RITE AID LIDOCAINE PATCH XLARGE- lidocaine patch 
Rite Aid Corporation

Disclaimer: Most OTC drugs are not reviewed and approved by FDA, however they may be marketed if they comply with applicable regulations and policies. FDA has not evaluated whether this product complies.

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Rite Aid Lidocaine Patch XLarge

Active Ingredients

Lidocaine 4%

Purpose

Topical anesthetic

Use

Temporary relieves minor pain

Warnings

For external use only

Do not use

When using this product

Stop use and ask a doctor if

If pregnant or breast feeding

ask a health professional before use.

Keep out of reach of children and pets

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

Directions

adults and children 12 years of age and over:

children under 12 years or age: consult a physician

Other Information

Store in a clean, dry place outside of direct sunlight. Protect from excessive moisture

Inactive Ingredients

aluminum glycinate, carboxymethylcellulose sodium, glycerin, iodopropynyl butylcarbamate, kaolin, petrolatum, phenoxyethanol, polyacrylic acid, polysorbate 80, povidone, propylene glycol, sodium polyacrylate, tartaric acid, titanium dioxide, water, 3-(2-ethylhexyloxy)propane-1,2-diol

label

RITE AID LIDOCAINE PATCH XLARGE 
lidocaine patch
Product Information
Product TypeHUMAN OTC DRUGItem Code (Source)NDC:11822-9992
Route of AdministrationTOPICAL
Active Ingredient/Active Moiety
Ingredient NameBasis of StrengthStrength
LIDOCAINE (UNII: 98PI200987) (LIDOCAINE - UNII:98PI200987) LIDOCAINE4 g  in 100 g
Inactive Ingredients
Ingredient NameStrength
GLYCERIN (UNII: PDC6A3C0OX)  
POLYSORBATE 80 (UNII: 6OZP39ZG8H)  
PROPYLENE GLYCOL (UNII: 6DC9Q167V3)  
POVIDONE (UNII: FZ989GH94E)  
ETHYLHEXYLGLYCERIN (UNII: 147D247K3P)  
TARTARIC ACID (UNII: W4888I119H)  
KAOLIN (UNII: 24H4NWX5CO)  
IODOPROPYNYL BUTYLCARBAMATE (UNII: 603P14DHEB)  
WATER (UNII: 059QF0KO0R)  
POLYACRYLIC ACID (8000 MW) (UNII: 73861X4K5F)  
CARBOXYMETHYLCELLULOSE SODIUM (UNII: K679OBS311)  
SODIUM POLYACRYLATE (8000 MW) (UNII: 285CYO341L)  
DIHYDROXYALUMINUM AMINOACETATE (UNII: DO250MG0W6)  
TITANIUM DIOXIDE (UNII: 15FIX9V2JP)  
PETROLATUM (UNII: 4T6H12BN9U)  
PHENOXYETHANOL (UNII: HIE492ZZ3T)  
Packaging
#Item CodePackage DescriptionMarketing Start DateMarketing End Date
1NDC:11822-9992-33 in 1 CARTON03/01/2023
11 g in 1 POUCH; Type 0: Not a Combination Product
Marketing Information
Marketing CategoryApplication Number or Monograph CitationMarketing Start DateMarketing End Date
OTC monograph not finalpart34803/01/2023
Labeler - Rite Aid Corporation (014578892)
Establishment
NameAddressID/FEIBusiness Operations
Foshan Aqua Gel Biotech Co., Ltd.529128763manufacture(11822-9992)

Revised: 3/2023
Document Id: f7f9db2c-5b28-8675-e053-6394a90a4e42
Set id: efa531c2-4956-e93a-e053-2995a90ae0ea
Version: 2
Effective Time: 20230328
 
Rite Aid Corporation