NDC Code(s) : 69842-921-49
Packager : CVS Pharmacy

Category : HUMAN OTC DRUG LABEL

DEA Schedule : none

Marketing Status : New Drug Application

INGREDIENTS AND APPEARANCE

CVS Lidocaine Lidocaine HCl CREAM
Product Information
Product Type HUMAN OTC DRUG Item Code (Source) NDC:69842-921
Route of Administration TOPICAL DEA Schedule
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
LIDOCAINE HYDROCHLORIDE(UNII: V13007Z41A)
(LIDOCAINE - UNII:98PI200987) 		LIDOCAINE4 g in 100 g
Inactive Ingredients
Ingredient Name Strength
CAPRYLYL TRISILOXANE(UNII: Q95M2P1KJL)
WATER(UNII: 059QF0KO0R)
AMINOMETHYLPROPANOL(UNII: LU49E6626Q)
DIMETHICONE(UNII: 92RU3N3Y1O)
STEARETH-21(UNII: 53J3F32P58)
METHYLPARABEN(UNII: A2I8C7HI9T)
CETOSTEARYL ALCOHOL(UNII: 2DMT128M1S)
CETETH-20 PHOSPHATE(UNII: 921FTA1500)
DIHEXADECYL PHOSPHATE(UNII: 2V6E5WN99N)
GLYCERYL MONOSTEARATE(UNII: 230OU9XXE4)
CARBOMER INTERPOLYMER TYPE A (55000 CPS)(UNII: 59TL3WG5CO)
ALOE VERA LEAF(UNII: ZY81Z83H0X)
EDETATE DISODIUM(UNII: 7FLD91C86K)
ETHYLHEXYLGLYCERIN(UNII: 147D247K3P)
ALCOHOL(UNII: 3K9958V90M)
Packaging
# Item Code Package Description Marketing Start Date Marketing End Date
1NDC:69842-921-491 in 1 CARTON 15/01/2018
149 g in 1 BOTTLE, PLASTIC Type 0: Not a Combination Product
Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
OTC Monograph Drug M017 01/15/2018

LABELER - CVS Pharmacy(062312574)

PRINCIPAL DISPLAY PANEL

Principal Display PanelCVS Health

Multi- Symptom Formula Works On Contact to relieve Pain & Itch From:

Minor Burns & cuts

Minor Skin Irritaions

Insect bites

Sunburns

Maximum Strength Lidocaine Cream Lidocaine HCL 4 %- Topical Analgesic

Steroid free, Works on Contact