Pain Relief Patch
NDC Package 84171-101-01

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

Package Information

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

Pain Relief Patch is for temporary relief of pain. Marketed by Dengzhou Juhetang Medical Equipment Co., Ltd, this product is identified by NDC 84171-101 and is authorized under FDA application M017.

Identification & Billing

NDC Package Code
84171-101-01
Package Description
12 PATCH in 1 PATCH
Product Code
84171-101
11-Digit Billing Format
84171010101

Clinical Specifications

Proprietary Name
Pain Relief Patch
Dosage Form
-
Usage Information
For temporary relief of pain

Regulatory & Marketing

Labeler Name
Dengzhou Juhetang Medical Equipment Co., Ltd
FDA Application #
M017
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
03-07-2024
Listing Expiration
12-31-2025
Exclude Flag
I
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 84171-101-01 identifies a specific commercial package of 12 patch in 1 patch of Pain Relief Patch, labeled by Dengzhou Juhetang Medical Equipment 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 Dengzhou Juhetang Medical Equipment Co., Ltd on March 07, 2024. The current certification is valid through December 31, 2025.

How is this Dengzhou Juhetang Medical Equipment Co., Ltd product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 84171010101. 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)
84171-101-01
11-Digit CMS (5-4-2)
84171-0101-01

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