Lidocaine Patch
NDC Package 81484-902-04

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 discontinued by the firm.

Lidocaine Patch is a . Marketed by Anhui Miao De Tang Pharmaceutical Co., Ltd., this product is identified by NDC 81484-902 and is authorized under FDA application M017.

Identification & Billing

NDC Package Code
81484-902-04
Package Description
30 BAG in 1 BOX / 1 PATCH in 1 BAG (81484-902-01)
Product Code
81484-902
11-Digit Billing Format
81484090204

Clinical Specifications

Proprietary Name
Lidocaine Patch
Dosage Form
-

Regulatory & Marketing

Labeler Name
Anhui Miao De Tang Pharmaceutical Co., Ltd.
FDA Application #
M017
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
09-14-2023
End Marketing Date
11-14-2023
Listing Expiration
11-14-2023
Exclude Flag
D
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 (81484-902). Click a package code to view its specific billing and regulatory data.

81484-902-03
2 BOX in 1 PACKAGE / 6 BAG in 1 BOX (81484-902-02) / 1 PATCH in 1 BAG (81484-902-01)

* 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 81484-902-04 identifies a specific commercial package of 30 bag in 1 box / 1 patch in 1 bag (81484-902-01) of Lidocaine Patch, labeled by Anhui Miao De Tang Pharmaceutical Co., Ltd.. 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 Anhui Miao De Tang Pharmaceutical Co., Ltd. on September 14, 2023. The current certification is valid through November 14, 2023.

How is this Anhui Miao De Tang Pharmaceutical Co., Ltd. product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 81484090204. 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)
81484-902-04
11-Digit CMS (5-4-2)
81484-0902-04

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