Lidocaine Tattoo Wipe Cloth
NDC Package 85055-397-01

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

Package Information

Lidocaine Tattoo Wipe (lidocaine hydrochloride) cloths is • For adults and Children two years and older: Apply the wipe thoroughly to the affected area. This formulation utilizes a cloth delivery system. Marketed by Md Tattoo Company, this product is identified by NDC 85055-397 and is authorized under FDA application M017.

Identification & Billing

NDC Package Code
85055-397-01
Package Description
3 g in 1 PACKAGE
Product Code
85055-397
11-Digit Billing Format
85055039701
RxNorm Crosswalk

Clinical Specifications

Proprietary Name
Lidocaine Tattoo Wipe
Non-Proprietary Name
Lidocaine Hydrochloride
Substance Name
Lidocaine Hydrochloride
Dosage Form
Cloth - A large piece of relatively flat, absorbent material that contains a drug. It is typically used for applying medication or for cleansing.
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)
LIDOCAINE HYDROCHLORIDE 3 g/100g
Pharmacologic Class
Usage Information
• For adults and Children two years and older: Apply the wipe thoroughly to the affected area. Use up to 3-4 times daily. For best results, allow the area to remain wet for 1-2 minutes.

Regulatory & Marketing

Labeler Name
Md Tattoo Company
Product Type
Human Otc Drug
FDA Application #
M017
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
06-05-2025
Listing Expiration
12-31-2026
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 85055-397-01 identifies a specific commercial package of 3 g in 1 package of Lidocaine Tattoo Wipe, a human over the counter drug labeled by Md Tattoo Company. This cloth is formulated for topical use and contains lidocaine hydrochloride 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 Md Tattoo Company on June 05, 2025. The current certification is valid through December 31, 2026.

How is this Md Tattoo Company product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 85055039701. 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)
85055-397-01
11-Digit CMS (5-4-2)
85055-0397-01

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