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NDC 62011-0415-01 health mart lidocaine 560 mg/1 Details

health mart lidocaine 560 mg/1

health mart lidocaine is a PERCUTANEOUS; TOPICAL; TRANSDERMAL PATCH in the HUMAN OTC DRUG category. It is labeled and distributed by Strategic Sourcing Services LLC. The primary component is LIDOCAINE.

MedlinePlus Drug Summary

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, 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.

Related Packages: 62011-0415-01
Last Updated: 12/01/2022
MedLinePlus Full Drug Details: Lidocaine Transdermal Patch

Product Information

NDC	62011-0415
Product ID	62011-0415_512d7fd1-1377-4435-b371-6fe40118ef61
Associated GPIs	90850060005920
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	health mart lidocaine
Proprietary Name Suffix	n/a
Non-Proprietary Name	LIDOCAINE
Product Type	HUMAN OTC DRUG
Dosage Form	PATCH
Route	PERCUTANEOUS; TOPICAL; TRANSDERMAL
Active Ingredient Strength	560
Active Ingredient Units	mg/1
Substance Name	LIDOCAINE
Labeler Name	Strategic Sourcing Services LLC
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

Package Images

NDC 62011-0415-01 (62011041501)

Pricing Information
NDC Package Code	62011-0415-1
Billing NDC	62011041501
Package	6 POUCH in 1 CARTON (62011-0415-1) / 1 PATCH in 1 POUCH
Marketing Start Date	2019-10-15
NDC Exclude Flag	N
Price Per Unit	0.89288
Pricing Unit	EA
Effective Date	2024-02-21
NDC Description	HM LIDOCAINE 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

Standard Product Labeling (SPL)/Prescribing Information SPL 18771c5a-6ce0-4e09-aba1-94f233481c0b Details

Active ingredient

Lidocaine 4%

Purpose

Topical anesthetic

Uses

For temporary relief of pain

Warnings

For external use only

Do not use

•: more than 1 patch at a time
•: on wounds or damaged skin
•: with a heating pad
•: if you have ever had an allergic reaction to this product or any of its ingredients

When using this product

•: use only as directed
•: avoid contact with the eyes, mucous membranes or rashes
•: do not bandage tightly

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 health professional before use.

Keep out of reach of children.

If swallowed, get medical help or contact a Poison Control Center right away (1-800-222-1222).

Directions

Adults and children 12 years of age and over:

•: clean and dry affected area
•: remove film from patch and apply to the skin (see illustration)
•: apply 1 patch at a time to affected area, not more than 3 to 4 times daily
•: remove patch from the skin after at most 8 hours of application

Children under 12 years of age: consult a doctor

Other information

•: avoid storing product in direct sunlight
•: protect product from excessive moisture
•: store at 20-25°C (68-77°F)

Inactive ingredients

carboxymethylcellulose sodium, dihydroxyaluminum aminoacetate, edetate disodium, glycerin, kaolin, methylparaben, polyacrylic acid, polyvinyl alcohol, propylene glycol, propylparaben, purified water, sodium polyacrylate, sodium polyacrylate starch, sorbitol solution, tartaric acid, urea

Questions or comments?

1-800-719-9260

Package/Label Principal Display Panel

Compare to Salonpas® Lidocaine Patch active ingredient

MAXIMUM STRENGTH

Lidocaine Patch

Topical Anesthetic

4% Lidocaine

Unscented Numbing Relief

Back, Neck, Shoulders, Knees & Elbows

Desensitize aggravated nerves

For temporary relief of pain

Up to 8 hours of relief

6 patches 3-15/16” x 5-1/2” (10 cm x 14 cm)

INGREDIENTS AND APPEARANCE

HEALTH MART LIDOCAINE

lidocaine patch

Product Information
Product Type	HUMAN OTC DRUG	Item Code (Source)	NDC:62011-0415
Route of Administration	TOPICAL, PERCUTANEOUS, TRANSDERMAL

Ingredient Name	Basis of Strength	Strength
Active Ingredient/Active Moiety
LIDOCAINE (UNII: 98PI200987) (LIDOCAINE - UNII:98PI200987)	LIDOCAINE	560 mg

Ingredient Name	Strength
Inactive Ingredients
CARBOXYMETHYLCELLULOSE SODIUM, UNSPECIFIED FORM (UNII: K679OBS311)
DIHYDROXYALUMINUM AMINOACETATE (UNII: DO250MG0W6)
EDETATE DISODIUM (UNII: 7FLD91C86K)
GLYCERIN (UNII: PDC6A3C0OX)
KAOLIN (UNII: 24H4NWX5CO)
METHYLPARABEN (UNII: A2I8C7HI9T)
POLYVINYL ALCOHOL, UNSPECIFIED (UNII: 532B59J990)
PROPYLENE GLYCOL (UNII: 6DC9Q167V3)
PROPYLPARABEN (UNII: Z8IX2SC1OH)
WATER (UNII: 059QF0KO0R)
SORBITOL (UNII: 506T60A25R)
TARTARIC ACID (UNII: W4888I119H)
UREA (UNII: 8W8T17847W)

#	Item Code	Package Description	Marketing Start Date
Packaging
1	NDC:62011-0415-1	6 in 1 CARTON	10/15/2019
1		1 in 1 POUCH; Type 0: Not a Combination Product

Marketing Category	Application Number or Monograph Citation	Marketing Start Date	Marketing End Date
Marketing Information
OTC monograph not final	part348	10/15/2019

Labeler - Strategic Sourcing Services LLC (116956644)

Revised: 2/2020

Document Id: 512d7fd1-1377-4435-b371-6fe40118ef61

Set id: 18771c5a-6ce0-4e09-aba1-94f233481c0b

Version: 2

Effective Time: 20200213