Salicor Patch
NDC Package 80425-0592-1

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

Package Information

Salicor (triethanolamine salicylate) patches is a human prescription drug administered via transdermal route. This formulation utilizes a patch delivery system. Marketed by Advanced Rx Of Tennessee, Llc, this product is identified by NDC 80425-0592.

Identification & Billing

NDC Package Code
80425-0592-1
Package Description
15 PATCH in 1 PACKAGE
Product Code
80425-0592
11-Digit Billing Format
80425059201

Clinical Specifications

Proprietary Name
Salicor
Non-Proprietary Name
Triethanolamine Salicylate
Substance Name
Tea-salicylate
Dosage Form
Patch - A drug delivery system that often contains an adhesive backing that is usually applied to an external site on the body. Its ingredients either passively diffuse from, or are actively transported from, some portion of the patch. Depending upon the patch, the ingredients are either delivered to the outer surface of the body or into the body. A patch is sometimes synonymous with the terms ‘extended release film’ and ‘system’.
Administration Route
Transdermal - Administration through the dermal layer of the skin to the systemic circulation by diffusion.
Active Ingredient(s)
TEA-SALICYLATE 40.2 mg/1

Regulatory & Marketing

Labeler Name
Advanced Rx Of Tennessee, Llc
Product Type
Human Prescription Drug
Marketing Category
UNAPPROVED DRUG OTHER - An unapproved drug product in a marketing category that is not reflected on a particular list.
Start Marketing Date
08-06-2026
Listing Expiration
12-31-2027
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 80425-0592-1 identifies a specific commercial package of 15 patch in 1 package of Salicor, a human prescription drug labeled by Advanced Rx Of Tennessee, Llc. This patch is formulated for transdermal use and contains tea-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 Advanced Rx Of Tennessee, Llc on August 06, 2026. The current certification is valid through December 31, 2027.

How is this Advanced Rx Of Tennessee, Llc product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 80425059201. 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 (5-4-1)
80425-0592-1
11-Digit CMS (5-4-2)
80425-0592-01

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