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    NDC 00121-0970-05 Lidocaine Pain Relief 560 mg/1 Details

    Lidocaine Pain Relief 560 mg/1

    Lidocaine Pain Relief is a TOPICAL PATCH in the HUMAN OTC DRUG category. It is labeled and distributed by PAI Holdings, LLC. The primary component is LIDOCAINE.

    Product Information

    NDC 00121-0970
    Product ID 0121-0970_66f585b5-28c3-4e0b-a631-a8c65bda0324
    Associated GPIs
    GCN Sequence Number 023447
    GCN Sequence Number Description lidocaine ADH. PATCH 4 % TOPICAL
    HIC3 Q5H
    HIC3 Description TOPICAL LOCAL ANESTHETICS
    GCN 60050
    HICL Sequence Number 010705
    HICL Sequence Number Description LIDOCAINE
    Brand/Generic Generic
    Proprietary Name Lidocaine Pain Relief
    Proprietary Name Suffix n/a
    Non-Proprietary Name Lidocaine Pain Relief
    Product Type HUMAN OTC DRUG
    Dosage Form PATCH
    Route TOPICAL
    Active Ingredient Strength 560
    Active Ingredient Units mg/1
    Substance Name LIDOCAINE
    Labeler Name PAI Holdings, LLC
    Pharmaceutical Class Amide Local Anesthetic [EPC], Amides [CS], Antiarrhythmic [EPC], Local Anesthesia [PE]
    DEA Schedule n/a
    Marketing Category OTC MONOGRAPH DRUG
    Application Number 505G(a)(3)
    Listing Certified Through 2024-12-31

    Package

    NDC 00121-0970-05 (00121097005)

    NDC Package Code 0121-0970-05
    Billing NDC 00121097005
    Package 12 CARTON in 1 CASE (0121-0970-05) / 5 POUCH in 1 CARTON / 1 PATCH in 1 POUCH (0121-0970-01)
    Marketing Start Date 2023-04-03
    NDC Exclude Flag N
    Pricing Information
    Price Per Unit 0.89288
    Pricing Unit EA
    Effective Date 2024-02-21
    NDC Description LIDOCAINE PAIN RELIEF 4% PATCH
    Pharmacy Type Indicator C/I
    OTC Y
    Explanation Code 1
    Classification for Rate Setting G
    As of Date 2024-02-21
    This pricing file, entitled the NADAC (National Average Drug Acquisition Cost) files, provide state Medicaid agencies with covered outpatient drug prices by averaging survey invoice prices from retail community pharmacies across the United States. These pharmacies include independent retail community pharmacies and chain pharmacies. The prices are updated on a weekly and monthly basis