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Pain Relieving cleansing spary benzalkonium chloride and lidocaine HCI .0013 g/mL; .04 g/mL Spray, 148 mL — NDC 69396-0177-05 package photo
Label image from the product's FDA listing (DailyMed) — may show a different pack size or an older label revision.

Pain Relieving cleansing spary benzalkonium chloride and lidocaine HCI .0013 g/mL; .04 g/mL Spray, 148 mL — NDC 69396-177-05 (Billing 69396-0177-05)

by Trifecta Pharmaceuticals USA, LLC. · 148 mL in 1 BOTTLE, SPRAY

This is a package of 148 mL of Pain Relieving cleansing spary benzalkonium chloride and lidocaine HCI .0013 g/mL; .04 g/mL Spray from Trifecta Pharmaceuticals USA, LLC., marketed since Jan 2026 and currently FDA-listed. It is this product's only package size.

NDC 69396-0177-05
🏷️ FDA NDC (as labeled) 69396-177-05 billing pads the product segment with a zero
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 69396-177-05 alone.

Record
FDA NDC Directory package listing · Human OTC drug
Code segments
69396 labeler · 177 product · 05 package
Package marketed since
Jan 21, 2026
Sample package
No — commercial package
Listing certified through
Dec 31, 2027
Barcode (UPC)
0850058161365
FDA record last changed
Jul 24, 2026

Identity & classification

Regulatory identifiers FDA, NLM and CMS codes for this package

FDA NDC (as labeled) 69396-177-05
Product NDC 69396-177
11-digit billing NDC 69396017705
RxCUI 2047877
UNII F5UM2KM3W7, V13007Z41A
UPC 0850058161365
Application # M017
SPL Set ID 48edbb8d-0c35-91d8-e063-6394a90a71b8
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 2026-01-21
Route TOPICAL
Dosage form SPRAY
Substance BENZALKONIUM CHLORIDE; LIDOCAINE HYDROCHLORIDE
Quick answers
  • RxCUI (RxNorm): 2047877
Why two NDCs? The FDA registers this code as 69396-177-05 — 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 → 69396-0177-05. 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.

Clinical

🧪 What is this product?

This is an over-the-counter topical spray marketed under FDA's monograph rules for pain relief and wound cleansing. It contains benzalkonium chloride, an antimicrobial agent commonly used to help cleanse and disinfect skin, and lidocaine hydrochloride, a local anesthetic typically used to numb minor pain and discomfort. The spray form allows direct application to affected areas on the skin surface.

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 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.

Packaging — all sizes for this product

Package NDCDescription Marketing startMarketing endStatus
69396-0177-05 You're viewing this Main listing 148 mL in 1 BOTTLE, SPRAY 2026-01-21 — Active

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/100g 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/mLthis 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

🏛️
2026
On the market since
Jan 2026
📍
2026
Currently FDA-listed
listed with the FDA
🔒
·
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.

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

  • 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 VIF565UC2G
    Tea tree oil is an essential oil extracted from the leaves of the Australian tea tree plant. In medicines, it typically serves as a flavoring agent, fragrance, or antimicrobial component in topical formulations.
  • UNII 7JPC6Y25QS
    A synthetic nonionic surfactant, a type of cleaning agent used in pharmaceutical formulations. It functions as an emulsifier and solubilizer, helping mix water and oil-based ingredients and improving how the medicine dissolves and spreads in the body.
  • 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 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.

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

The official label also statesDisodium EDTA, Melaleuca alternifolia (tea tree oil), Octoxynol-9, Propylene glycol, 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

LabelerTrifecta Pharmaceuticals USA, LLC.
FDA applicationM017 (OTC MONOGRAPH DRUG)
Labeler code69396
First marketedJan 2026
Product typeHuman Otc Drug
Portfolio16 products on file

More NDCs from Trifecta Pharmaceuticals USA, LLC. labeler code 69396

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 📦 Storage and Handling 🧪 Active Ingredient 🧪 Inactive Ingredients 🎯 Purpose 📄 Ask a Doctor Before Use If 📄 When Using This Product 📄 Stop Use and Ask a Doctor If 📄 Keep Out of Reach of Children 📄 Questions or Comments 📄 Package Label / Principal Display Panel
🎯 Indications and Usage 30 words ▾

Uses For first aid to help prevent bacterial contamination skin infection and for temporary relief of pain and itching associated with minor cuts, scrapes, minor burns, sunburn, minor skin irritations.

⏱️ Dosage and Administration 54 words ▾

Directions ​Adults and children 2 years of age and older: Clean the affected area Spray a small amount of this product to the affected area up to 3 times daily. May be covered with a sterile bandage, let dry first Children under 2 years of age do not use, ask a doctor before use.

⚠️ Warnings 5 words ▾

Warnings For External Use Only

📦 Storage and Handling 9 words ▾

Other information Store at controlled room temperature 59º-77ºF (15º-25ºC)

🧪 Active Ingredient 12 words ▾

Active Ingredient Benzalkonium Chloride 0.13% w/w

Active Ingredient Lidocaine HCI 4% w/w

🧪 Inactive Ingredients 13 words ▾

Inactive Ingredients Disodium EDTA, Melaleuca alternifolia (tea tree oil), Octoxynol-9, Propylene glycol, Water

🎯 Purpose 8 words ▾

Purpose First Aid Antiseptic

Purpose Pain Relieving Spray

📄 Ask a Doctor Before Use If 19 words ▾

Ask Doctor before use Ask doctor before use if you have Deep or puncture wounds Animal Bites Serious burns

📄 When Using This Product 33 words ▾

When Using this product Do not use in or near eyes Do not apply over large areas of the body or in large quantities Do not apply over raw surfact or blistered area

📄 Stop Use and Ask a Doctor If 29 words ▾

Stop use and ask a doctor If the condition worsens or symptoms persists for more than 7 days or clear up and then occur again within a few days.

📄 Keep Out of Reach of Children 19 words ▾

Keep out of the reach of children If swallowed, get medical help or contact a Poison Control Center immediately

📄 Questions or Comments 5 words ▾

Questions or Comments Call 1-888-296-9067

📄 Package Label / Principal Display Panel 9 words ▾

Label 4090 Globe Benzalkonium Chloride Spray 5oz 021226 CDER

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

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 ✓ Available
Inactive ingredients (structured) ✓ 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 form printed on the packaging and shown on DailyMed is the one the FDA registered. Insurance claims use a fixed 11-digit 5-4-2 format, so the short segment is padded with a leading zero and the dashes are dropped. The Identity section at the top of this page lists each form of this code.
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 Trifecta Pharmaceuticals USA, LLC.. Listing status can change — the directory data on this page refreshes weekly.
Who lists this product with the FDA?
Trifecta Pharmaceuticals USA, LLC. 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.
← 69396-0175-03 · Trifecta 69396-0178-04 · Trifecta →
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.