NDC codes

FDA NDC Directory
Product NDC (as listed)0054-3566Labeler and product segments. Claims need a package NDC.
Product NDC at billing width00054-3566Add the package segment from the table below.
Package NDCs as listed with the FDA, and the 11-digit 5-4-2 form used on claims. The highlighted digit is the added leading zero.
Package NDC11-digit (billing)PackageCopy
0054-3566-9900054356699118 mL in 1 BOTTLE, GLASS (0054-3566-99)Marketed from Apr 30, 2002

How the 11-digit form is made: The labeler segment has 4 digits, so one leading zero is added to it (4-4-2 → 5-4-2). Formatting the NDC does not by itself make it billable — the product, package and quantity must match what was dispensed or administered, and payer rules apply. Conversion rules

Product information

Brand name (proprietary)
Midazolam Hydrochloride
Generic name (nonproprietary)
midazolam hydrochloride
Active ingredients
Midazolam hydrochloride — 2 mg/mL
Dosage form
Syrup
Route
Oral
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 075873
Marketing start
Listing expires
DEA schedule
CIV
Other FDA classes
Benzodiazepines (Chemical structure)
Identifiers
Product ID 0054-3566_fba22894-bfd7-4332-9d8b-34fc48389520SPL ID fba22894-bfd7-4332-9d8b-34fc48389520SPL set ID a833c24b-6dca-44d7-a0d6-20012fa1ea77RxCUI 422410UNII W7TTW573JJUPC 0300543566996
Pharmacologic class
Benzodiazepine

Billing references

What Med-Code can say about coding this product, and where each statement comes from. Nothing here is inferred from the name alone.

HCPCS codeNo match

No HCPCS code in Med-Code's directory. Oral products like this are usually dispensed by a pharmacy and billed by NDC.

NDC on a medical claim

N400054356699 followed by a unit qualifier and the quantity

Package 00054-3566-99. Unit qualifiers: F2 (international unit), GR (gram), ME (milligram), ML (milliliter), UN (unit (each)). The qualifier and quantity depend on what was given. About the N4 qualifier

Product label

Current FDA label (SPL), effective . This label includes a boxed warning.

Indications (excerpt from the label)

INDICATIONS AND USAGE Midazolam HCl syrup is indicated for use in pediatric patients for sedation, anxiolysis and amnesia prior to diagnostic, therapeutic or endoscopic procedures or before induction of anesthesia. Midazolam HCl syrup is intended for use in monitored settings only and not for chronic or home use [see WARNINGS ].

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under ANDA 075873

Products listed under the same FDA application: other strengths and forms, and repackagers who relabel the same product.

FDA NDC Directory listings under ANDA 075873
ProductStrengthForm · routeLabelerProduct NDC
Midazolam HydrochlorideMidazolam hydrochloride 2 mg/mLSyrupOralAmerican Health Packaging60687-576
Midazolam HydrochlorideMidazolam hydrochloride 2 mg/mLSyrupOralPrecision Dose Inc.68094-762
Midazolam HydrochlorideMidazolam hydrochloride 2 mg/mLSyrupOralPrecision Dose Inc.68094-764

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