WALGREENS LIDOCAINE PAIN RELIEVING PATCH ASSORTED- lidocaine kit

Drug Labeling and Warnings

Drug Details [pdf]

Active ingredient

Lidocaine 4%

Purpose

Topical anesthetic

Use

For the temporary relief of pain.

Warnings

For external use only

Do not use

• more than 1 patch on your body at a time
• on puncture wounds
• for more than one week without consulting a doctor

When using this product

• Use only as directed
• Read and follow all directions and warnings on this carton
• Rare cases of serious burns have been reported with products of this type
• Do not apply to wounds or damaged, broken or irritated skin
• Do not allow contact with the eyes and mucous membrane
• Do not bandage tightly or apply local heat (such as heating pads) to the area of uses
• Do not use at same time as other topical analgesics
• Dispose of used patch in manner that always keeps product away from children and pets. Used patches still contain the drug products that can produce serious adverse effects if a child or pet chews or ingests this patch
• NOTE: patches may not adhere as well to all individuals, skin types, or certain parts of the body.

Stop use and ask a doctor if

• condition worsens
• redness is present
• irritation develops
• symptoms persis for more than 7 days or clear up and occur again within a few days
• you experience signs of skin injury, such as pain swelling, or blistering where the product was applied

If pregnant or breast-feeding,

ask a physician before use.

Keep out of reach of children.

If swallowed, get medical help or contact a Poison Control Center right away.

Directions

• Adults and children 12 years and older: clean and dry affected area
• remove backing from patch by firmly grasping both ends and gently pulling until backing separates in middle
• carefully remove smaller portion of backing from patch and apply exposed portion of patch to affected area
• once exposed portion of patch is positioned, carefully remove remaining backing completely to apply patch to affected area
• once applied, press firmly and rub on all sides and center of patch to help adhesive adhere to skin
• do not remove patch and reapply, this will result in the patch not sticking
• avoid strenuous exercise while wearing patch, this will result in patch not sticking
• do not use more than one patch in an 8 hour period
• maximum 3 patches per day.
• Children under 12 years of age: ask a doctor.

Other information

Store at room temperature - do not exceed 86° Fahrenheit, 30° Celsius

Inactive ingredients

Aluminum Glycnate, Glycerin, Kaolin, Methylparaben, Polyacrylic Acid, Polysorbate 80, Povidone, Propylene Glycol, Propylparaben, Sodium Polyacrylate, Tartaric Acid, Titanium Dioxide, Water.

Prinicpal Display Panel - Assorted Sizes Carton Label

Walgreens

Compare to the active ingredient

in Salonpas ® Maximum OTC Strength

Lidocaine Patch ††

Assorted Sizes

Pain Relieving

Lidocaine Patch

Lidocaine 4% / Topical Anesthetic

Maximum OTC Strength*

Medicated

Odor Free

• Desensitizes aggravated nerves & relieves pain
• Flexible adhesive patch
• Single-use application

Image to show sizes.

Only wear one patch at a time.

6 PATCHES

Assorted Sizes

2 SMALL - 4.72 IN x 3.14 IN (12 cm x 8 cm) EACH

2 MEDIUM - 7.87 IN x 3.93 IN (20 cm x 10 cm) EACH

2 LARGE - 9.84 IN x 5.51 IN (25 cm x 14 cm) EACH

Each patch is sealed in a child-resisitant pouch for safety.

INGREDIENTS AND APPEARANCE

WALGREENS LIDOCAINE PAIN RELIEVING PATCH ASSORTED 
lidocaine kit

Product Information
Product Type	HUMAN OTC DRUG	Item Code (Source)	NDC: 0363-6726

Packaging
#	Item Code	Package Description	Marketing Start Date	Marketing End Date
1	NDC: 0363-6726-06	1 in 1 CARTON; Type 0: Not a Combination Product	03/27/2026

Quantity of Parts
Part #	Package Quantity	Total Product Quantity
Part 1	1 PATCH	14 g
Part 2	1 PATCH	22 g
Part 3	1 PATCH	7 g

Part 1 of 3

WALGREENS LIDOCAINE PAIN RELIEVING PATCH ASSORTED 
lidocaine patch

Product Information
Item Code (Source)	NDC: 0363-6725
Route of Administration	TOPICAL

Active Ingredient/Active Moiety
Ingredient Name	Basis of Strength	Strength
LIDOCAINE (UNII: 98PI200987) (LIDOCAINE - UNII:98PI200987)	LIDOCAINE	40 mg  in 1 g

Inactive Ingredients
Ingredient Name	Strength
POVIDONE (UNII: FZ989GH94E)
METHYLPARABEN (UNII: A2I8C7HI9T)
TITANIUM DIOXIDE (UNII: 15FIX9V2JP)
GLYCERIN (UNII: PDC6A3C0OX)
PROPYLPARABEN (UNII: Z8IX2SC1OH)
TARTARIC ACID (UNII: W4888I119H)
POLYSORBATE 80 (UNII: 6OZP39ZG8H)
PROPYLENE GLYCOL (UNII: 6DC9Q167V3)
SODIUM POLYACRYLATE (8000 MW) (UNII: 285CYO341L)
ALUMINUM GLYCINATE (UNII: 1K713C615K)
KAOLIN (UNII: 24H4NWX5CO)
POLYACRYLIC ACID (8000 MW) (UNII: 73861X4K5F)
WATER (UNII: 059QF0KO0R)

Packaging
#	Item Code	Package Description	Marketing Start Date	Marketing End Date
1	NDC: 0363-6725-02	1 in 1 POUCH
1		14 g in 1 PATCH; 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	03/27/2026

Part 2 of 3

WALGREENS LIDOCAINE PAIN RELIEVING PATCH ASSORTED 
lidocaine patch

Product Information
Item Code (Source)	NDC: 0363-6725
Route of Administration	TOPICAL

Active Ingredient/Active Moiety
Ingredient Name	Basis of Strength	Strength
LIDOCAINE (UNII: 98PI200987) (LIDOCAINE - UNII:98PI200987)	LIDOCAINE	40 mg  in 1 g

Inactive Ingredients
Ingredient Name	Strength
POVIDONE (UNII: FZ989GH94E)
METHYLPARABEN (UNII: A2I8C7HI9T)
TITANIUM DIOXIDE (UNII: 15FIX9V2JP)
GLYCERIN (UNII: PDC6A3C0OX)
PROPYLPARABEN (UNII: Z8IX2SC1OH)
TARTARIC ACID (UNII: W4888I119H)
POLYSORBATE 80 (UNII: 6OZP39ZG8H)
PROPYLENE GLYCOL (UNII: 6DC9Q167V3)
SODIUM POLYACRYLATE (8000 MW) (UNII: 285CYO341L)
ALUMINUM GLYCINATE (UNII: 1K713C615K)
KAOLIN (UNII: 24H4NWX5CO)
POLYACRYLIC ACID (8000 MW) (UNII: 73861X4K5F)
WATER (UNII: 059QF0KO0R)

Packaging
#	Item Code	Package Description	Marketing Start Date	Marketing End Date
1	NDC: 0363-6725-03	1 in 1 POUCH
1		22 g in 1 PATCH; 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	03/27/2026

Part 3 of 3

WALGREENS LIDOCAINE PAIN RELIEVING PATCH ASSORTED 
lidocaine patch

Product Information
Item Code (Source)	NDC: 0363-6725
Route of Administration	TOPICAL

Active Ingredient/Active Moiety
Ingredient Name	Basis of Strength	Strength
LIDOCAINE (UNII: 98PI200987) (LIDOCAINE - UNII:98PI200987)	LIDOCAINE	40 mg  in 1 g

Inactive Ingredients
Ingredient Name	Strength
METHYLPARABEN (UNII: A2I8C7HI9T)
POVIDONE (UNII: FZ989GH94E)
TITANIUM DIOXIDE (UNII: 15FIX9V2JP)
GLYCERIN (UNII: PDC6A3C0OX)
PROPYLPARABEN (UNII: Z8IX2SC1OH)
TARTARIC ACID (UNII: W4888I119H)
SODIUM POLYACRYLATE (8000 MW) (UNII: 285CYO341L)
POLYSORBATE 80 (UNII: 6OZP39ZG8H)
PROPYLENE GLYCOL (UNII: 6DC9Q167V3)
ALUMINUM GLYCINATE (UNII: 1K713C615K)
KAOLIN (UNII: 24H4NWX5CO)
POLYACRYLIC ACID (8000 MW) (UNII: 73861X4K5F)
WATER (UNII: 059QF0KO0R)

Packaging
#	Item Code	Package Description	Marketing Start Date	Marketing End Date
1	NDC: 0363-6725-01	1 in 1 POUCH
1		7 g in 1 PATCH; 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	03/27/2026

Marketing Information
Marketing Category	Application Number or Monograph Citation	Marketing Start Date	Marketing End Date
OTC Monograph Drug	M017	03/27/2026

Labeler - Walgreen Co. (008965063)