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NDC 46122-0574-21 Lidocaine Menthol Pain Relief 4; 1 g/100g; g/100g Details
Lidocaine Menthol Pain Relief 4; 1 g/100g; g/100g
Lidocaine Menthol Pain Relief is a TOPICAL PATCH in the HUMAN OTC DRUG category. It is labeled and distributed by Amerisource Bergen. The primary component is LIDOCAINE; MENTHOL, UNSPECIFIED FORM.
Product Information
| NDC | 46122-0574 |
|---|---|
| Product ID | 46122-574_eff7c88d-1768-96d1-e053-2a95a90a29ac |
| Associated GPIs | 90859902885930 |
| GCN Sequence Number | 068770 |
| GCN Sequence Number Description | lidocaine/menthol ADH. PATCH 4 %-1 % TOPICAL |
| HIC3 | Q5H |
| HIC3 Description | TOPICAL LOCAL ANESTHETICS |
| GCN | 31613 |
| HICL Sequence Number | 007837 |
| HICL Sequence Number Description | LIDOCAINE/MENTHOL |
| Brand/Generic | Generic |
| Proprietary Name | Lidocaine Menthol Pain Relief |
| Proprietary Name Suffix | n/a |
| Non-Proprietary Name | Lidocaine, Menthol |
| Product Type | HUMAN OTC DRUG |
| Dosage Form | PATCH |
| Route | TOPICAL |
| Active Ingredient Strength | 4; 1 |
| Active Ingredient Units | g/100g; g/100g |
| Substance Name | LIDOCAINE; MENTHOL, UNSPECIFIED FORM |
| Labeler Name | Amerisource Bergen |
| Pharmaceutical Class | Amide Local Anesthetic [EPC], Amides [CS], Antiarrhythmic [EPC], Local Anesthesia [PE] |
| DEA Schedule | n/a |
| Marketing Category | OTC MONOGRAPH NOT FINAL |
| Application Number | part348 |
| Listing Certified Through | 2024-12-31 |
Package
NDC 46122-0574-21 (46122057421)
| NDC Package Code | 46122-574-21 |
|---|---|
| Billing NDC | 46122057421 |
| Package | 5 PATCH in 1 POUCH (46122-574-21) / 8 g in 1 PATCH |
| Marketing Start Date | 2018-07-01 |
| NDC Exclude Flag | N |
| Pricing Information | |
| Price Per Unit | 0.90486 |
| Pricing Unit | EA |
| Effective Date | 2024-02-21 |
| NDC Description | GNP LIDOCAINE-MENTHOL 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