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(from DailyMed)

Medline benzalkonium chloride, lidocain hydrochloride .13 g/100g; 4 g/100g Spray, 113 g

by Medline Industries, LP · 113 g in 1 BOTTLE, SPRAY (53329-918-04)
NDC 53329-0918-04
🏷️ FDA NDC (as labeled) 53329-918-04 billing pads the product segment with a zero
OTC On market Non-controlled
🗂️ Data synced Jul 24, 2026 · sources: openFDA · FDA label (DailyMed) · FDA Orange & Purple Book · First Databank · CMS NADAC, ASP, Medicare & Medicaid · RxNorm
📋 All sources & update times →

🆔 Identity & classification

FDA NDC (as labeled) 53329-918-04
Product NDC 53329-918
11-digit billing NDC 53329091804
RxCUI 2047877
UNII F5UM2KM3W7, V13007Z41A
Application # M003
SPL Set ID b1059e68-b240-056c-e053-2995a90a61b2
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 2021-05-01
Route TOPICAL
Dosage form SPRAY
Substance BENZALKONIUM CHLORIDE; LIDOCAINE HYDROCHLORIDE
Why two NDCs? The FDA registers this code as 53329-918-04 — a 5-3-2 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 product segment → 53329-0918-04. 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 Quaternary ammonium compounds class.

Drug family (ATC) Quaternary ammonium compounds, Medicated dressings with antiinfectives, Antiseptics
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.

🏭 Manufacturer & labeler

LabelerMedline Industries, LP
FDA applicationM003 (OTC MONOGRAPH DRUG)
Labeler code53329
First marketedMay 2021
Product typeHuman Otc Drug
Portfolio120 products on file
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.

🩺 Clinical

🧪 What is this product?

This is a topical spray marketed as an over-the-counter monograph drug containing benzalkonium chloride and lidocaine hydrochloride. Benzalkonium chloride is an antimicrobial agent typically used to help reduce bacteria on skin, while lidocaine hydrochloride is a local anesthetic commonly used to numb or relieve minor pain and itching in the area where it is applied. The spray form allows for direct application to affected areas.

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.

🧪 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.

Loading inactive ingredients from the official FDA label in the background. No external source is being called by this page request.
Where does this data come from?
Source: official FDA Structured Product Labeling (SPL) via DailyMed and the openFDA label index. Structured IACT rows and label-wide narrative are kept separate; availability and product-level specificity depend on the submitted label.

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.

💲 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 mLPer package
Retail pharmacies payNADAC · weekly Not in the retail survey — common for institutional, discontinued, or low-volume packs.
Medicaid paysCMS SDUD · 12 mo No recent Medicaid claims on file for this NDC — rare and low-volume NDCs are suppressed in the public data.
Medicare drug plans payPart D · quarterly No Part D plan price is available for this NDC in our data.
ℹ️
No price is published for this exact package yet. CMS surveys NADAC per package size, so a different pack of the same drug often has one.
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.

🔁 Therapeutic equivalents

ProductLabelerPackNADAC/unitTEStatusPrice vs. this
Walgreen Maximum strength pain relieving cleansing .13 g/100mL; 4 g/100mL 00363-7020-05 WALGREENS 148 ml — — FDA listed —
RITE AID Maximum strength pain relieving .13 g/100mL; 4 g/100mL 11822-7220-05 RITE 148 ml — — FDA listed —
Signature Select Pain Relieving .13 g/100mL; 4 g/100mL 21130-0931-01 Safeway/Albartsons 148 ml — — FDA listed —
Meijer Maximum strength pain relieving cleansing .13 g/100mL; 4 g/100mL 41250-0287-05 MEIJER 148 ml — — FDA listed —
American Red Cross First Aid 1.3 mg/mL; 40 mg/mL 51628-0368-00 MY 88.72 ml — — FDA listed —
American Red Cross First Aid 4 g/100g; .13 g/100g 51628-4529-01 MY 141 g — — FDA listed —
Medline .13 g/100g; 4 g/100gthis 53329-0918-04 Medline 113 g — — FDA listed —
Medline 4 g/100g; .13 g/100g 53329-0919-04 Medline 113 g — — FDA listed —
Bactine Max .13 g/100mL; 4 g/100mL 65197-0811-14 WellSpring 118 ml — — FDA listed —
Alocane Plus 4 g/100mL; .13 g/100mL 68229-0404-01 Quest 104 ml — — FDA listed —
Alocane Max 4 g/100mL; .13 g/100mL 68229-0408-01 Quest 104 ml — — FDA listed —
Pain Relieving cleansing spary .0013 g/mL; .04 g/mL 69396-0177-05 Trifecta 148 ml — — FDA listed —
HealthWise Lidocaine Cleansing .13 g/100mL; 4 g/100mL 71101-0101-01 Veridian 148 ml — — FDA listed —
DG Health Maximum Strength Pain Relieving Cleansing 1.3 mg/mL; 40 mg/mL 75712-0200-01 Dollar 148 ml — — FDA listed —
American Red Cross First Aid 4 g/100g; .13 g/100g 75742-0072-01 Zhejiang 141 g — — FDA listed —
Thera Plus Pain Relief Cleansing 1.3 mg/mL; 40 mg/mL 80684-0150-00 Fourstar 148 ml — — FDA listed —
Up and Up Max Pain Relieving Cleansing .13 g/100mL; 4 g/100mL 82442-0018-21 TARGET 150 ml — — 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

🏛️
2021
On the market since
May 2021
📍
2026
Currently FDA-listed
5 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.

🔬 Reported adverse events (FAERS)

Read carefully: FAERS reports are voluntary and unverified. Counts are not incidence, do not establish causation, are subject to reporting bias, and cannot be used to compare one drug to another. Shown for signal context only. Reports for Acetaminophen — the ingredient across all brands.

Top reported reactions

Pain49,512
Fatigue45,791
Nausea41,932
Overdose40,941
Drug Dependence39,209
Headache38,738
Death36,479

Age at onset

Neonate2,511
Infant1,510
Child4,320
Adolescent3,245
Adult56,522
Elderly41,990

Reporter sex

679,604 reports
Male · 36%
Female · 63%
Unknown · 0%

Serious outcomes

Hospitalization199,486
Death102,045
Life-threatening29,552
Disabling25,685
Reports over time (by year) — tap or hover for the count & year
2019 2021 2023 2026 70,116 0
Most recent year is provisional (FAERS lags ~3 months).
Where does this data come from?
Adverse-event reports from the FDA Adverse Event Reporting System (FAERS) via openFDA. FAERS reports are voluntary and unverified — counts are not incidence and don’t establish causation.

📦 Packaging — all sizes for this product

Package NDCDescription Marketing startStatus
53329-0918-04 You're viewing this 113 g in 1 BOTTLE, SPRAY (53329-918-04) 2021-05-01 Active

🧭 About this NDC listing & data coverage

Over-the-counter (OTC) product
What data is (and isn’t) available for this NDC — tap to expand
NDC identity (package / product / labeler codes) ✓ Available
Labeler ✓ Available
Product & package description ✓ Available
Marketing category & status ✓ Available
Active ingredient / dosage form / route ✓ Available
FDA label (SPL via DailyMed) ✓ Available
Package photos — Not published for this NDC No photo available yet for this listing.
Inactive ingredients (structured) — Not published for this NDC The labeler did not submit a structured excipient list, or no SPL is available.
NADAC pharmacy acquisition price (CMS) — Not published for this NDC CMS publishes NADAC only for NDCs reported in its retail-pharmacy survey.
Orange Book / therapeutic-equivalence data — Not published for this NDC Applies only to products approved under an NDA/ANDA; many listings are out of scope.
HCPCS J-code billing crosswalk — Not published for this NDC Most self-administered / retail products have no J-code — that is normal.
Medicaid utilization (CMS SDUD) — Not published for this NDC CMS reports utilization only for NDCs with Medicaid claims above its privacy threshold.
“Not published” reflects what the public FDA / CMS / NLM sources provide for this exact package code — it is a property of the data feeds, not a judgment about the product.

Questions about this listing

Is this NDC FDA-approved?
An NDC listing does not by itself establish FDA approval — the NDC Directory records that a product is listed with FDA, not that it was reviewed and approved. This listing's marketing category is "Otc Monograph Drug". Products approved under an application carry an NDA, ANDA, or BLA number.
Why is there no price listed?
The pricing shown on our NDC pages comes from CMS NADAC, a voluntary survey of retail community pharmacy invoices. CMS does not publish a NADAC for every NDC — packages outside the retail survey (institutional and hospital products, bulk packages, discontinued items, and many OTC items) may never receive one. A missing price reflects the survey's scope, not this product's actual cost, and does not mean the product is free or unavailable.
Is the NDC printed on the package the same as the 11-digit billing NDC?
Yes, they identify this exact package in different formats. The FDA registers it as 53329-918-04, which is what is printed on the packaging and shown on DailyMed. Insurance claims use a fixed 11-digit 5-4-2 format, so the short segment is padded with a leading zero: 53329-0918-04, written without dashes as 53329091804. The Identity section at the top of this page lists every form of this code.
What do the three segments of this NDC mean?
In 53329-0918-04, the first segment (53329) is the labeler code FDA assigned to Medline Industries, LP; the middle segment (0918) identifies this specific product — its ingredient, strength, and dosage form; and the last segment (04) identifies this exact package size and type. Together they name one specific package of one specific product.
Is this package still being marketed?
Yes, per the latest FDA NDC Directory data on this page: this package is listed as actively marketed, with no marketing end date reported by Medline Industries, LP. Listing status can change — the directory data on this page refreshes weekly.
Who lists this product with the FDA?
Medline Industries, LP is the labeler of record for this NDC — the company under whose FDA-assigned code the package is listed. The labeler may be the manufacturer itself or a distributor marketing the product under its own code.
Do I need a prescription for this product?
This NDC is listed with FDA as an over-the-counter product, so it does not require a prescription. Follow the package directions, and ask your pharmacist if you are unsure whether it is right for you.
This page identifies an FDA-listed package (the NDC) and reports public regulatory and pricing data about the listing. It is reference information, not a medical recommendation — talk to your pharmacist or prescriber about your own medication.
Where does this data come from?
Listing facts (marketing category, packager status, marketing dates) from the FDA openFDA NDC Directory; label availability from DailyMed; pricing coverage from CMS NADAC; equivalence scope from the FDA Orange Book.

📄 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 39 words ▾

Uses first aid to help prevent the risk of bacterial contamination in minor cuts, scrapes, and burns for the temporary relief of pain and itching associated with minor burns, sunburn, minor cuts, scrapes, insect bites, and minor skin irritations

⏱️ Dosage and Administration 33 words ▾

Directions clean the affected are spray a small amount of this product on the area 1 to 3 times a day may be covered with a sterile bandage if bandaged, let dry first

⚠️ Warnings 107 words ▾

Warnings For external use only. Do not use in the eyes or apply over large areas of the body longer than 1 week, unless directed by a doctor in large quantities, particularly over raw surfaces or blistered areas Ask a doctor before use if you have deep puncture wounds, animal bites, or serious burns When using this product contents under pressure do not puncture or incinerate store at temperatures between 45°-130°F (7°-54°C), avoid excessive heat Stop use and consult a doctor if condition persists or gets worse Keep out of reach of children.

If accidentally ingested, get medical help or contact a Poison Control Center right away.

🧪 Active Ingredient 10 words ▾

Active ingredients Benzalkonium chloride 0.13% w/w Lidocaine HCl 4% w/w

🧪 Inactive Ingredients 9 words ▾

Inactive ingredients camphor, propylene glycol, purified water, sodium hydroxide

🎯 Purpose 7 words ▾

Purpose First aid antiseptic, Topical pain reliever

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