LIDOCAINE HCL 4% SOLUTION

What it is

LIDOCAINE HCL 4% SOLUTION is how the CMS NADAC file names this product. The FDA NDC Directory lists it as lidocaine hydrochloride.

FDA gives its dosage form as solution and its route as “topical” and “oral”.

FDA lists 8 labelers (the companies named on the label) for its NDCs, among them Hikma Pharmaceuticals USA Inc., Xttrium Laboratories, Inc. and PAI Holdings, LLC dba PAI Pharma.

FDA lists it under 2 Established Pharmacologic Classes: Amide Local Anesthetic and Antiarrhythmic.

The NADAC file of 2026-10-14 prices it under 8 NDCs (National Drug Codes).

NADAC classes it as a generic drug (rate-setting class G), and does not mark it as sold over the counter.

What pharmacies pay

Pharmacies pay $11.10 for 50 mL (50 × $0.22203 per ML, rounded to the cent), by the CMS NADAC file of 2026-10-14; that price took effect on 2026-09-23. That is what pharmacies pay their suppliers, not what they charge you.

NADAC’s explanation codes for it: 1, calculated from the most recently completed pharmacy survey; 5, calculated based on package size.

What NADAC measures · NADAC explanation codes

The 8 labelers

Other strengths, forms and brands

19 other products in the NADAC file share the FDA nonproprietary name lidocaine hydrochloride with LIDOCAINE HCL 4% SOLUTION.

Part D is one average per brand and generic name, over every strength and form.

CMS NADAC · nadac-national-average-drug-acquisition-cost-20261014.csv · eff. between 2026-07-22 and 2026-10-07 (5 dates) · as of 2026-10-14 · retrieved 2026-10-17

Medicare Part D · DSD_PTD_RY26_P04_V10_DY24_BGM.csv · eff. 2024-01-01 to 2024-12-31 · as of 2026-06-25 · retrieved 2026-10-18

Compared with its class

The middle of its 8 NDCs’ NADAC prices is $0.22203 per ML filed.

Of the 21 other products in FDA’s Amide Local Anesthetic class priced per ML, 9 have a higher middle NADAC price and 12 a lower one. The one in the middle is LIDOCAINE HCL 1% 100 MG/10 ML, at $0.13782 per ML filed (eff. 2026-09-23).

Of the 21 other products in FDA’s Antiarrhythmic class priced per ML, 11 have a higher middle NADAC price and 10 a lower one. The one in the middle is LIDOCAINE HCL 1% 20 MG/2 ML VL, at $0.33305 per ML filed (eff. 2026-09-23).

Prices are compared per unit, whatever the strength or dose, and a class is not a list of substitutes.

CMS NADAC · nadac-national-average-drug-acquisition-cost-20261014.csv · eff. 2026-09-23 · as of 2026-10-14 · retrieved 2026-10-17

How the class comparison works

What Medicare paid

We don’t know yet; the card above says why.

Which Medicare figure OpenBill compares · How Part D is matched · How Part B is matched

What to ask at the counter

None of these figures is your price: what you pay depends on your pharmacy, your insurance, coupons and discounts.

• What is your cash price for 50 mL? Is it lower than what I would pay through my insurance?
• How much is in the package I am getting? This page uses 50 mL; your package may hold a different amount.
• These are questions about price, not medical advice. Do not change or stop a medicine without talking to your prescriber or pharmacist.