NDC codes

FDA NDC Directory
Product NDC (as listed)0641-6211Labeler and product segments. Claims need a package NDC.
Product NDC at billing width00641-6211Add 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
0641-6211-100064162111010 VIAL in 1 CARTON (0641-6211-10) / 10 mL in 1 VIAL (0641-6211-01)Marketed from Jun 20, 2000

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)
Midazolam
Generic name (nonproprietary)
midazolam
Active ingredients
Midazolam hydrochloride — 5 mg/mL
Dosage form
Injection
Route
Intramuscular, Intravenous
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 075243
Marketing start
Listing expires
DEA schedule
CIV
Other FDA classes
Benzodiazepines (Chemical structure)
Identifiers
Product ID 0641-6211_6a9280fb-c775-443b-9f8e-1ed3a0c85d13SPL ID 6a9280fb-c775-443b-9f8e-1ed3a0c85d13SPL set ID 8675cdb1-c7f5-40cf-b1e0-0960b7ab117bRxCUI 311700, 311702UNII W7TTW573JJ
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

N400641621110 followed by a unit qualifier and the quantity

Package 00641-6211-10. 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

Label details couldn’t be retrieved right now. Open the label on DailyMed.

Other NDCs under ANDA 075243

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

FDA NDC Directory listings under ANDA 075243
ProductStrengthForm · routeLabelerProduct NDC
MidazolamMidazolam hydrochloride 5 mg/mLInjectionIntramuscular, IntravenousHikma Pharmaceuticals USA Inc.0641-6061
MidazolamMidazolam hydrochloride 1 mg/mLInjectionIntramuscular, IntravenousHikma Pharmaceuticals USA Inc.0641-6057
MidazolamMidazolam hydrochloride 1 mg/mLInjectionIntramuscular, IntravenousCivica, Inc.72572-432
MidazolamMidazolam hydrochloride 1 mg/mLInjectionIntramuscular, IntravenousCivica, Inc.72572-430
MidazolamMidazolam hydrochloride 1 mg/mLInjectionIntramuscular, IntravenousHikma Pharmaceuticals USA Inc.0641-6059
MidazolamMidazolam hydrochloride 5 mg/mLInjectionIntramuscular, IntravenousHikma Pharmaceuticals USA Inc.0641-6190
MidazolamMidazolam hydrochloride 5 mg/mLInjectionIntramuscular, IntravenousHikma Pharmaceuticals USA Inc.0641-6060
MidazolamMidazolam hydrochloride 5 mg/mLInjectionIntramuscular, IntravenousHikma Pharmaceuticals USA Inc.0641-6063
MidazolamMidazolam hydrochloride 1 mg/mLInjectionIntramuscular, IntravenousHikma Pharmaceuticals USA Inc.0641-6281
MidazolamMidazolam hydrochloride 1 mg/mLInjectionIntramuscular, IntravenousHenry Schein, Inc.0404-9913
MidazolamMidazolam hydrochloride 5 mg/mLInjectionIntramuscular, IntravenousHenry Schein, Inc.0404-9801
MidazolamMidazolam hydrochloride 1 mg/mLInjectionIntramuscular, IntravenousHikma Pharmaceuticals USA Inc.0641-6209
MidazolamMidazolam hydrochloride 1 mg/mLInjectionIntramuscular, IntravenousHikma Pharmaceuticals USA Inc.0641-6210
MidazolamMidazolam hydrochloride 1 mg/mLInjectionIntramuscular, IntravenousHenry Schein, Inc.0404-9780
MidazolamMidazolam hydrochloride 1 mg/mLInjectionIntramuscular, IntravenousHikma Pharmaceuticals USA Inc.0641-6056

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