Lidocaine Hydrochloride and Epinephrine NDC 0404-9891

NDC codes

FDA NDC Directory

Product NDC (as listed)0404-9891Labeler and product segments. Claims need a package NDC.

Product NDC at billing width00404-9891Add 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 NDC	11-digit (billing)	Package	Copy
0404-9891-20	00404989120	1 VIAL, MULTI-DOSE in 1 BAG (0404-9891-20) / 30 mL in 1 VIAL, MULTI-DOSEMarketed from Jan 12, 2022
0404-9891-50	00404989150	1 VIAL, MULTI-DOSE in 1 BAG (0404-9891-50) / 50 mL in 1 VIAL, MULTI-DOSEMarketed from Jan 12, 2022

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): Lidocaine Hydrochloride and Epinephrine
Generic name (nonproprietary): lidocaine hydrochloride and epinephrine
Active ingredients: Lidocaine hydrochloride — 10 mg/mLEpinephrine — 10 ug/mL
Dosage form: Injection, Solution
Route: Infiltration
Labeler: Henry Schein, Inc.
Product type: Prescription drug
Marketing category: ANDA — Abbreviated New Drug Application (generic)Application ANDA 089644
Marketing start: Jan 12, 2022
Listing expires: Dec 31, 2027
Other FDA classes: Adrenergic alpha-Agonists (Mechanism)Adrenergic beta-Agonists (Mechanism)Amides (Chemical structure)Catecholamines (Chemical structure)Local Anesthesia (Physiologic effect)
Identifiers: Product ID 0404-9891_e7e3772b-2b6d-4103-8ccf-f62a909ec353SPL ID e7e3772b-2b6d-4103-8ccf-f62a909ec353SPL set ID c3490a23-14c4-43f7-b066-96a4c4298fdeRxCUI 1010751UNII V13007Z41A, YKH834O4BH
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

N400404989120 followed by a unit qualifier and the quantity

Package 00404-9891-20. 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

Current FDA label (SPL), effective Apr 14, 2026.

Indications (excerpt from the label)

Lidocaine Hydrochloride and Epinephrine Injection is indicated in adult and pediatric patients for the production of local or regional anesthesia or analgesia for surgery, dental, and oral surgery procedures, diagnostic and therapeutic procedures, and for obstetrical procedures. Specific concentrations and presentations of Lidocaine Hydrochloride and Epinephrine Injection are recommended for each type of block indicated to produce local or regional anesthesia or analgesia [see Dosage and Administration (2.2)]. Lidocaine Hydrochloride and Epinephrine Injection is a combination of lidocaine, an amide local anesthetic, and epinephrine, an alpha and beta adrenergic agonist. Lidocaine Hydrochlori…

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under ANDA 089644

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

FDA NDC Directory listings under ANDA 089644
Product	Strength	Form · route	Labeler	Product NDC
Lidocaine Hydrochloride and Epinephrine	Lidocaine hydrochloride 10 mg/mL; Epinephrine 10 ug/mL	Injection, SolutionInfiltration, Perineural	Hospira, Inc.	0409-0007
Lidocaine Hydrochloride and Epinephrine	Lidocaine hydrochloride 10 mg/mL; Epinephrine 10 ug/mL	Injection, SolutionInfiltration, Perineural	Cardinal Health 107, LLC	55154-0132
Lidocaine Hci	Lidocaine hydrochloride 10 mg/mL; Epinephrine 10 ug/mL	Injection, SolutionInfiltration, Perineural	HF Acquisition Co LLC, DBA HealthFirst	51662-1232
Lidocaine Hydrochloride and Epinephrine	Lidocaine hydrochloride 10 mg/mL; Epinephrine 10 ug/mL	Injection, SolutionInfiltration, Perineural	Sportpharm LLC	85766-073
Lidocaine Hydrochloride and Epinephrine	Lidocaine hydrochloride 10 mg/mL; Epinephrine 10 ug/mL	Injection, SolutionInfiltration, Perineural	Hospira, Inc.	0409-3178
Lidocaine Hci And Epinephrine	Lidocaine hydrochloride 10 mg/mL; Epinephrine 10 ug/mL	Injection, SolutionInfiltration, Perineural	HF Acquisition Co LLC, DBA HealthFirst	51662-1395
Lidocaine Hydrochloride and Epinephrine	Lidocaine hydrochloride 10 mg/mL; Epinephrine 10 ug/mL	Injection, SolutionInfiltration, Perineural	Henry Schein, Inc.	0404-9792