Home › NDC Lookup › Ingredients › Lidocaine Pain Relief › 00121-0970-30
Lidocaine Pain Relief 560 mg Patch, 180 patches — NDC 00121-0970-30 package photo
Label image from the product's FDA listing (DailyMed) — may show a different pack size or an older label revision.

Lidocaine Pain Relief 560 mg Patch, 180 patches — NDC 0121-0970-30 (Billing 00121-0970-30)

by PAI Holdings, LLC dba PAI Pharma · 6 CARTON in 1 CASE / 30 POUCH in 1 CARTON / 1 PATCH in 1 POUCH

This is a package of 180 patches of Lidocaine Pain Relief 560 mg Patch from PAI Holdings, LLC dba PAI Pharma, marketed since Apr 2023 and currently FDA-listed; retail pharmacies pay about $1.10 per patche (NADAC). It is the main listing for this product, which comes in 2 package sizes.

NDC 00121-0970-30
🏷️ FDA NDC (as labeled) 0121-0970-30 billing pads the labeler segment with a zero
This package
Contains180 patches Cost per ea$1.10 NADAC Per package$198.00 / 180 patch Pack sizes2 compare ↓
Also priced by: Medicaid pays $1.30/unit — full pricing hub ↓
Main listing for product 0121-0970 · Also comes in: 60 patches 0121-0970-05
OTC On market Non-controlled ⇄ Compare with another NDC
🗂️ FDA directory synced Oct 1, 2026 · this listing last changed Jul 24, 2026 · sources: openFDA · FDA label (DailyMed) · FDA Orange & Purple Book · First Databank · CMS NADAC, ASP, Medicare & Medicaid · RxNorm
📋 All sources & update times →

This page is curated, coded, and maintained by

Compiled from public FDA, CMS, DailyMed, NADAC, and related drug data sources. Editorial policy

NDC database record

One package, one record: these facts belong to NDC 0121-0970-30 alone.

Record
FDA NDC Directory package listing · Human OTC drug
Code segments
0121 labeler · 0970 product · 30 package
Package marketed since
Jul 29, 2024
Sample package
No — commercial package
Listing certified through
Dec 31, 2027
Billing quantity
180 EA per package
Barcode (UPC-A, from the NDC)
3 0121097030 6
Medicaid fills, this package
15,666 prescriptions in the last four reported quarters
FDA record last changed
Jul 24, 2026

Identity & classification

Regulatory identifiers FDA, NLM and CMS codes for this package

FDA NDC (as labeled) 0121-0970-30
Product NDC 0121-0970
11-digit billing NDC 00121097030
NCPDP billing unit EA — each (per item)
RxCUI 1737778
UNII 98PI200987
Application # M017
SPL Set ID 963978de-8295-47ee-9b06-64c3521aa994
Established class (EPC) Amide Local Anesthetic; Antiarrhythmic
Physiologic effect Local Anesthesia
Chemical class Amides
DEA schedule Non-controlled
Marketing category OTC MONOGRAPH DRUG
Marketing status On market
FDA listing status Listed (active directory)
Marketing start 2023-04-03
Route TOPICAL
Dosage form PATCH
Substance LIDOCAINE

Drug-database identifiers Medi-Span GPI and First Databank GCN / HICL / AHFS classification

GPI-14 90850060005920
GCN Seq No 023447
GCN 60050
HICL code 010705
Ingredient (HICL) Lidocaine
HIC1 code Q
Therapeutic class — broad (HIC1) Ear/Eye/Nose/Rectum/Topical/Vagina/Other
HIC2 code Q5
Therapeutic class — intermediate (HIC2) Agents Acting Principally On The Skin
HIC3 code Q5H
Therapeutic class — specific (HIC3) Topical Local Anesthetics
AHFS code 72:00.00.00
AHFS class Local Anesthetics
FDB label name LIDOCAINE PAIN RELIEF 4% PATCH
FDB brand name Lidocaine Pain Relief
Legend status O — Over-the-counter (OTC) drug or device
Quick answers
  • GSN (GCN sequence number): 023447
  • GCN: 60050
  • GPI-14 (Medi-Span): 90850060005920
  • HICL (First Databank): 010705
  • AHFS class code: 72:00.00.00
  • RxCUI (RxNorm): 1737778
Why two NDCs? The FDA registers this code as 0121-0970-30 — a 4-4-2 layout, and that's what's printed on the package and shown on DailyMed. For insurance claims, every NDC is standardized to a uniform 11-digit 5-4-2 format by adding a zero to the labeler segment → 00121-0970-30. Same drug, same package — only the format differs.
Where does this data come from?
Identifiers from the FDA openFDA NDC Directory and Structured Product Labeling; RxCUI from RxNorm (NLM); GPI from Medi-Span; GCN / HIC / AHFS / legend from First Databank.

RxNorm drug class

This medicine belongs to the Antiarrhythmic class.

Pharmacologic class Antiarrhythmic, Amide Local Anesthetic
Drug family (ATC) Antiarrhythmics, class Ib, Local anesthetics, Anesthetics for topical use
Where does this data come from?
Therapeutic classes from RxNorm RxClass (U.S. National Library of Medicine) — Established Pharmacologic Class (FDA), ATC drug family (WHO) and mechanism of action, matched by this product’s RxCUI.

Clinical

Label name LIDOCAINE PAIN RELIEF 4% PATCH Ingredient Lidocaine
📖 What it is MedlinePlus · NLM

Prescription lidocaine transdermal (Dermalid®, Lidoderm®, Ztildo®) is used to relieve the pain of post-herpetic neuralgia (PHN; burning, stabbing pains, or aches that may last for months or years after a shingles infection). Nonprescription (over-the-counter) lidocaine (Absorbine Jr®, Aspercreme®, Lidocare®, Salonpas®, others) is also available to relieve minor pain in shoulders, arms, back, neck and legs in adults and children 12 years of age and older. Lidocaine is in a class of medications called local anesthetics. It works by stopping nerves from sending pain signals.

Read the full MedlinePlus article ↗
📗 Our plain-language guide HelloPharmacist
  • Lidocaine numbs the area where it is used. Clinicians inject it for procedures. Skin products are used for pain, itching, minor burns, insect bites, hemorrhoid discomfort, and in s...
  • Clean and dry the skin first, then apply as your product’s directions say. Wash your hands afterward. Don’t exceed the number of uses on the label. Ask a doctor before using a prod...
  • No. Heat can increase how much lidocaine your body absorbs. Don’t bandage tightly either. Also avoid using other topical pain products at the same time.
  • Can I use a heating pad with a lidocaine patch?
📖 Read our full Lidocaine guide →

Supplement & herbal interactions

🌿 Drug–supplement interaction checker →
Where does this data come from?
Plain-language summary from MedlinePlus (U.S. National Library of Medicine); supplement & herbal interactions and nutrient depletion data from the Natural Medicines database; our full guide is HelloPharmacist editorial content.

Pricing

A drug doesn't have one price. Each row is a different public payment system, and none is what you'd pay at the counter — that depends on your insurance. The ⓘ on each row explains what it measures.

Price systemPer eaPer package
Retail pharmacies payNADAC · weekly $1.100 $198.00 / 180 patch
Medicaid paysCMS SDUD · 12 mo $1.30 $233.46 / 180 patch
Medicare drug plans payPart D · quarterly No Part D plan price is available for this NDC in our data.
NADAC price history (per ea) — tap or hover for the price & month
Dec 2025 Mar 2026 Jun 2026 Sep 2026 $1.138 $1.036
▲ Up 6% over the last 10 months.
Where does this data come from?
NADAC (National Average Drug Acquisition Cost) is the CMS weekly pharmacy-acquisition-cost survey — what pharmacies pay. ASP (Average Sales Price) is the CMS Medicare Part B drug-payment file, published quarterly. Medicaid pays is computed by us from CMS State Drug Utilization Data (total reimbursed ÷ units, trailing 12 months) — gross of rebates and inclusive of dispensing fees, so it reflects what Medicaid paid, not an acquisition cost. Medicare drug plans pay is the median negotiated point-of-sale unit cost across plans listing this NDC in the CMS quarterly Prescription Drug Plan pricing files, before rebates. The VA pays is the federal contract price (FSS, and the statutory Big 4 ceiling where listed) from the VA National Acquisition Center pharmaceutical price file. All are free public government data; each measures a different payer, so the figures are not directly comparable.

Packaging — all sizes for this product

Package NDCDescription Per unit Per pack Marketing startMarketing endStatus
00121-0970-05 0121-0970-05 12 CARTON in 1 CASE / 5 POUCH in 1 CARTON / 1 PATCH in 1 POUCH $1.14 / ea $68.26 2023-04-03 — Discontinued by firm
00121-0970-30 You're viewing this Main listing 6 CARTON in 1 CASE / 30 POUCH in 1 CARTON / 1 PATCH in 1 POUCH $1.10 / ea $198.01 2024-07-29 — Active

This pack has the lowest per-ea cost of the 2 priced pack sizes ($1.10 NADAC).

In Medicaid, this is the most-dispensed pack of this product — about 87% of fills over the last four reported quarters. See all packs ↓

Pack size FAQ

What quantity is in this package?
This package contains 180 patches — 6 carton in 1 case / 30 pouch in 1 carton / 1 patch in 1 pouch.
How does this package differ from NDC 00121-0970-05?
Both are Lidocaine Pain Relief 560 mg Patch — the drug itself is identical. This page's package is the 180 patches one, while NDC 00121-0970-05 is the 60 patches package. Per-ea NADAC also differs: $1.10 here vs $1.14 for the 60 patches pack.
What NDC number is used to bill for this package of Lidocaine Pain Relief 560 mg Patch?
Use the 11-digit billing form listed in the identifiers section of this page. Pharmacy and medical claims use the 11-digit form; the FDA label may print a shorter form of the same code.

Prices are the latest CMS NADAC pharmacy acquisition cost per NDC; per-pack figures are per-unit × pack quantity, shown only when the pack is denominated in the same measure NADAC prices.

Therapeutic equivalents

ProductLabelerPackNADAC/unitTEStatusPrice vs. this
Lidocaine Pain Relief 560 mgthis 00121-0970-30 PAI 180 patches $1.100 — Availability likely —
Rugby PAIN RELIEF PATCHES 4 g/100g 00536-1202-07 RUGBY 30 patches $1.100 — Availability likely —
Pain Relief Patches 4 g/100g 46122-0450-21 Amerisource 5 patches $1.100 — Availability likely —
Good Neighbor Pain Relief Patch With Lidocaine 4% 4 g/100g 46122-0820-45 Amerisource 5 patches $1.100 — Availability likely —
Lidocaine Pain Relieving Patch 40 mg/g 68001-0625-93 BluePoint 5 patches $1.100 — Availability likely —
Leader PAIN RELIEF PATCHES 4 g/100g 70000-0366-01 Cardinal 5 patches $1.100 — Availability likely —
Leader PAIN RELIEF PATCHES 4 g/100g 70000-0557-01 Cardinal 6 patches $1.100 — Availability likely —
Lidocaine Pain Relief 4 g/100g 70000-0740-01 Cardinal 6 patches $1.100 — Availability likely —
Lidocaine 4% Patch 40 mg/g 70512-0014-30 SOLA 6 pouches $1.100 — Availability likely —
Lidocaine 4% Patch 40 mg/g 70512-0812-30 SOLA 30 pouches $1.100 — Availability likely —
Foster and Thrive 40 mg/g 70677-1188-01 STRATEGIC 6 pouches $1.100 — Availability likely —
Foster and Thrive Lidocaine Pain Relief Patch 4 g/100g 70677-1284-01 Strategic 5 patches $1.100 — Availability likely —
Foster and Thrive Lidocaine Pain Relief Patch 4 g/100g 70677-1285-01 Strategic 6 patches $1.100 — Availability likely —
Lidocaine Patch 4 g/100g 82568-0042-03 AARNA 15 patches $1.100 — Availability likely —
Quality Choice Lidocaine Pain Relief Patch 4 g/100g 83324-0257-05 Quality 5 patches $1.100 — Availability likely —
Lidocaine 4% Patch 40 mg/g 85477-0302-10 Oncora 10 pouches $1.100 — Availability likely —
Walgreens 4 mg/100mg 00363-1002-40 WALGREENS 4 cellos — — FDA listed —
Walgreens Lidocaine Back 40 mg/g 00363-2178-01 Walgreen 6 patches — — FDA listed —
Walgreens Lidocaine Knee and Elbow 40 mg/g 00363-2179-01 Walgreen 6 patches — — FDA listed —
Walgreens Extra Small Lidocaine 40 mg/g 00363-2180-01 Walgreen 20 patches — — FDA listed —
Walgreens Flexible Pain Relieving Lidocaine 40 mg/g 00363-2182-01 Walgreen 7 pouches — — FDA listed —
Walgreens Pain Relieving Lidocaine Patch 40 mg/g 00363-6697-06 Walgreen 6 patches — — FDA listed —
Walgreens Lidocaine Pain Relieving Patch Assorted 00363-6726-06 Walgreen 1 patch — — FDA listed —
Walgreens Pain Relieving Lidocaine 40 mg/g 00363-6727-05 Walgreen 5 patches — — FDA listed —
Pain Relief Patches 4 g/100g 00363-9110-05 Walgreen 5 patches — — FDA listed —
Pain Relief Patches 00363-9116-06 Walgreen 1 patch — — FDA listed —
Walgreens 24-Hour Lidocaine Patch 4 g/100g 00363-9943-06 Walgreens 6 patches — — FDA listed —
Maximum Strength Pain Relief Lidocaine Patch 4 g/100g 11822-6541-00 Rite 6 patches — — FDA listed —
Rite Aid Lidocaine Patch XLarge 4 g/100g 11822-9992-03 Rite 3 pouches — — FDA listed —
Albertsons Pain Relief Patch 4 g/100g 21130-0960-06 Safeway 6 patches — — FDA listed —
Signature Care Medicated Pain Relief Patch 4 g/100g 21130-0988-01 Safeway, 1 patch — — FDA listed —
Flanax Back Pain Relief 4 g/100g 27854-0311-01 Belmora 1 patch — — FDA listed —
Flanax Back Pain Relief 4 g 27854-0333-01 Belmora 1 patch — — FDA listed —
Kroger Pain Relief Lidocaine Patch 4 g/100g 30142-0583-06 Kroger 6 patches — — FDA listed —
Topcare Pain Relief Patches 4 g/100g 36800-0156-05 TOPCO 5 patches — — FDA listed —
Aspercreme with Lidocaine 4 g/100g 41167-0584-00 Chattem, 5 patches — — FDA listed —
Aspercreme with Lidocaine XL 422 mg 41167-0585-00 Chattem, 3 patches — — FDA listed —
Meijer Pain Relief Patches 4 g/100g 41250-0625-26 Meijer 6 patches — — FDA listed —
Meijer Pain Relief Patches 4 g/100g 41250-0972-05 Meijer 5 patches — — FDA listed —
Pain Relief Patch Lidocaine 4 g/100g 42507-0960-06 HyVee 6 pouches — — FDA listed —
Salonpas LIDOCAINE Pain Relieving 560 mg 46581-0830-01 Hisamitsu 1 patch — — FDA listed —
Salonpas Pain Relieving LIDOCAINE 4% FLEX 42 mg 46581-0840-07 Hisamitsu 7 patches — — FDA listed —
Pain Relief Patches 4 g/100g 49035-0136-06 WALMART 6 patches — — FDA listed —
Lidocaine 4 g/g 50488-2004-01 Alexso, 10 patches — — FDA listed —
GoodSense Pain Relief 40 mg 50804-0838-05 Geiss, 5 patches — — FDA listed —
Relevea Pain Relief Patch 40 mg/g 51028-0004-01 Links 15 patches — — FDA listed —
Care Science 4 mg/100mg 51142-0100-40 ASO 5 cellos — — FDA listed —
Care Science 4 mg/100mg 51142-0101-40 ASO 2 cellos — — FDA listed —
CVS 9083 Maximum Strength Lidocaine 4 Pain Relief Patch 1ct Large 40 mg/g 51316-0100-01 CVS 1 pouch — — FDA listed —
CVS Pain Relief 40 mg/g 51316-0231-05 CVS 5 pouches — — Discontinued —
CVS Pain Relief Lidocaine XL 40 mg/g 51316-0286-03 CVS 3 patches — — FDA listed —
CVS Pain-Relieving 40 mg/g 51316-0371-06 CVS 6 pouches — — FDA listed —
Lidocaine Pain-Relieving Patch 51316-0460-06 CVS 1 patch — — FDA listed —
Universal PAIN RELIEF .04 g/g 52000-0407-01 Universal 5 patches — — FDA listed —
Medline 4 mg/100mg 53329-0973-05 Medline 5 patches — — FDA listed —
Discount Drug Mart Pain Relief Patches 4 g/100g 53943-0911-05 Discount 5 patches — — FDA listed —
Lidocaine 4% Maximum OTC Strength 4 g/100g 55154-7813-05 Cardinal 5 patches — — FDA listed —
Sinsinpas Lidocaine Pain Relieving 560 mg/14g 55264-0106-03 Sinsin 5 patches — — FDA listed —
Salonpas LIDOCAINE Pain Relieving 560 mg 55328-0100-01 Hisamitsu 1 patch — — FDA listed —
Lidocaine 4% Pain Relief Gel Patch 40 mg 55629-0024-15 ONE2ZEE 15 patches — — FDA listed —
Dollar General Pain Relieving Patch with Lidocaine 4 g/100g 55910-0912-01 DOLGENCORP, 1 patch — — FDA listed —
Lidocaine Pain Relief Patch 4 mg/100mg 57896-0161-06 GERI-CARE 6 patches — — FDA listed —
Lidocaine Pain Relief Patch 4 mg/100mg 57896-0163-05 GERI-CARE 5 patches — — FDA listed —
Biofreeze Ultraflex .04 g/g 59316-0899-04 Reckitt 4 patches — — FDA listed —
Pain Relief Patches 4 g/100g 60000-0911-05 Ahold 5 patches — — FDA listed —
Aspercreme 246 mg 62168-0584-03 Lead 400 patches — — FDA listed —
Aspercreme Lidocaine XL 411.4 mg 62168-0585-01 Lead 240 patches — — FDA listed —
Pain Reliveing Patch .4 g 62379-0201-03 simple 150 patches — — FDA listed —
Pain Relief Patches 4 g/100g 63940-0911-05 Liberty 5 patches — — FDA listed —
Coralite Odor Free Pain Relief 40 mg/g 65923-0149-01 United 1 patch — — FDA listed —
CVS Health Lidocaine Pain Relief 567 mg 66902-0215-05 Natural 5 patches — — FDA listed —
CVS Health Lidocaine Pain-Relieving 567 mg 66902-0276-06 Natural 6 patches — — FDA listed —
CVS Health XL Lidocaine Pain Relief 858 mg 66902-0286-03 NATURAL 3 patches — — FDA listed —
CVS Health Lidocaine Pain-Relieving 66902-0450-06 NATURAL 2 patches — — FDA listed —
Winco Lidocaine Pain Patch 4% 5ct 4 g/100g 67091-0940-05 WINCO 1 pouch — — FDA listed —
Lidocaine Pain Relief Gel Patch 4 mg/100mg 67777-0009-40 Dynarex 300 patches — — FDA listed —
Lidocaine 4 g/g 68788-4029-01 Preferred 10 patches — — FDA listed —
Lidocaine 4 Percent 4 g/100g 68788-4123-01 Preferred 10 patches — — FDA listed —
PediFix Lidocaine Pain-Relief Patches 4 mg/100mg 68927-3700-01 PediFix, 6 patches — — FDA listed —
Lidocaine Pain Relief .04 g/100g 69168-0481-07 Allegiant 30 patches — — FDA listed —
Pain Relief Gel-Patch 4 g/100g 69396-0134-15 Trifecta 15 patches — — FDA listed —
pain relief patch 4 g/100g 69452-0409-04 Bionpharma 6 pouches — — FDA listed —
Lidocaine Pain Relieve Gel-Patch 4 g/100g 69561-0005-01 Henan 10 patches — — FDA listed —
JenGufun LIDOCAINE Pain Relief Gel-Patch 4 g/1001 69561-0007-01 Henan 6 patches — — FDA listed —
Pain Relief Patch 4% Lidocaine 224 mg 69618-0082-35 Reliable 6 patches — — FDA listed —
Tylenol Precise Pain Relieving Lidocaine 4% 40 mg 69968-0927-02 Kenvue 2 patches — — FDA listed —
Lidocare 03 4 g 69993-0400-03 Kingsway 3 patches — — FDA listed —
Lidocare Arm, Neck, Leg 11 mg 69993-0450-06 Kingsway 6 patches — — FDA listed —
Lidocaine Pain Relief 4 g/100g 70000-0741-01 Cardinal 5 patches — — FDA listed —
LidaFlex 40 mg/g 70512-0012-30 SOLA 3 pouches — — FDA listed —
TheraCare Maximum Strength Pain Relief Patch 4 mg 71101-0001-06 Veridian 6 patches — — FDA listed —
HealthWise Pain Relief Lidocaine Patch 4 g/100g 71101-0002-25 Veridian 25 patches — — FDA listed —
TheraCare Pain Relief Lidocaine 4 g/100g 71101-0011-05 Veridian 5 patches — — FDA listed —
OTC Rescue Lidocaine Pain Relief Patch 4 g/100g 71101-0025-30 Veridian 30 patches — — FDA listed —
Theracare Lidocaine Pain relief 4 g/100g 71101-0041-06 Veridian 6 pouches — — FDA listed —
HealthWise Pain Relief Lidocaine Patch 4 g/100g 71101-0058-18 Veridian 18 patches — — FDA listed —
TheraCare Pain Relief 4% Lidocaine 4 g/100g 71101-0059-05 Veridian 5 pouches — — FDA listed —
HealthWise Lidocaine Patch 4 g/100g 71101-0063-06 Veridian 6 patches — — FDA listed —
HealthWise Lidocaine Patch 4 g/100g 71101-0064-25 Veridian 25 patches — — FDA listed —
HealthWise Flexible 4% Lidocaine Patch 4 g/100g 71101-0081-14 Veridian 14 patches — — FDA listed —
TheraCare Pain Relief Patch 4 g/100g 71101-0108-06 Veridian 6 patches — — FDA listed —
TheraCare Flexible Pain Relieving 4 g/100g 71101-0124-01 Veridian 7 patches — — FDA listed —
TheraCare Lidocaine Pain Relief 4 g/100g 71101-0125-01 Veridian 3 patches — — FDA listed —
Thera Care Pain Therapy 4 g/100g 71101-0911-01 Veridian 1 patch — — FDA listed —
HealthWise Lidocaine Pain relief 4 g/100g 71101-0915-06 Veridian 6 pouches — — FDA listed —
THERA CARE 24hrs Lidocaine Patch 4 g/100g 71101-0916-06 Veridian 6 patches — — FDA listed —
Caring Mills Relief Patch with Lidocaine 4 g/100g 71101-0917-15 Veridian 15 patches — — FDA listed —
TheraCare Pain Relieving Patch with Lidocaine 4 g/100g 71101-0918-12 Veridian 1 g — — FDA listed —
Dr Sabharwals 224 mg 71318-0114-15 Dr. 15 patches — — FDA listed —
Pain Relief 4% Lidocaine 344 mg 71391-0151-01 Unexo 1 patch — — FDA listed —
AsperFlex 4 g/100g 71399-4456-05 Akron 5 patches — — FDA listed —
Lidocaine 4 Percent 4 g/100g 71436-3104-01 ARI 10 patches — — FDA listed —
Aipatch Numbing Pain Relief 40 mg/g 71590-0012-25 Active 25 patches — — FDA listed —
Re-Lieved Lidocaine Patch 18 mg/116cm2 71662-0000-01 Transfer 116 cms — — Discontinued —
Re-Lieved 4% Lidocaine Fabric Tape 18 mg/116cm2 71662-0002-10 Transfer 1 cylinder — — FDA listed —
Maximum strength Lidocaine Patch 40 mg 71811-0001-05 InterMed 2500 patches — — FDA listed —
Pain Relieving Lidocaine Patch 40 mg 71811-0003-30 InterMed 30 patches — — FDA listed —
Maximum Strength 4% Lidocaine Patch 40 mg 71811-0004-05 InterMed 5 patches — — FDA listed —
Maximum Strength 4% Lidocaine Patch Leader 40 mg 71811-0007-05 InterMed 5 patches — — FDA listed —
Maximum Strength 4% Lidocaine Patch Good Neighbor Pharmacy 40 mg 71811-0008-05 InterMed 5 patches — — FDA listed —
Maximum Strength 4% Lidocaine Patch HealthA2Z 40 mg 71811-0009-30 InterMed 30 patches — — FDA listed —
Maximum Strength 4% Lidocaine Patch Good Neighbor Pharmacy 400 mg 71811-0010-05 InterMed 5 patches — — FDA listed —
Pain Relief Patches 4 g/100g 72036-0911-05 Harris 5 patches — — FDA listed —
Amazon Basics Pain Relief Patch with 4% Lidocaine 4 g/100g 72288-0967-15 Amazon.com 15 patches — — FDA listed —
Curist Lidocaine Patch Maximum Strength 4 g/100g 72559-0025-19 Little 20 patches — — FDA listed —
Curist Lidocaine Patch 4 g/100g 72559-0026-19 Little 20 patches — — FDA listed —
LidoTape 4 g/1001 72835-0040-20 V2 1 pouch — — FDA listed —
Lidocaine Patch 4 g/100g 73317-6866-05 SLV 15 patches — — FDA listed —
Lido King Lidocaine 4% Pain Relieving Gel-Patch 4 g/100g 73354-1280-02 Galaxy 5 patches — — FDA listed —
Dr. Scholls Blister Pain Relief Complete 73469-0487-08 Scholl's 1 patch — — FDA listed —
Dr. Scholls Blister Pain Relief Complete 73469-0488-02 Scholl's 1 patch — — FDA listed —
Pain Relieving Gel-Patch .04 g/g 73557-0157-05 Shanghai 5 patches — — FDA listed —
Pain Relieving Gel-Patch .04 g/g 73557-0158-06 Shanghai 6 patches — — FDA listed —
Pain Relieving Gel-Patch .04 g/g 73557-0159-06 Shanghai 6 patches — — FDA listed —
Pain Relieving Gel-Patch .04 g/g 73557-0160-18 Shanghai 18 patches — — FDA listed —
Pain Relieving Gel-Patch .04 g/g 73557-0185-10 Shanghai 10 patches — — FDA listed —
Pain Relief .04 g/g 73557-0187-20 Shanghai 20 patches — — FDA listed —
Pain Relief .04 g/g 73557-0189-30 Shanghai 30 patches — — FDA listed —
Pain Relieving Lidocaine Patch 40 mg 73581-0001-30 YYBA 30 patches — — FDA listed —
Welmate Lidocaine Pain Relieving Patch 4 g/100g 73581-0911-15 YYBA 15 pouches — — FDA listed —
Welmate Lidocaine Pain Relieving Patch .04 g/g 73581-0912-15 YYBA 15 patches — — FDA listed —
Careland Lidocaine 4 Pain Relieving Gel-Patches 40 mg/g 75568-0004-01 Planet 6 patches — — FDA listed —
Careland Max Strength Lidocaine 4 Pain Relieving 40 mg/g 75568-0018-01 Planet 7 g — — FDA listed —
Careland Lidocaine Pain Relieving 40 mg/g 75568-0019-01 Planet 9 g — — FDA listed —
Careland X-large Lidocaine 4 Pain Relieving 40 mg/g 75568-0023-01 Planet 3 patches — — FDA listed —
Orythia Pain Relieving Lidocaine 40 mg/g 75568-0035-01 Planet 9.1 g — — FDA listed —
Orythia Maximum Strength Lidocaine Pain Relieving 40 mg/g 75568-0037-01 Planet 9.1 g — — FDA listed —
Careland Pain Relief Patch Plus 40 mg/g 75568-0038-01 Planet 21 pouches — — FDA listed —
BonicaEaseX Pain Relieving Lidocaine 40 mg/g 75568-0044-00 Planet 12 patches — — FDA listed —
Careland Lidocaine Pain Relieving 40 mg/g 75568-0046-00 Planet 15 patches — — FDA listed —
Meijer Lidocaine Pain Relief Patch Assortment Large 4 g/100g 79481-0003-02 Meijer 1 patch — — FDA listed —
Meijer Lidocaine Pain Relief Patch Assortment Medium 4 g/100g 79481-0004-02 Meijer 1 patch — — FDA listed —
Meijer Lidocaine Pain Relief Patch Assortment Small 4 g/100g 79481-0005-02 Meijer 1 patch — — FDA listed —
Meijer Lidocaine Pain Relief Back And Large Areas 4 g/100g 79481-0021-06 Meijer 1 patch — — FDA listed —
Lidocaine Pain-Relief Patches 4 mg/100mg 79481-3700-01 Meijer, 6 patches — — FDA listed —
Lidocaine 4 g/100g 79643-0005-01 PHARMACURE 10 patches — — FDA listed —
Lidocaine 4 g/100g 79643-0008-01 PHARMACURE 10 patches — — FDA listed —
Equate Pain Relieving Patches 344 mg 79903-0106-06 WALMART, 6 patches — — FDA listed —
Equate Pain Relieving Patches .04 g/g 79903-0197-60 WALMART, 6 patches — — FDA listed —
Lidocaine 4% 400 mg/10g 80425-0542-01 Advanced 30 patches — — FDA listed —
PUREGEN LABS Pain Relief 4 Lidocaine 40 mg/g 80513-0814-30 Advanced 30 patches — — FDA listed —
Lidocaine Pain Relieving Gel-Patch 4 g/100g 81533-0201-05 Noble 5 patches — — FDA listed —
Lidocaine 40 mg/g 81877-0514-15 FORREAL 3 pouches — — FDA listed —
Up up 4 g/100g 82442-0744-06 Target 1 pouch — — FDA listed —
Lidocaine Patch 4% 40 mg/g 82461-0416-30 Medcore 6 pouches — — FDA listed —
Alivio 4 g 82598-0101-03 Amerise 3 patches — — FDA listed —
Lidocore 4 g 82944-0100-10 Ion 50 patches — — FDA listed —
LIDOCORE (single unit patch) 4 g 82944-0103-01 Ion 1 patch — — FDA listed —
Pain Patch Perfecto 24 Hours Lidocaine 4 % Patch 4 g/100g 83184-0221-01 Painpatchperfecto 6 patches — — FDA listed —
Lidotrode .04 g/g 83295-6400-04 Strand 4 patches — — FDA listed —
Maximum Strength 4% Lidocaine Patch 40 mg 83402-0003-30 Pharmheal 30 patches — — FDA listed —
ThermaPatch (TM) Lidocaine Pain Relief Patch 4 g/1001 83559-0006-01 Henan 6 patches — — FDA listed —
FORTHiQ Pain Relief Lidocaine Patch 4 g/1001 83559-0007-01 Henan 32 patches — — FDA listed —
RWSEFK Lidocaine Pain Relief Gel-Patch 4 g/1001 83559-0008-01 Henan 32 patches — — FDA listed —
Kocowo Lidocaine Pain Relief Gel-Patch 4 g/1001 83559-0010-01 Henan 32 patches — — FDA listed —
Lidocaine-Pain-Relief-Patch 4 g/1001 83559-0011-01 Henan 6 patches — — FDA listed —
Rapid Relief 4 g/100g 83569-0017-01 RAPID 1 pouch — — FDA listed —
Lidocaine Pain Relief Gel-Patch .04 g/g 83602-0157-15 Guangzhou 12 g — — FDA listed —
LIDOCAINE PAIN RELIEF Gel-Patch .04 g/g 83602-0158-18 Guangzhou 12 g — — FDA listed —
Lidocaine Pain Relief Gel -Patch .04 g/g 83602-0185-08 Guangzhou 8 patches — — FDA listed —
Lidocaine Pain Relief Gel -Patch .04 g/g 83602-0231-10 Guangzhou 10 patches — — FDA listed —
Lidocaine Pain Relief Gel-Patch .04 g/g 83602-0257-13 Guangzhou 13 patches — — FDA listed —
LABOFLEX Lidocaine Pain Relieving Patch 40 mg/g 83655-0109-15 Laboflex, 5 pouches — — FDA listed —
Pain Relieving .04 g/g 84007-0160-15 Medhome 15 patches — — FDA listed —
Pain Relieveing Gel-Patch .04 g/g 84008-0001-02 Bullet 30 patches — — FDA listed —
Honest Med Lidocaine Pain Relief Patch 4 g/100g 84097-0001-30 Proper 30 patches — — FDA listed —
Lidocaine Pain Relief Gel-Patch .04 g/g 84165-0002-01 Guangzhou 21 g — — FDA listed —
Lidocaine Pain Relief Gel-Patch .04 g/g 84165-0005-01 Guangzhou 12 g — — FDA listed —
Lidocaine Pain Relief Gel-Patch 84165-0006-06 Guangzhou 1 kit — — FDA listed —
Lidocaine Knee Pain Relief Gel-Patch .04 g/g 84165-0014-01 Guangzhou 8 g — — FDA listed —
Sumifun Lidocaine Pain Relief Gel-Patch .04 g/g 84165-0016-01 Guangzhou 21 g — — FDA listed —
Chinese Red Tiger Lidocaine Patches .04 g/g 84165-0102-01 Guangzhou 12 g — — FDA listed —
LIDOCAINE PAIN RELIEVING Gel-Patch .04 g/g 84165-0103-01 Guangzhou 12 g — — FDA listed —
Lidocaine Pain Relief Gel-Patch .04 g/g 84165-0106-01 Guangzhou 11 g — — FDA listed —
Lidocaine Pain Relief Gel-Patch .04 g/g 84165-0107-01 Guangzhou 9 g — — FDA listed —
Achelon Lidocaine Patch 7.54 mg/60.81cm2 84209-0400-01 Achelon, 60 cms — — FDA listed —
LidocainePain pain reliving gel-patch 4 U/100U 84291-0005-01 Shenzhen 34 us — — FDA listed —
4% Lidocaine Patch .04 g 84735-0010-01 Hengyang 20 patches — — Discontinued —
Lidocaine 4% 400 mg/10g 85096-0201-30 Marcella 30 patches — — FDA listed —
Maximum Strength 4% Lidocaine Patch 40 mg 85185-0001-30 Solis 30 patches — — FDA listed —
Arthcal 4% Lidocaine Patches 4 g/100g 85212-0004-01 Beijing 7 g — — FDA listed —
Arthcal 4% Lidocaine Gel Patches 4 g/100g 85212-0005-01 Beijing 12 g — — FDA listed —
Lidoguard 4 g/100g 85231-0100-15 ViolaCare, 15 patches — — FDA listed —
DRAWYUM Pain Relief Gel-Patch 4 g/1001 85248-0019-01 Jiangxi 3200000 patches — — FDA listed —
Reinreude Provides Temporary Relief For Minor Muscle And Joint Pain 4 g/1001 85248-0076-01 Jiangxi 8 patches — — FDA listed —
4% Lidocaine Pain Relief Patch 4 g/100g 85323-0002-00 Xuzhou 5 patches — — FDA listed —
Pain Relieving Patch .04 g/g 85524-2601-01 FlexiGo 30 g — — FDA listed —
Treatonic LIDOCAINE PAIN RELIEF 4 mg/1001 85569-0007-01 100 20 patches — — FDA listed —
Neurocaine 40 mg/40mg 85622-0501-15 Blue 15 pouches — — FDA listed —
DRMITSUI Lidocaine 4% Pain Relieving Gel 4 g/100g 85713-0102-01 Guangzhou 6 patches — — Discontinued —
Chimera GUARD .04 g/g 85761-0158-15 Hangzhou 15 patches — — FDA listed —
Chimera GUARD .04 g/g 85761-0159-20 Hangzhou 20 patches — — FDA listed —
Pain Relief Gel-Patch 4 g/100g 85766-0153-15 Sportpharm 15 patches — — FDA listed —
Lidocaine Patch .04 g 85839-0007-01 Shenzhen 3200000 patches — — FDA listed —
Lidocaine Patch .04 g 85839-0008-01 Shenzhen 24300000 patches — — FDA listed —
4% Lidocaine Maximum Strength Pain Relief .04 g 85839-0011-01 Shenzhen 15 patches — — FDA listed —
else. 4 g/100g 85981-0001-05 Else 5 patches — — FDA listed —
Pain Relief Gel-Patch .04 g/g 87253-0187-15 KORVIA 15 patches — — FDA listed —
4% Lidocaine Pain Relief Patch .04 g 87278-0003-01 Guangxi 30 patches — — FDA listed —
4% Lidocaine Patches 40 mg 87394-0002-01 Shenzhen 40 patches — — FDA listed —
Lidocaine Pain Relief Gel-Patch .04 g 87413-0001-01 Shenzhen 32 patches — — FDA listed —
Lidocaine Pain Relief Gel -Patch .04 g/g 87518-0185-09 Guangzhou 9 patches — — FDA listed —
Lidocaine Knee Pain Relief Patch .04 g/g 87518-0189-15 Guangzhou 15 patches — — FDA listed —
About this product: other versions of the same ingredient, strength and form are listed above, least expensive first, with FDA equivalence ratings where available.
Where does this data come from?
Equivalents are other NDCs of the same ingredient, form and route from the openFDA NDC Directory, ranked least-expensive-first by NADAC. Therapeutic-equivalence (AB) ratings come from the FDA Orange Book; biologics use the FDA Purple Book for biosimilar & interchangeable status.

Availability & generic status

🏛️
2023
On the market since
Apr 2023
📍
2026
Currently FDA-listed
3 years listed
🔒
·
No generic listed yet
brand only
ℹ️No FDA-approved generic found

We did not find an FDA-approved generic match for this exact strength, form and route.

Where does this data come from?
Patents and exclusivity from the FDA Orange Book (small-molecule drugs), refreshed from public FDA data. Generic launch timing is an estimate, not a guarantee.

Inactive Ingredients / Excipients

Inactive ingredients, also called excipients, are components of the drug product other than the active ingredient. They may include fillers, dyes, coatings, preservatives, flavors, or other formulation ingredients.

🧪 Avoiding an ingredient? See Lidocaine inactive ingredients by manufacturer: every current product's list side by side, so you can ask your pharmacy for the version that does not list it.

💡 Tap an ingredient (hover on desktop) to see what it is and why it’s used.

  • UNII K679OBS311
    Carboxymethylcellulose sodium is a plant-derived thickening agent made from cellulose. In medicines, it acts as a binder to hold ingredients together, a disintegrant to help the tablet break apart, or a thickener in liquids.
  • UNII DO250MG0W6
    A mineral compound containing aluminum that acts as an antacid and buffering agent. It helps neutralize stomach acid and is used as a pH buffer to stabilize the medicine's formulation.
  • UNII 7FLD91C86K
    Edetate disodium is a chemical compound that binds and removes certain metal ions. In medicines, it acts as a preservative and stabilizer by preventing metals like calcium from interfering with the product's shelf life and consistency.
  • UNII 2G86QN327L
    Gelatin is a protein derived from animal collagen, commonly used in medicines as a gelling agent and capsule material. It helps create soft or hard capsule shells that hold and release medication, and can also thicken liquid formulations.
  • UNII PDC6A3C0OX
    Glycerin is a clear, thick liquid derived from plant oils or fats. It acts as a humectant to retain moisture, a sweetener, and a solvent in medications.
  • UNII 24H4NWX5CO
    Kaolin is a naturally occurring clay mineral. It's used in tablets and capsules as a filler and absorbent to add bulk, improve texture, and help bind ingredients together.
  • UNII A2I8C7HI9T
    Methylparaben is a preservative derived from benzoic acid that prevents growth of bacteria, fungi, and mold in medicines. It extends the product's shelf life and maintains safety during storage.
  • UNII 9G2MAD7J6W
    Polyacrylic acid is a synthetic polymer used as a binder and thickening agent in medicines. It helps hold tablet ingredients together and can increase the viscosity of liquid or semi-solid formulations.
  • UNII 949E52Z6MY
    Polyvinyl alcohol is a synthetic polymer made from plant-derived materials. It acts as a binder to hold tablet ingredients together and as a film-former in coatings that control how fast the medicine dissolves.
  • UNII 6DC9Q167V3
    Propylene glycol is a clear liquid derived from petroleum or vegetable sources. It acts as a solvent, humectant, and preservative in medicines, helping dissolve active ingredients and maintain product stability.
  • UNII Z8IX2SC1OH
    Propylparaben is a chemical preservative used to prevent bacterial and fungal growth in medicines and personal care products. It helps extend shelf life and maintain product safety during storage.
  • UNII 05I15JNI2J
    A synthetic polymer that absorbs and holds moisture. Used in tablets and capsules as a super-disintegrant to help the medicine break apart quickly when swallowed, allowing faster drug release.
  • UNII 506T60A25R
    Sorbitol is a natural sugar alcohol derived from glucose. It serves as a sweetener, humectant, and bulking agent in medications to improve taste and help maintain moisture in the product.
  • UNII W4888I119H
    Tartaric acid is a natural organic acid found in grapes and tamarinds. In medicines, it works as a buffer to control acidity, an antioxidant to prevent spoilage, and sometimes a flavoring or binding agent.
  • UNII 8W8T17847W
    A nitrogen-containing chemical compound used in pharmaceuticals as a humectant to retain moisture, and sometimes as a keratolytic agent in topical formulations to help soften and remove dead skin cells.
  • UNII 059QF0KO0R
    Water is a liquid solvent that dissolves and mixes ingredients together in liquid medicines, syrups, and injections. It helps distribute the active drug evenly throughout the product.

16 inactive ingredients listed in the exact product block matched to this NDC.

The official label also statesdihydroxyaluminum aminoacetate, disodium edetate, gelatin, glycerin, kaolin, methylparaben, polyacrylic acid, polyvinyl alcohol, propylene glycol, propylparaben, sodium carboxymethylcellulose, sodium polyacrylate, D-sorbitol, tartaric acid, urea, water

Label-section wording can be broader than the structured product block and may mention additional formulation ingredients.

Where does this data come from?
Data sourced from official FDA Structured Product Labeling (SPL) via DailyMed — ingredient classCode="IACT" elements from the exact product block matched by this NDC. Label-section narrative from DailyMed / the openFDA label index is shown separately when available.

Inactive ingredient FAQ

Are inactive ingredients the same for every manufacturer?
No. Inactive ingredients can differ by manufacturer, dosage form, strength, and package / product version.
Why might an inactive ingredient be missing?
Some SPLs do not provide a complete structured inactive-ingredient list, and older or unusual labels may only include the information in narrative text.
Can inactive ingredients matter?
Yes. They can matter for allergies, intolerances, dyes, gluten / lactose concerns, preservatives, and formulation differences — but confirm with a pharmacist or the manufacturer when it’s clinically important.

Manufacturer & labeler

LabelerPAI Holdings, LLC dba PAI Pharma
FDA applicationM017 (OTC MONOGRAPH DRUG)
Labeler code00121
First marketedApr 2023
Product typeHuman Otc Drug
Portfolio142 products on file

More NDCs from PAI Holdings, LLC dba PAI Pharma labeler code 00121

The labeler markets the product; the application holder owns the FDA approval. They’re often the same company but can differ (e.g. a repackager or an authorized generic). A mailing address / phone appears here when the manufacturer includes it in the product’s FDA label (not all do).
Where does this data come from?
Labeler, application holder and registered establishment from the FDA openFDA NDC Directory and Drugs@FDA; address/contact from the product’s FDA label.

FDA label — Drug Facts FDA SPL

The complete FDA label for this product — the official Drug Facts labeling, verbatim, section by section. Jump with a chip, search within the label, or expand everything.
🎯 Indications and Usage ⏱️ Dosage and Administration ⚠️ Warnings 🧪 Active Ingredient 🧪 Inactive Ingredients 🎯 Purpose 📄 Do Not Use 📄 When Using This Product 📄 Stop Use and Ask a Doctor If 🤰 If Pregnant or Breast-Feeding 📄 Keep Out of Reach of Children 📄 Questions or Comments 📄 Package Label / Principal Display Panel
🎯 Indications and Usage 5 words ▾

Uses Temporary relief of pain

⏱️ Dosage and Administration 55 words ▾

Directions Adults and children over 12 years: clean and dry affected area remove film from patch and apply to the skin apply one patch to affected area not more than 3 to 4 times a day remove patch from the skin after at most 12-hour application Children under 12 years of age: consult a doctor

⚠️ Warnings 152 words ▾

Warnings For external use only Do not use more than one patch at a time on wounds or damaged, broken or irritated skin if you are allergic to any ingredients of this product When using this product use only as directed • read and follow all directions and warnings do not allow contact with eyes and mucous membranes do not bandage tightly • do not apply local heat such as a heating pad do not use other topical anesthetics at the same time Stop use and ask a doctor if localized skin reactions occur, such as rash, itching, redness, irritation, pain, swelling and blistering conditions worsen symptoms persist for more than 7 days symptoms clear up and occur again within a few days if pregnant or breast-feeding, ask a healthcare professional before use.

Keep out of reach of children If swallowed, get medical help or contact a Poison Control Center right away.

🧪 Active Ingredient 4 words ▾

Active ingredient(s) Lidocaine 4%

🧪 Inactive Ingredients 26 words ▾

Inactive ingredients dihydroxyaluminum aminoacetate, disodium edetate, gelatin, glycerin, kaolin, methylparaben, polyacrylic acid, polyvinyl alcohol, propylene glycol, propylparaben, sodium carboxymethylcellulose, sodium polyacrylate, D-sorbitol, tartaric acid, urea, water

🎯 Purpose 3 words ▾

Purpose Topical anesthetic

📄 Do Not Use 28 words ▾

Do not use more than one patch at a time on wounds or damaged, broken or irritated skin if you are allergic to any ingredients of this product

📄 When Using This Product 50 words ▾

When using this product use only as directed • read and follow all directions and warnings do not allow contact with eyes and mucous membranes do not bandage tightly • do not apply local heat such as a heating pad do not use other topical anesthetics at the same time

📄 Stop Use and Ask a Doctor If 40 words ▾

Stop use and ask a doctor if localized skin reactions occur, such as rash, itching, redness, irritation, pain, swelling and blistering conditions worsen symptoms persist for more than 7 days symptoms clear up and occur again within a few days

🤰 If Pregnant or Breast-Feeding 10 words ▾

if pregnant or breast-feeding, ask a healthcare professional before use.

📄 Keep Out of Reach of Children 19 words ▾

Keep out of reach of children If swallowed, get medical help or contact a Poison Control Center right away.

📄 Questions or Comments 19 words ▾

Comments or Questions: 1-800-845-8210 ††This product is not manufactured or distributed by Chattem, Inc., distributor of Aspercreme® Lidocaine Patch.

📄 Package Label / Principal Display Panel 28 words ▾

Principal Display Panel lidocaine patch lidocaine-patch

Principal Display Panel - 30 patches NDC 0121-0970-30 Lidocaine Pain Relief Patch 4% Lidocaine / Topical Anesthetic Lidocaine Pain Relief 30 Patches

Source: FDA Structured Product Labeling, mirrored from DailyMed / openFDA. Prefer the government’s original formatting? View this label on DailyMed ↗

Medicaid utilization & spend

📍 This exact package only: Medicaid data is reported per full 11-digit NDC — labeler, product and pack size — so every number here is for this package alone, not the drug overall. Other pack sizes report separately.
💊 Pharmacy benefit only: These are Medicaid outpatient pharmacy claims, billed by NDC. They exclude the medical benefit — clinic- or hospital-administered drugs billed under HCPCS J-codes — so drugs used mostly that way (e.g. Avastin, Lucentis, Keytruda) can look low or missing here. That’s expected, not an error.
📅 Q1 2025 – Q1 2026 · 5 quarters of data
ⓘ The newest quarter is usually incomplete when first published; states restate recent quarters in later CMS releases, so the latest figures typically revise upward. State coverage-policy changes can also shift quarter-to-quarter totals.
Prescriptions last 4 qtrs
15.7K
Units reimbursed last 4 qtrs
428.7K
Gross reimbursed last 4 qtrs
$556.1K
Avg / prescription
$35.50
Avg / unit
$1.2970
Latest quarter Q1 2026
5.6KRx
Medicaid pays / ea
$1.2970
gross reimbursed
vs
NADAC / ea
$1.1000
acquisition cost
=
Spread
+$0.1970
+18% vs cost
What Medicaid paid per ea (before rebates; includes the pharmacy’s dispensing fee) compared with NADAC — the average price pharmacies pay to buy the drug. A positive spread means Medicaid reimbursed more than the purchase price, before manufacturer rebates.
Fee-for-service vs managed care ⓘ
69% FFS 31% MCO
Fee-for-service · 10,877 Rx Managed care · 4,789 Rx
State Medicaid map
Alaska: no data reported AK Maine: 6,504 units · 466 per 100k residents ME Washington: no data reported WA Idaho: no data reported ID Montana: no data reported MT North Dakota: no data reported ND Minnesota: 3,280 units · 57.2 per 100k residents MN Wisconsin: no data reported WI Michigan: 22,001 units · 219 per 100k residents MI New York: 110,687 units · 566 per 100k residents NY Vermont: no data reported VT New Hampshire: no data reported NH Oregon: 1,349 units · 31.9 per 100k residents OR Nevada: 5,963 units · 187 per 100k residents NV Wyoming: no data reported WY South Dakota: no data reported SD Iowa: no data reported IA Illinois: 321 units · 2.6 per 100k residents IL Indiana: 775 units · 11.3 per 100k residents IN Ohio: 12,271 units · 104 per 100k residents OH Pennsylvania: 29,458 units · 227 per 100k residents PA New Jersey: 2,543 units · 27.4 per 100k residents NJ Massachusetts: 5,046 units · 72.1 per 100k residents MA California: 145,727 units · 374 per 100k residents CA Utah: no data reported UT Colorado: no data reported CO Nebraska: 11,120 units · 562 per 100k residents NE Missouri: 1,986 units · 32.1 per 100k residents MO Kentucky: 46,911 units · 1,036 per 100k residents KY West Virginia: no data reported WV Virginia: 3,437 units · 39.4 per 100k residents VA Maryland: 3,409 units · 55.2 per 100k residents MD Connecticut: 3,570 units · 98.7 per 100k residents CT Rhode Island: 1,157 units · 106 per 100k residents RI Arizona: 2,272 units · 30.6 per 100k residents AZ New Mexico: no data reported NM Kansas: no data reported KS Arkansas: no data reported AR Tennessee: no data reported TN North Carolina: no data reported NC South Carolina: no data reported SC Delaware: no data reported DE Oklahoma: no data reported OK Louisiana: no data reported LA Mississippi: no data reported MS Alabama: no data reported AL Georgia: no data reported GA D.C.: 1,839 units · 271 per 100k residents DC Hawaii: 7,110 units · 495 per 100k residents HI Texas: no data reported TX Florida: no data reported FL
Units reimbursed · per 100k residents
2.61,036
gray = no data reported ⓘ
Colors are per 100,000 residents, so big states don’t automatically dominate. Tap or hover a state for its actual totals.
Tap or hover a state
…for its Medicaid breakdown
🏆 Top states by units · per 100k residents
1 Kentucky 1,036 /100k
2 New York 566 /100k
3 Nebraska 562 /100k
4 Hawaii 495 /100k
5 Maine 466 /100k
6 California 374 /100k
7 D.C. 271 /100k
8 Pennsylvania 227 /100k
National units — by quarter
💵 About the dollar figures: “reimbursed” is what Medicaid paid pharmacies before confidential manufacturer rebates, so the program’s real net cost is lower than these numbers. Fee-for-service and managed-care claims are combined unless split above. Source: CMS State Drug Utilization Data; per-100k rates use 2023 Census population estimates.

Medicaid utilization by pack size

Medicaid (SDUD) totals over the four most recent reported quarters for every package size of this drug — handy when a specific package (e.g. a starter/titration pack) carries little or no Medicaid volume on its own.
180 patches this page00121-0970-30 15,666 Rx · $556,091
60 patches00121-0970-05 2,310 Rx · $64,700
Drug total (last 4 qtrs): 17,976 Rx · 488,195 units · $620,792 gross reimbursed
Tap a pack size to open its page. Source: CMS State Drug Utilization Data, last 4 quarters.
← 00121-0966-00 · PAI 00121-0972-51 · PAI →
For educational and professional reference only — not medical advice. Pricing reflects published NADAC and CMS ASP (free public data) and may differ from your acquisition cost; always verify before billing or dispensing.