Start Marketing Date
03-18-2019
Listing Expiration
12-31-2024
Exclude Flag
I
Sample Package
No

Hierarchy Structure

Code Lineage

The NDC Directory contains ONLY information on final marketed drugs submitted to FDA electronically by labelers. A labeler might be a manufacturer, re-packager or re-labeler. The product information included in the NDC directory does not indicate that FDA has verified the information provided by the product labeler. Assigned NDC numbers are not in any way an indication of FDA approval of the product.

* Please review the full disclaimer at the bottom of this page.

Other Available Packages

The following commercial packages are registered under the same Product NDC (72670-001). Click a package code to view its specific billing and regulatory data.

72670-001-05
5 POUCH in 1 PACKAGE / 1 PATCH in 1 POUCH
72670-001-10
10 POUCH in 1 BOX / 1 PATCH in 1 POUCH

* Please review the full disclaimer at the bottom of this page.

Frequently Asked Questions

What is the distribution configuration for this product package?

The code 72670-001-03 identifies a specific commercial package of 3 pouch in 1 package / 1 patch in 1 pouch of Lilas Feminine Pain Relief Patch, labeled by Lilas Wellness, Inc.. This is formulated for use and contains as the active substance.

Is this product currently listed with the FDA?

This product code is currently listed as inactive or excluded from the primary directory. It was introduced to the market by Lilas Wellness, Inc. on March 18, 2019. The current certification is valid through December 31, 2024.

How is this Lilas Wellness, Inc. product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 72670000103. The table below illustrates the segment conversion from the 10-digit labeler code to the 11-digit provider format.

11-Digit Code Conversion

Billing payers usually require a 5-4-2 segment configuration. Below is the conversion from the 10-digit package format to the 11-digit billing format:

10-Digit Format (5-3-2)
72670-001-03
11-Digit CMS (5-4-2)
72670-0001-03

Note: The zero is added to the Product segment to maintain the 5-4-2 structure.