NDC codes

FDA NDC Directory
Product NDC (as listed)0409-4208Labeler and product segments. Claims need a package NDC.
Product NDC at billing width00409-4208Add 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
0409-4208-100040942081010 VIAL, SINGLE-DOSE in 1 CARTON (0409-4208-10) / 30 mL in 1 VIAL, SINGLE-DOSE (0409-4208-01)Marketed from Sep 26, 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)
Marcaine with Epinephrine
Generic name (nonproprietary)
bupivacaine hydrochloride and epinephrine
Active ingredients
Bupivacaine hydrochloride5 mg/mLEpinephrine bitartrate.0091 mg/mL
Dosage form
Injection, Solution
Route
Epidural, Intracaudal, Perineural
Product type
Prescription drug
Marketing category
NDA — New Drug ApplicationApplication NDA 016964
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 0409-4208_14ec85dc-0263-44d1-9267-66fa072cff8dSPL ID 14ec85dc-0263-44d1-9267-66fa072cff8dSPL set ID 93cf0914-de08-4ec6-8f8c-d663243b9958RxCUI 1012377, 1012381, 1012384, 1012388, 1672917, 1672919, 1673242, 1673243, 1867594, 1867596, 1867612, 1867614UNII 7TQO7W3VT8, 30Q7KI53AK
Pharmacologic class
Amide Local Anesthetic; 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

N400409420810 followed by a unit qualifier and the quantity

Package 00409-4208-10. 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)

MARCAINE / MARCAINE WITH EPINEPHRINE is indicated in adults 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 MARCAINE / MARCAINE WITH EPINEPHRINE are recommended for each type of block indicated to produce local or regional anesthesia or analgesia [see Dosage and Administration (2.2) ]. MARCAINE contains bupivacaine, an amide local anesthetic, and MARCAINE WITH EPINEPHRINE is a combination of bupivacaine, an amide local anesthetic, and epinephrine, an alpha and beta-adrenergic agonist. MARCAINE / MARCAINE WITH EPIN

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under NDA 016964

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

FDA NDC Directory listings under NDA 016964
ProductStrengthForm · routeLabelerProduct NDC
Marcainebupivacaine hydrochlorideBupivacaine hydrochloride 150 mg/30mLInjection, SolutionEpidural, Intracaudal, PerineuralHospira, Inc.0409-1530
Marcaine with Epinephrinebupivacaine hydrochloride and epinephrineBupivacaine hydrochloride 2.5 mg/mL; Epinephrine bitartrate .0091 mg/mLInjection, SolutionEpidural, Infiltration, Intracaudal, PerineuralHospira, Inc.0409-1541
Marcainebupivacine hydrochlorideBupivacaine hydrochloride 5 mg/mLInjection, SolutionEpidural, Intracaudal, PerineuralHenry Schein, Inc.0404-9768
Marcainebupivacaine hydrochlorideBupivacaine hydrochloride 75 mg/30mLInjection, SolutionEpidural, Infiltration, Intracaudal, PerineuralHospira, Inc.0409-7535
Marcainebupivacaine hydrochlorideBupivacaine hydrochloride 2.5 mg/mLInjection, SolutionEpidural, Infiltration, Intracaudal, PerineuralHenry Schein, Inc.0404-9770
Marcainebupivacaine hydrochlorideBupivacaine hydrochloride 2.5 mg/mLInjection, SolutionInfiltration, PerineuralHospira, Inc.0409-1587
Marcaine With Epinephrinebupivacaine hydrochloride and epinephrine bitartrateBupivacaine hydrochloride 2.5 mg/mL; Epinephrine bitartrate .0091 mg/mLInjection, SolutionEpidural, Infiltration, Intracaudal, PerineuralHenry Schein, Inc.0404-9908
Marcainebupivacaine hydrochlorideBupivacaine hydrochloride 225 mg/30mLInjection, SolutionEpidural, RetrobulbarHospira, Inc.0409-2253
Marcainebupivacaine hydrochlorideBupivacaine hydrochloride 50 mg/10mLInjection, SolutionEpidural, Intracaudal, PerineuralHospira, Inc.0409-5010
Marcaine with Epinephrinebupivacaine hydrochloride and epinephrineBupivacaine hydrochloride 5 mg/mL; Epinephrine bitartrate .0091 mg/mLInjection, SolutionEpidural, Intracaudal, PerineuralHospira, Inc.0409-8126
Marcainebupivacaine hydrochlorideBupivacaine hydrochloride 5 mg/mLInjection, SolutionEpidural, Intracaudal, PerineuralHenry Schein, Inc.0404-9779
Marcaine with Epinephrinebupivacaine hydrochloride and epinephrineBupivacaine hydrochloride 5 mg/mL; Epinephrine bitartrate .0091 mg/mLInjection, SolutionPerineuralHospira, Inc.0409-6581
Marcainebupivacaine hydrochlorideBupivacaine hydrochloride 7.5 mg/mLInjection, SolutionEpidural, RetrobulbarHospira, Inc.0409-1582
Marcainebupivacaine hydrochlorideBupivacaine hydrochloride 25 mg/10mLInjection, SolutionEpidural, Infiltration, Intracaudal, PerineuralHospira, Inc.0409-2510
Marcaine with Epinephrinebupivacaine hydrochloride and epinephrine bitartrateBupivacaine hydrochloride 2.5 mg/mL; Epinephrine bitartrate .0091 mg/mLInjection, SolutionEpidural, Infiltration, Intracaudal, PerineuralHospira, Inc.0409-1746
Marcaine with Epinephrinebupivacaine hydrochloride and epinephrineBupivacaine hydrochloride 2.5 mg/mL; Epinephrine bitartrate .0091 mg/mLInjection, SolutionInfiltration, PerineuralHospira, Inc.0409-3812
Marcaine with Epinephrinebupivacaine hydrochloride and epinephrine bitartrateBupivacaine hydrochloride 5 mg/mL; Epinephrine bitartrate .0091 mg/mLInjection, SolutionEpidural, Intracaudal, PerineuralHospira, Inc.0409-1749
Marcainebupivacaine hydrochlorideBupivacaine hydrochloride 250 mg/50mLInjection, SolutionPerineuralHospira, Inc.0409-0525
Marcaine with Epinephrinebupivacaine hydrochloride and epinephrineBupivacaine hydrochloride 2.5 mg/mL; Epinephrine bitartrate .0091 mg/mLInjection, SolutionEpidural, Infiltration, Intracaudal, PerineuralHospira, Inc.0409-5738
Marcaine with Epinephrinebupivacaine hydrochloride and epinephrine bitartrateBupivacaine hydrochloride 2.5 mg/mL; Epinephrine bitartrate .0091 mg/mLInjection, SolutionInfiltration, PerineuralHospira, Inc.0409-1752

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