Lidocaine Hydrochloride and Epinephrine NDC 0404-9896

NDC codes

FDA NDC Directory

Product NDC (as listed)0404-9896Labeler and product segments. Claims need a package NDC.

Product NDC at billing width00404-9896Add 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
0404-9896-30	00404989630	1 VIAL, MULTI-DOSE in 1 BAG (0404-9896-30) / 30 mL in 1 VIAL, MULTI-DOSEMarketed from Jan 12, 2022
0404-9896-50	00404989650	1 VIAL, MULTI-DOSE in 1 BAG (0404-9896-50) / 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 — 20 mg/mLEpinephrine — 10 ug/mL
Dosage form: Injection, Solution
Route: Infiltration, Perineural
Labeler: Henry Schein, Inc.
Product type: Prescription drug
Marketing category: ANDA — Abbreviated New Drug Application (generic)Application ANDA 089646
Marketing start: Jan 12, 2022
Listing expires: Dec 31, 2026
Other FDA classes: Adrenergic alpha-Agonists (Mechanism)Adrenergic beta-Agonists (Mechanism)Amides (Chemical structure)Catecholamines (Chemical structure)Local Anesthesia (Physiologic effect)
Identifiers: Product ID 0404-9896_d87f42ac-77cf-4b44-8bf8-163c89cc80daSPL ID d87f42ac-77cf-4b44-8bf8-163c89cc80daSPL set ID e0e621d2-10b0-4cdf-b31d-c19b1e86ba6bRxCUI 1010759UNII 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

N400404989630 followed by a unit qualifier and the quantity

Package 00404-9896-30. 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 Jun 3, 2025.

Indications (excerpt from the label)

Indications and Usage Lidocaine Hydrochloride and Epinephrine Injection, USP is indicated for production of local or regional anesthesia by infiltration techniques such as percutaneous injection, by peripheral nerve block techniques such as brachial plexus and intercostal and by central neural techniques such as lumbar and caudal epidural blocks, when the accepted procedures for these techniques as described in standard textbooks are observed.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

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
Product	Strength	Form · route	Labeler	Product NDC
LIDOCAINE HCl AND EPINEPHRINE	Lidocaine hydrochloride 20 mg/mL; Epinephrine 10 ug/mL	Injection, SolutionInfiltration, Perineural	HF Acquisition Co LLC, DBA HealthFirst	51662-1503
LIDOCAINE HCl AND EPINEPHRINE	Epinephrine 10 ug/mL; Lidocaine hydrochloride 20 mg/mL	Injection, SolutionInfiltration, Perineural	HF Acquisition Co LLC, DBA HealthFirst	51662-1504
Lidocaine Hydrochloride and Epinephrine	Lidocaine hydrochloride 20 mg/mL; Epinephrine 10 ug/mL	Injection, SolutionInfiltration, Perineural	Hospira, Inc.	0409-3182
Lidocaine Hydrochloride and Epinephrine	Lidocaine hydrochloride 20 mg/mL; Epinephrine 10 ug/mL	Injection, SolutionInfiltration, Perineural	ProPharma Distribution	84549-182
Lidocaine Hydrochloride and Epinephrine	Lidocaine hydrochloride 20 mg/mL; Epinephrine 10 ug/mL	Injection, SolutionInfiltration, Perineural	Hospira, Inc.	0409-0147
Lidocaine Hydrochloride and Epinephrine	Lidocaine hydrochloride 20 mg/mL; Epinephrine 10 ug/mL	Injection, SolutionInfiltration, Perineural	Henry Schein, Inc.	0404-9788