NDC codes

FDA NDC Directory
Product NDC (as listed)0641-6207Labeler and product segments. Claims need a package NDC.
Product NDC at billing width00641-6207Add 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
0641-6207-25006416207250064162072525 VIAL in 1 CARTON (0641-6207-25) / 1 mL in 1 VIAL (0641-6207-01)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)
Lorazepam
Generic name (nonproprietary)
lorazepam
Active ingredients
Lorazepam — 2 mg/mL
Dosage form
Injection
Route
Intramuscular, Intravenous
Labeler
Hikma Pharmaceuticals USA Inc.NDC labeler code 0641
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 0641-6207_4f2988b1-2854-4051-962f-07cc925608abSPL ID 4f2988b1-2854-4051-962f-07cc925608abSPL set ID b79b38ee-c29d-4099-964f-000031f47f5aRxCUI 238100UNII O26FZP769L
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

N400641620725 followed by a unit qualifier and the quantity

Package 00641-6207-25. 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)

INDICATIONS AND USAGE Status Epilepticus Lorazepam Injection is indicated for the treatment of status epilepticus. Preanesthetic Lorazepam Injection is indicated in adult patients for preanesthetic medication, producing sedation (sleepiness or drowsiness), relief of anxiety, and a decreased ability to recall events related to the day of surgery. It is most useful in those patients who are anxious about their surgical procedure and who would prefer to have diminished recall of the events of the day of surgery (see PRECAUTIONS, Information for Patients ).

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 0641-6207

What is NDC 0641-6207?
0641-6207 is the product NDC for Lorazepam, Lorazepam 2 mg/mL injection, listed with the FDA by Hikma Pharmaceuticals USA Inc.. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Lorazepam.
What is the active ingredient?
Lorazepam.
Who is the labeler?
Hikma Pharmaceuticals USA Inc., NDC labeler code 0641. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Lorazepam?
134 other product NDCs are listed under this name. See all Lorazepam 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 Lorazepam NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
LorazepamLorazepam 1 mg/1TabletOralUnit Dose Solutions, Inc.87441-09187441-0091-01
LorazepamLorazepam 1 mg/1TabletOralPreferred Pharmaceuticals Inc.68788-418068788-4180-0168788-4180-0368788-4180-06+2 more
LorazepamLorazepam .5 mg/1TabletOralSt. Mary's Medical Park Pharmacy60760-94760760-0947-02
LorazepamLorazepam 1 mg/1TabletOralSt. Mary's Medical Park Pharmacy60760-94860760-0948-02
LorazepamLorazepam .5 mg/1TabletOralUnit Dose Solutions, Inc.87441-05087441-0050-01
LorazepamLorazepam 2 mg/1TabletOralUnit Dose Solutions, Inc.87441-05187441-0051-01
LorazepamLorazepam 1 mg/1TabletOralCoupler LLC67046-023067046-0230-03
LorazepamLorazepam .5 mg/1TabletOralCoupler LLC67046-078667046-0786-03
LorazepamLorazepam 2 mg/1TabletOralCoupler LLC67046-093667046-0936-03
LorazepamLorazepam 2 mg/mLLiquidOralAmerican Health Packaging68000-10768000-0107-05

All 135 Lorazepam NDCs

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
AtivanlorazepamLorazepam 2 mg/mLInjectionIntramuscular, IntravenousHikma Pharmaceuticals USA Inc.0641-6000
AtivanlorazepamLorazepam 2 mg/mLInjectionIntramuscular, IntravenousHikma Pharmaceuticals USA Inc.0641-6001
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.0641-6044
LorazepamLorazepam 4 mg/mLInjectionIntramuscular, IntravenousHikma Pharmaceuticals USA Inc.0641-6045
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
LorazepamLorazepam 2 mg/mLInjectionIntramuscular, IntravenousCivica, Inc.72572-380

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