NDC Code(s) : 69306-001-10
Packager : Doc Rx

Category : HUMAN PRESCRIPTION DRUG LABEL

DEA Schedule : none

Marketing Status : New Drug Application

INGREDIENTS AND APPEARANCE

Braline PatchMenthol, Lidocaine PATCH
Product Information
Product Type HUMAN PRESCRIPTION DRUG Item Code (Source) NDC:69306-001
Route of Administration TOPICAL DEA Schedule
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
MENTHOL(UNII: L7T10EIP3A)
(MENTHOL - UNII:L7T10EIP3A) 		MENTHOL4 g in 100 g
LIDOCAINE(UNII: 98PI200987)
(LIDOCAINE - UNII:98PI200987) 		LIDOCAINE4 g in 100 g
Inactive Ingredients
Ingredient Name Strength
POLYSORBATE 80(UNII: 6OZP39ZG8H)
WATER(UNII: 059QF0KO0R)
GLYCERIN(UNII: PDC6A3C0OX)
LEMON OIL(UNII: I9GRO824LL)
ALOE VERA LEAF(UNII: ZY81Z83H0X)
SODIUM POLYACRYLATE (8000 MW)(UNII: 285CYO341L)
EDETATE DISODIUM(UNII: 7FLD91C86K)
Packaging
# Item Code Package Description Marketing Start Date Marketing End Date
1NDC:69306-001-10100 g in 1 PACKAGE Type 0: Not a Combination Product26/03/2015
Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
unapproved drug other 03/26/2015 12/19/2017

PRINCIPAL DISPLAY PANEL

Product Packaging