Valtrum Topical Analgesic Roll On Gel
NDC Package 75849-301-03

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

Package Information

Valtrum Topical Analgesic Roll On (salicylic acid menthol camphor (natural)) gel is a human otc drug administered via topical route. This formulation utilizes a gel delivery system. Marketed by Laboratorios Quantium Llc, this product is identified by NDC 75849-301 and is authorized under FDA application M017.

Identification & Billing

NDC Package Code
75849-301-03
Package Description
90 g in 1 TUBE, WITH APPLICATOR
Product Code
75849-301
11-Digit Billing Format
75849030103
RxNorm Crosswalk
  • RxCUI: 2123377 - camphor 3 % / menthol 3 % / methyl salicylate 10 % Topical Gel
  • RxCUI: 2123377 - camphor 0.03 MG/MG / menthol 0.03 MG/MG / methyl salicylate 0.1 MG/MG Topical Gel

Clinical Specifications

Proprietary Name
Valtrum Topical Analgesic Roll On
Non-Proprietary Name
Salicylic Acid Menthol Camphor (natural)
Substance Name
Camphor (natural); Menthol, Unspecified Form; Methyl Salicylate
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)

Regulatory & Marketing

Labeler Name
Laboratorios Quantium Llc
Product Type
Human Otc Drug
FDA Application #
M017
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
03-01-2019
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 75849-301-03 identifies a specific commercial package of 90 g in 1 tube, with applicator of Valtrum Topical Analgesic Roll On, a human over the counter drug labeled by Laboratorios Quantium Llc. This gel is formulated for topical use and contains camphor (natural); menthol, unspecified form; methyl salicylate 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 Laboratorios Quantium Llc on March 01, 2019. The current certification is valid through December 31, 2026.

How is this Laboratorios Quantium Llc product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 75849030103. 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)
75849-301-03
11-Digit CMS (5-4-2)
75849-0301-03

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