Product Information

ZTLIDO 1.8% TOPICAL SYSTEM is a brand product labeled by Scilex Pharmaceuticals Inc., priced at $12.3074 per EA under NDC 69557011130. Its NADAC has been published 392 times since Feb 20, 2019.

FDA first approved this application on Feb 28, 2018. Its Orange Book therapeutic-equivalence code is AB — FDA rates it therapeutically equivalent to (substitutable for) its reference product.

The High Outlier badge above means this manufacturer's average price in the Lidocaine market falls above Q3 + 1.5·IQR across all competing manufacturers. We only apply this flag in markets with four or more competitors. Full definition: glossary → outlier.

ZTLIDO 1.8% TOPICAL SYSTEM

Lidocaine
$12.3074per EA
High Outlier

Strength

36 mg/1

NDC

69557011130

Classification

Brand

Dosage Form

PATCH

Route

TOPICAL

Effective Date

8/19/2026

Active Ingredients

LIDOCAINE

Approval Type

New Drug (NDA)

FDA Application

NDA207962

FDA Approved

2/28/2018

TE Code

AB

On Market Since

4/26/2018

Pharmacological Classes

Price Statistics

The NADAC for ZTLIDO 1.8% TOPICAL SYSTEM has been published 392 times since Feb 20, 2019, and over the history we have for it it has risen 43.1%. The table below summarizes its recorded NADAC range and movement.

Current price$12.3074 per EA
All-time high$12.3221 (May 13, 2026)
All-time low$8.6028 (Feb 20, 2019)
52-week high$12.3221
52-week low$12.0016
Median price$9.7974
Average price$10.3764
Largest weekly change+9.8% (Feb 8, 2023)
Weeks tracked392
Tracking sinceFeb 20, 2019

Price History

1W

-0.0%

1M

-0.0%

3M

-0.0%

6M

-0.1%

1Y

+2.5%

3Y

+14.4%

5Y

+29.7%

All

+43.1%

Generic Alternatives

No other NADAC-published product shares this drug's active ingredient and strength in a comparable dosage form. Compare the broader picture on the Lidocaine market page.

Lowest-Cost Alternatives

No alternatives available

No alternatives found with the same active ingredient and strength in a comparable dosage form.

Frequently asked questions

What is the NADAC price of ZTLIDO 1.8% TOPICAL SYSTEM?

The current National Average Drug Acquisition Cost (NADAC) for ZTLIDO 1.8% TOPICAL SYSTEM, manufactured by Scilex Pharmaceuticals Inc., is $12.3074 per EA (NDC 69557011130), effective Aug 19, 2026.

How has the price of ZTLIDO 1.8% TOPICAL SYSTEM changed over time?

Over the history we have for it, the NADAC for ZTLIDO 1.8% TOPICAL SYSTEM has risen 43.1%. It has been tracked across 392 weekly CMS publications since Feb 20, 2019.

What are the highest and lowest recorded NADAC prices for ZTLIDO 1.8% TOPICAL SYSTEM?

Since Feb 20, 2019, the NADAC for ZTLIDO 1.8% TOPICAL SYSTEM has ranged from a low of $8.6028 (Feb 20, 2019) to a high of $12.3221 (May 13, 2026), with a median of $9.7974 per EA.

Are there cheaper alternatives to ZTLIDO 1.8% TOPICAL SYSTEM?

No other NADAC-published product currently shares the active ingredient and strength of ZTLIDO 1.8% TOPICAL SYSTEM in a comparable dosage form, so no direct lower-cost alternative is listed.

Who manufactures ZTLIDO 1.8% TOPICAL SYSTEM?

ZTLIDO 1.8% TOPICAL SYSTEM (NDC 69557011130) is labeled by Scilex Pharmaceuticals Inc., and CMS classifies it as a brand product.