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Lidocaine 5% Gel

Generic: Lidocaine 5%

Unverified·never
RxCUI
1745091
Route
TOPICAL
ICD-10 indication
R52.9

Affordability Check

How much will you actually pay for Lidocaine 5% Gel?

In 30 seconds, see every legitimate way to afford Lidocaine 5% Gel — Medicare copay, manufacturer copay card, Patient Assistance Program, grants, or cash.

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About Lidocaine 5% Gel

Lidocaine 5% Ointment is a prescription topical anesthetic indicated for production of anesthesia of accessible mucous membranes of the oropharynx. It works by stabilizing the neuronal membrane to inhibit nerve impulses. It is also used as an anesthetic lubricant for intubation and for the temporary relief of pain associated with minor burns, abrasions, and insect bites.

Copay & patient assistance

Detailed copay and financial assistance information is not publicly available for this medication at this time. Please consult your pharmacist or the manufacturer's official patient support program for more details.

External links go directly to the manufacturer's portal. RxCopays does not receive compensation for referrals.

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Prescribing information

From the FDA-approved label for Lidocaine 5% Gel. Official source: DailyMed (NLM) · Label effective Dec 19, 2024

Indications and usage
For the temporary relief of pain, soreness, and burning. Helps relieve the local itching and discomfort associated with hemorrhoids. Temporarily shrinks hemorrhoidal tissue. Temporarily provides a coating for the relief of anorectal discomforts. Temporarily protects the inflamed, irritated anorectal surface to help make bowel movements less painful.
Dosage and administration
Adults: when practical, cleanse area with mild soap and warm water and rinse thoroughly. Gently dry by patting or blotting with toilet tissue or soft cloth before applying. Adults and children 12 years and older: apply externally to the affected area up to 4 times a day. Children under 12 years of age: consult a doctor.
Warnings
For external use only. Ask a doctor before use if you have: heart disease, high blood pressure, thyroid disease, diabetes, or difficulty in urination due to enlargement of the prostate gland. Ask a doctor or pharmacist before use if you are presently taking a prescription drug for high blood pressure or depression. When using this product : avoid contact with eyes, do not exceed recommended dosage unless directed by a doctor, do not put this product into rectum by using fingers or any mechanical device or applicator. Stop use and ask a doctor if : rectal bleeding occurs, condition worsens or does not improve within seven (7) days, allergic reaction occurs to ingredients in this product, symptom being treated does not subside or if redness, irritation, swelling, pain or other symptoms develop or increase, symptoms clear up and return within a few days.

Label text is reproduced as-is from the FDA-approved label. We do not paraphrase, summarize, or omit. Content above is for informational purposes only and is not medical advice. Always consult your prescribing clinician or pharmacist before making decisions about your medication.

Conditions we've indexed resources for

Click a condition to see copay cards, grants, and PA rules specific to it. For the full list of FDA-approved indications, see Prescribing information above.

Medicare Part D coverage

How Lidocaine 5% Gel appears across Medicare Part D plan formularies nationally. Source: CMS monthly Prescription Drug Plan file (2026-04-30).

Covered by plans

61%

3,333 of 5,509 plans

Most common tier

Tier 4

On 51% of covering formularies

Prior authorization required

94%

of covering formularies

TierFormularies on this tierShare
Tier 1 (preferred generic)65
20%
Tier 2 (generic)75
23%
Tier 3 (preferred brand)21
6%
Tier 4 (non-preferred brand)168
51%

Step therapy: 0% of formularies

Quantity limits: 91% of formularies

Coverage breadth: 329 of 65 formularies

How to read this:plans on the same formulary share tier + PA rules. Your specific plan's copay depends on (a) the tier above, (b) your plan's cost-share for that tier, (c) whether you're in the initial coverage phase or past the 2026 $2,000 out-of-pocket cap. For your exact plan, check its Summary of Benefits or log in to your Medicare.gov account. Copay cards don't apply to Medicare (federal law).

Prior authorization & coverage

PayerPAStep therapyCopay tier

Medicare Part D

Related drugs

How this page is sourced

  • Drug identity verified against openFDA NDC Directory.
  • Label text (when shown) originates from NLM DailyMed.
  • Copay and assistance URLs verified periodically; if you hit a broken link, tell us.