NDC Package 81484-901-03 Lidocaine Patch

View Billable Units, 11-Digit Format, RxNorm

Package Information
Other Packages
Frequently Asked Questions

Package Information

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

Find all the important details about this NDC Package code, including the 11-Digit NDC Billing number, billing units, wholesale price, RxNorm crosswalk, active ingredients, pharmacologic clasess, etc.

NDC Package Code:

81484-901-03

Package Description:

2 BOX in 1 PACKAGE / 6 BAG in 1 BOX (81484-901-02) / 1 PATCH in 1 BAG (81484-901-01)

Product Code:

81484-901

Proprietary Name:

Lidocaine Patch

Usage Information:

For the temporary relief of palin, TOPICAL ANESTHETIC

11-Digit NDC Billing Format:

81484090103

NDC to RxNorm Crosswalk:

RxCUI: 1249758 - lidocaine 4 % / menthol 1 % Medicated Patch
RxCUI: 1249758 - lidocaine 0.04 MG/MG / menthol 0.01 MG/MG Medicated Patch

Labeler Name:

Anhui Miao De Tang Pharmaceutical Co., Ltd.

Sample Package:

FDA Application Number:

M017

Marketing Category:

OTC MONOGRAPH DRUG -

Start Marketing Date:

09-14-2023

Listing Expiration Date:

12-31-2024

Exclude Flag:

Code Structure:

81484 - Anhui Miao De Tang Pharmaceutical Co., Ltd.
- 81484-901 - Lidocaine Patch
  - 81484-901-03 - 2 BOX in 1 PACKAGE / 6 BAG in 1 BOX (81484-901-02) / 1 PATCH in 1 BAG (81484-901-01)

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 disclaimer below.

Other Product Packages

The following packages are also available for this product:

NDC Package Code	Package Description
81484-901-01	20 PATCH in 1 BOX
81484-901-02	30 BAG in 1 BOX / 1 PATCH in 1 BAG (81484-901-01)
81484-901-02	20 BAG in 1 BOX / 1 PATCH in 1 BAG (81484-901-01)
81484-901-02	2 BAG in 1 BOX / 5 PATCH in 1 BAG (81484-901-01)
81484-901-02	2 PATCH in 1 BAG
81484-901-02	7 BAG in 1 BOX / 2 PATCH in 1 BAG (81484-901-01)
81484-901-02	6 BAG in 1 BOX / 1 PATCH in 1 BAG (81484-901-01)
81484-901-04	30 BAG in 1 BOX / 1 PATCH in 1 BAG (81484-901-01)

* Please review the disclaimer below.

Frequently Asked Questions

What is NDC 81484-901-03?

The NDC Packaged Code 81484-901-03 is assigned to a package of 2 box in 1 package / 6 bag in 1 box (81484-901-02) / 1 patch in 1 bag (81484-901-01) of Lidocaine Patch, labeled by Anhui Miao De Tang Pharmaceutical Co., Ltd.. The product's dosage form is and is administered via form.

Is NDC 81484-901 included in the NDC Directory?

No, Lidocaine Patch with product code 81484-901 is excluded from the NDC Directory because it's listing has been INACTIVATED by FDA. The product was first marketed by Anhui Miao De Tang Pharmaceutical Co., Ltd. on September 14, 2023 and its listing in the NDC Directory is set to expire on December 31, 2024 if the product is not updated or renewed by the manufacturer.

What is the 11-digit format for NDC 81484-901-03?

The 11-digit format is 81484090103. The 11-digit billing format might be required by the Centers for Medicare & Medicaid Services (CMS) and other payers in billing claim forms.

This package code is originally configured in a 5-3-2 segment 10-digit format and by adding a zero within the original NDC package code we can obtain the converted 11-digit format in a 5-4-2 segment configuration. The table below shows the 11-digit code conversion:

10-Digit Format	10-Digit Original Code	11-Digit Format	11-Digit Code
5-3-2	81484-901-03	5-4-2	81484-0901-03

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