NDC Package 84205-003-01 4% Lidocaine Plus 1% Menthol Pain Relief Patch

Pain Relief Patch,Pain Relief Strip Patch Topical - View Billable Units, 11-Digit Format, RxNorm

Package Information

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:
84205-003-01
Package Description:
5 PATCH in 1 BOX / 1 g in 1 PATCH (84205-003-00)
Product Code:
Proprietary Name:
4% Lidocaine Plus 1% Menthol Pain Relief Patch
Non-Proprietary Name:
Pain Relief Patch, Pain Relief Strip
Substance Name:
Lidocaine; Menthol, (+)-
Usage Information:
Appy 1 patch at a time to affect area, not more than 3 to 4 times dailyremove patch from the skin after a most 8-hour application DirectionsAdult and children 12 years of age and over:Clean and dry affected areaRemove film from patch and apply to the skin (see illustration)Apply 1 patch at a time to affected area, not more than 3 to 4 times dailyRemove patch from the skin after at most 8-hour applicationChildren under 12 years of age: consult a doctor appy 1 patch at a time to affect area, not more than 3 to 4 times dailyremove patch from the skin after a most 8-hour application DirectionsAdult and children 12 years of age and over:Clean and dry affected areaRemove film from patch and apply to the skin (see illustration)Apply 1 patch at a time to affected area, not more than 3 to 4 times dailyRemove patch from the skin after at most 8-hour applicationChildren under 12 years of age: consult a doctor appy 1 patch at a time to affect area, not more than 3 to 4 times dailyremove patch from the skin after a most 8-hour application DirectionsAdult and children 12 years of age and over:Clean and dry affected areaRemove film from patch and apply to the skin (see illustration)Apply 1 patch at a time to affected area, not more than 3 to 4 times dailyRemove patch from the skin after at most 8-hour applicationChildren under 12 years of age: consult a doctor DirectionsAdult and children 12 years of age and over:Clean and dry affected areaRemove film from patch and apply to the skin (see illustration)Apply 1 patch at a time to affected area, not more than 3 to 4 times dailyRemove patch from the skin after at most 8-hour applicationChildren under 12 years of age: consult a doctor appy 1 patch at a time to affect area, not more than 3 to 4 times dailyremove patch from the skin after a most 8-hour application DirectionsAdult and children 12 years of age and over:Clean and dry affected areaRemove film from patch and apply to the skin (see illustration)Apply 1 patch at a time to affected area, not more than 3 to 4 times dailyRemove patch from the skin after at most 8-hour applicationChildren under 12 years of age: consult a doctor appy 1 patch at a time to affect area, not more than 3 to 4 times dailyremove patch from the skin after a most 8-hour application DirectionsAdult and children 12 years of age and over:Clean and dry affected areaRemove film from patch and apply to the skin (see illustration)Apply 1 patch at a time to affected area, not more than 3 to 4 times dailyRemove patch from the skin after at most 8-hour applicationChildren under 12 years of age: consult a doctor appy 1 patch at a time to affect area, not more than 3 to 4 times dailyremove patch from the skin after a most 8-hour application DirectionsAdult and children 12 years of age and over:Clean and dry affected areaRemove film from patch and apply to the skin (see illustration)Apply 1 patch at a time to affected area, not more than 3 to 4 times dailyRemove patch from the skin after at most 8-hour applicationChildren under 12 years of age: consult a doctor appy 1 patch at a time to affect area, not more than 3 to 4 times dailyremove patch from the skin after a most 8-hour application DirectionsAdult and children 12 years of age and over:Clean and dry affected areaRemove film from patch and apply to the skin (see illustration)Apply 1 patch at a time to affected area, not more than 3 to 4 times dailyRemove patch from the skin after at most 8-hour applicationChildren under 12 years of age: consult a doctor
11-Digit NDC Billing Format:
84205000301
NDC to RxNorm Crosswalk:
  • RxCUI: 1043399 - capsaicin 0.025 % Medicated Patch
  • RxCUI: 1043399 - capsaicin 0.00025 MG/MG Medicated Patch
  • RxCUI: 1249758 - lidocaine 4 % / menthol 1 % Medicated Patch
  • RxCUI: 1249758 - lidocaine 0.04 MG/MG / menthol 0.01 MG/MG Medicated Patch
  • RxCUI: 1737778 - lidocaine 4 % Medicated Patch
  • Product Type:
    Human Otc Drug
    Labeler Name:
    Koolcare Technology Co., Ltd.
    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(s):
  • Topical - Administration to a particular spot on the outer surface of the body. The E2B term TRANSMAMMARY is a subset of the term TOPICAL.
  • Topical - Administration to a particular spot on the outer surface of the body. The E2B term TRANSMAMMARY is a subset of the term TOPICAL.
  • Sample Package:
    No
    FDA Application Number:
    M017
    Marketing Category:
    OTC MONOGRAPH DRUG -
    Start Marketing Date:
    02-04-2024
    Listing Expiration Date:
    12-31-2025
    Exclude Flag:
    N
    Code Structure:

    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 CodePackage Description
    84205-003-001 g in 1 PATCH
    84205-003-0212 g in 1 PATCH
    84205-003-035 PATCH in 1 BOX / 12 g in 1 PATCH (84205-003-02)

    * Please review the disclaimer below.

    Frequently Asked Questions

    What is NDC 84205-003-01?

    The NDC Packaged Code 84205-003-01 is assigned to a package of 5 patch in 1 box / 1 g in 1 patch (84205-003-00) of 4% Lidocaine Plus 1% Menthol Pain Relief Patch, a human over the counter drug labeled by Koolcare Technology Co., Ltd.. The product's dosage form is patch and is administered via topical form.

    Is NDC 84205-003 included in the NDC Directory?

    Yes, 4% Lidocaine Plus 1% Menthol Pain Relief Patch with product code 84205-003 is active and included in the NDC Directory. The product was first marketed by Koolcare Technology Co., Ltd. on February 04, 2024 and its listing in the NDC Directory is set to expire on December 31, 2025 if the product is not updated or renewed by the manufacturer.

    What is the 11-digit format for NDC 84205-003-01?

    The 11-digit format is 84205000301. 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 Format10-Digit Original Code11-Digit Format11-Digit Code
    5-3-284205-003-015-4-284205-0003-01