NDC codes

FDA NDC Directory
Product NDC (as listed)0404-9788Labeler and product segments. Claims need a package NDC.
Product NDC at billing width00404-9788Add 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
0404-9788-2000404978820004049788201 VIAL, MULTI-DOSE in 1 BAG (0404-9788-20) / 20 mL in 1 VIAL, MULTI-DOSEMarketed from Feb 17, 2025

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

Generic name (nonproprietary)
lidocaine hydrochloride and epinephrine
Active ingredients
Lidocaine hydrochloride — 20 mg/mLEpinephrine — 10 ug/mL
Dosage form
Injection, Solution
Route
Infiltration, Perineural
Labeler
Henry Schein, Inc.NDC labeler code 0404
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 089646
Marketing start
Listing expires
Other FDA classes
Adrenergic alpha-Agonists (Mechanism)Adrenergic beta-Agonists (Mechanism)Amides (Chemical structure)Catecholamines (Chemical structure)Local Anesthesia (Physiologic effect)
Identifiers
Product ID 0404-9788_ca2c981d-c301-42b6-a140-779ffe84ce2bSPL ID ca2c981d-c301-42b6-a140-779ffe84ce2b
Pharmacologic class
Amide Local Anesthetic; Antiarrhythmic; Catecholamine; alpha-Adrenergic Agonist; beta-Adrenergic Agonist

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 drug-specific HCPCS code in Med-Code's directory for this product. The directory is curated and not complete — check the current CMS HCPCS file before billing.

NDC on a medical claim

N400404978820 followed by a unit qualifier and the quantity

Package 00404-9788-20. 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

The FDA listing for this product does not reference a label (SPL) set.

About NDC 0404-9788

What is NDC 0404-9788?
0404-9788 is the product NDC for Lidocaine Hydrochloride and Epinephrine, Lidocaine hydrochloride 20 mg/mL; Epinephrine 10 ug/mL injection, solution, listed with the FDA by Henry Schein, Inc.. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Lidocaine Hydrochloride and Epinephrine.
What is the active ingredient?
Lidocaine hydrochloride, Epinephrine.
Who is the labeler?
Henry Schein, Inc., NDC labeler code 0404. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Lidocaine Hydrochloride and Epinephrine?
14 other product NDCs are listed under this name. See all Lidocaine Hydrochloride and Epinephrine NDCs.
Is there a related HCPCS / J-code?
Not in Med-Code's curated HCPCS directory. See Billing references above.

Other finished products listed under the same name: strengths, forms and labelers.

Other Lidocaine Hydrochloride and Epinephrine NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
Lidocaine Hydrochloride and EpinephrineLidocaine hydrochloride 10 mg/mL; Epinephrine 10 ug/mLInjection, SolutionInfiltration, PerineuralHospira, Inc.0409-000700409-0007-10
Lidocaine Hydrochloride and EpinephrineLidocaine hydrochloride 20 mg/mL; Epinephrine 10 ug/mLInjection, SolutionInfiltration, PerineuralHospira, Inc.0409-014700409-0147-10
Lidocaine Hydrochloride and EpinephrineLidocaine hydrochloride 10 mg/mL; Epinephrine 10 ug/mLInjection, SolutionInfiltrationHenry Schein, Inc.0404-989100404-9891-2000404-9891-50
Lidocaine Hydrochloride and EpinephrineLidocaine hydrochloride 20 mg/mL; Epinephrine 10 ug/mLInjection, SolutionInfiltration, PerineuralHenry Schein, Inc.0404-989600404-9896-3000404-9896-50
Lidocaine Hydrochloride and EpinephrineLidocaine hydrochloride 5 mg/mL; Epinephrine 5 ug/mLInjection, SolutionInfiltration, PerineuralHenry Schein, Inc.0404-988600404-9886-50
Lidocaine Hydrochloride and EpinephrineLidocaine hydrochloride 10 mg/mL; Epinephrine 10 ug/mLInjection, SolutionInfiltration, PerineuralCardinal Health 107, LLC55154-013255154-0132-05
Lidocaine Hydrochloride and EpinephrineLidocaine hydrochloride 5 mg/mL; Epinephrine 5 ug/mLInjection, SolutionInfiltration, PerineuralHospira, Inc.0409-317700409-3177-01
Lidocaine Hydrochloride and EpinephrineLidocaine hydrochloride 10 mg/mL; Epinephrine 10 ug/mLInjection, SolutionInfiltration, PerineuralHospira, Inc.0409-317800409-3178-0100409-3178-0200409-3178-03
Lidocaine Hydrochloride and EpinephrineLidocaine hydrochloride 10 mg/mL; Epinephrine 10 ug/mLInjection, SolutionInfiltration, PerineuralSportpharm LLC85766-07385766-0073-2585766-0073-50
Lidocaine Hydrochloride and EpinephrineLidocaine hydrochloride 20 mg/mL; Epinephrine 5 ug/mLInjection, SolutionEpidural, Infiltration, Intracaudal, PerineuralHospira, Inc.0409-318300409-3183-01

All 15 Lidocaine Hydrochloride and Epinephrine NDCs

Other NDCs under ANDA 089646

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

FDA NDC Directory listings under ANDA 089646
ProductStrengthForm · routeLabelerProduct NDC
LIDOCAINE HCl AND EPINEPHRINELidocaine hydrochloride 20 mg/mL; Epinephrine 10 ug/mLInjection, SolutionInfiltration, PerineuralHF Acquisition Co LLC, DBA HealthFirst51662-1503
LIDOCAINE HCl AND EPINEPHRINEEpinephrine 10 ug/mL; Lidocaine hydrochloride 20 mg/mLInjection, SolutionInfiltration, PerineuralHF Acquisition Co LLC, DBA HealthFirst51662-1504
Lidocaine Hydrochloride and EpinephrineLidocaine hydrochloride 20 mg/mL; Epinephrine 10 ug/mLInjection, SolutionInfiltration, PerineuralHenry Schein, Inc.0404-9896
Lidocaine Hydrochloride and EpinephrineLidocaine hydrochloride 20 mg/mL; Epinephrine 10 ug/mLInjection, SolutionInfiltration, PerineuralHospira, Inc.0409-0147
Lidocaine Hydrochloride and EpinephrineLidocaine hydrochloride 20 mg/mL; Epinephrine 10 ug/mLInjection, SolutionInfiltration, PerineuralHospira, Inc.0409-3182
Lidocaine Hydrochloride and EpinephrineLidocaine hydrochloride 20 mg/mL; Epinephrine 10 ug/mLInjection, SolutionInfiltration, PerineuralProPharma Distribution84549-182

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