Pain Relief Spray
NDC Package 83084-265-04

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

Package Information

Pain Relief (analgesic) sprays is a medication used to treat mild to moderate pain (from headaches, menstrual periods, toothaches, backaches, osteoarthritis, or cold/flu aches and pains) and to reduce fever. This formulation utilizes a spray delivery system. Marketed by Fullstack Fulfillment, this product is identified by NDC 83084-265 and is authorized under FDA application M017.

Identification & Billing

NDC Package Code
83084-265-04
Package Description
108 g in 1 BOTTLE, PLASTIC
Product Code
83084-265
11-Digit Billing Format
83084026504
RxNorm Crosswalk
  • RxCUI: 2609762 - camphor 11 % / capsaicin 0.1 % / menthol 16 % Topical Spray
  • RxCUI: 2609762 - camphor 110 MG/ML / capsaicin 1 MG/ML / menthol 160 MG/ML Topical Spray

Clinical Specifications

Proprietary Name
Pain Relief
Non-Proprietary Name
Analgesic
Substance Name
Camphor (synthetic); Capsaicin; Menthol
Dosage Form
Spray - A liquid minutely divided as by a jet of air or steam.
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)
Usage Information
This drug is used to treat mild to moderate pain (from headaches, menstrual periods, toothaches, backaches, osteoarthritis, or cold/flu aches and pains) and to reduce fever.

Regulatory & Marketing

Labeler Name
Fullstack Fulfillment
Product Type
Human Otc Drug
FDA Application #
M017
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
01-11-2022
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 83084-265-04 identifies a specific commercial package of 108 g in 1 bottle, plastic of Pain Relief, a human over the counter drug labeled by Fullstack Fulfillment. This spray is formulated for topical use and contains camphor (synthetic); capsaicin; 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 Fullstack Fulfillment on January 11, 2022. The current certification is valid through December 31, 2027.

What are the primary indications for this medication?

This drug is used to treat mild to moderate pain (from headaches, menstrual periods, toothaches, backaches, osteoarthritis, or cold/flu aches and pains) and to reduce fever.

How is this Fullstack Fulfillment product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 83084026504. 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)
83084-265-04
11-Digit CMS (5-4-2)
83084-0265-04

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