NDC codes

FDA NDC Directory
Product NDC (as listed)0641-6000Labeler and product segments. Claims need a package NDC.
Product NDC at billing width00641-6000Add 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
0641-6000-100064160001010 VIAL in 1 CARTON (0641-6000-10) / 10 mL in 1 VIAL (0641-6000-01)Marketed from Jul 25, 1980

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)
Ativan
Generic name (nonproprietary)
lorazepam
Active ingredients
Lorazepam — 2 mg/mL
Dosage form
Injection
Route
Intramuscular, Intravenous
Product type
Prescription drug
Marketing category
NDA — New Drug ApplicationApplication NDA 018140
Marketing start
Listing expires
DEA schedule
CIV
Other FDA classes
Benzodiazepines (Chemical structure)
Identifiers
Product ID 0641-6000_fb40dcce-9da3-49b4-9bde-e01a17abeae6SPL ID fb40dcce-9da3-49b4-9bde-e01a17abeae6
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 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.

Administration

Drug administration (CPT 96360–96549)

When a clinician administers the drug, the administration is reported separately. Codes in this range cover hydration, therapeutic injections and infusions, and chemotherapy or other complex drug administration. The right code depends on route, duration and drug type, and self-administered drugs are not billed this way.

How CPT relates to drug billing

NDC on a medical claim

N400641600010 followed by a unit qualifier and the quantity

Package 00641-6000-10. 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

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

Other NDCs under NDA 018140

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

FDA NDC Directory listings under NDA 018140
ProductStrengthForm · routeLabelerProduct NDC
LorazepamLorazepam 2 mg/mLInjectionIntramuscular, IntravenousCivica, Inc.72572-380
LorazepamLorazepam 2 mg/mLInjectionIntramuscular, IntravenousHikma Pharmaceuticals USA Inc.0641-6044
AtivanlorazepamLorazepam 2 mg/mLInjectionIntramuscular, IntravenousHikma Pharmaceuticals USA Inc.0641-6001
LorazepamLorazepam 4 mg/mLInjectionIntramuscular, IntravenousHikma Pharmaceuticals USA Inc.0641-6045
LorazepamLorazepam 2 mg/mLInjectionIntramuscular, IntravenousHikma Pharmaceuticals USA Inc.0641-6207
AtivanlorazepamLorazepam 4 mg/mLInjectionIntramuscular, IntravenousHikma Pharmaceuticals USA Inc.0641-6002
AtivanlorazepamLorazepam 4 mg/mLInjectionIntramuscular, IntravenousHikma Pharmaceuticals USA Inc.0641-6003
LorazepamLorazepam 2 mg/mLInjectionIntramuscular, IntravenousHikma Pharmaceuticals USA Inc.0641-6046
LorazepamLorazepam 4 mg/mLInjectionIntramuscular, IntravenousHikma Pharmaceuticals USA Inc.0641-6047
LorazepamLorazepam 2 mg/mLInjectionIntramuscular, IntravenousHikma Pharmaceuticals USA Inc.0641-6048
LorazepamLorazepam 4 mg/mLInjectionIntramuscular, IntravenousHikma Pharmaceuticals USA Inc.0641-6049
LorazepamLorazepam 2 mg/mLInjectionIntramuscular, IntravenousHikma Pharmaceuticals USA Inc.0641-6050
LorazepamLorazepam 4 mg/mLInjectionIntramuscular, IntravenousHikma Pharmaceuticals USA Inc.0641-6051

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