Dch Nerve Pain Relief Roll-on Gel
NDC Package 72839-014-03

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

Package Information

Dch Nerve Pain Relief Roll-on (lidocaine hcl 4%, menthol 1%) gel is adults and children 12 years and older: apply to the affected area, not more than 6 to 8 hours. This formulation utilizes a gel delivery system. Marketed by Derma Care Research Labs, Llc, this product is identified by NDC 72839-014 and is authorized under FDA application M017.

Identification & Billing

NDC Package Code
72839-014-03
Package Description
85 g in 1 BOTTLE
Product Code
72839-014
11-Digit Billing Format
72839001403
RxNorm Crosswalk
  • RxCUI: 1373137 - lidocaine HCl 4 % / menthol 1 % Topical Gel
  • RxCUI: 1373137 - lidocaine hydrochloride 0.04 MG/MG / menthol 0.01 MG/MG Topical Gel
  • RxCUI: 1373137 - lidocaine hydrochloride 4 % / menthol 1 % Topical Gel

Clinical Specifications

Proprietary Name
Dch Nerve Pain Relief Roll-on
Non-Proprietary Name
Lidocaine Hcl 4%, Menthol 1%
Substance Name
Lidocaine Hydrochloride; Menthol
Dosage Form
Gel - A semisolid3 dosage form that contains a gelling agent to provide stiffness to a solution or a colloidal dispersion.4 A gel may contain suspended particles.
Administration Route
Topical - Administration to a particular spot on the outer surface of the body. The E2B term TRANSMAMMARY is a subset of the term TOPICAL.
Active Ingredient(s)
Pharmacologic Class
Usage Information
Adults and children 12 years and older: apply to the affected area, not more than 6 to 8 hours. Do not exceed 3 applications in a 24-hour period. Massage into painful area until thoroughly absorbed into the skin. AFTER APPLYING WASH HANDS WITH SOAP ANDWATER. Children under 12 years of age: ask a doctor.

Regulatory & Marketing

Labeler Name
Derma Care Research Labs, Llc
Product Type
Human Otc Drug
FDA Application #
M017
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
05-30-2023
Listing Expiration
12-31-2026
Exclude Flag
N
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.

Frequently Asked Questions

What is the distribution configuration for this product package?

The code 72839-014-03 identifies a specific commercial package of 85 g in 1 bottle of Dch Nerve Pain Relief Roll-on, a human over the counter drug labeled by Derma Care Research Labs, Llc. This gel is formulated for topical use and contains lidocaine hydrochloride; menthol as the active substance.

Is this product currently listed with the FDA?

Yes, this product is active and verified within the NDC Directory. It was introduced to the market by Derma Care Research Labs, Llc on May 30, 2023. The current certification is valid through December 31, 2026.

How is this Derma Care Research Labs, Llc product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 72839001403. 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)
72839-014-03
11-Digit CMS (5-4-2)
72839-0014-03

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