NDC codes

FDA NDC Directory
Product NDC (as listed)0904-7641Labeler and product segments. Claims need a package NDC.
Product NDC at billing width00904-7641Add 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
0904-7641-0600904764106009047641065 BLISTER PACK in 1 CARTON (0904-7641-06) / 10 TABLET in 1 BLISTER PACK (0904-7641-35)Marketed from Sep 1, 2026
0904-7641-61009047641610090476416110 BLISTER PACK in 1 CARTON (0904-7641-61) / 10 TABLET in 1 BLISTER PACK (0904-7641-35)Marketed from Sep 1, 2026

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)
Midodrine Hydrochloride
Generic name (nonproprietary)
midodrine hydrochloride
Active ingredients
Midodrine hydrochloride — 5 mg/1
Dosage form
Tablet
Route
Oral
Labeler
Major PharmaceuticalsNDC labeler code 0904
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 217271
Marketing start
Listing expires
Other FDA classes
Adrenergic alpha-Agonists (Mechanism)
Identifiers
Product ID 0904-7641_b25bca12-95e2-4fbe-b1d6-7bd96bf1aa3bSPL ID b25bca12-95e2-4fbe-b1d6-7bd96bf1aa3b
Pharmacologic class
alpha-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 HCPCS code in Med-Code's directory. Oral products like this are usually dispensed by a pharmacy and billed by NDC.

NDC on a medical claim

N400904764106 followed by a unit qualifier and the quantity

Package 00904-7641-06. 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.

About NDC 0904-7641

What is NDC 0904-7641?
0904-7641 is the product NDC for Midodrine Hydrochloride, Midodrine hydrochloride 5 mg/1 tablet, listed with the FDA by Major Pharmaceuticals. It has 2 package NDCs, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Midodrine Hydrochloride.
What is the active ingredient?
Midodrine hydrochloride.
Who is the labeler?
Major Pharmaceuticals, NDC labeler code 0904. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Midodrine Hydrochloride?
108 other product NDCs are listed under this name. See all Midodrine Hydrochloride 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 Midodrine Hydrochloride NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
Midodrine HydrochlorideMidodrine hydrochloride 2.5 mg/1TabletOralMajor Pharmaceuticals0904-764000904-7640-0600904-7640-61
Midodrine HydrochlorideMidodrine hydrochloride 10 mg/1TabletOralMajor Pharmaceuticals0904-764200904-7642-07
Midodrine HydrochlorideMidodrine hydrochloride 2.5 mg/1TabletOralNorthStar RxLLC72603-90672603-0906-0572603-0906-10
Midodrine HydrochlorideMidodrine hydrochloride 5 mg/1TabletOralNorthStar RxLLC72603-90772603-0907-0572603-0907-10
Midodrine HydrochlorideMidodrine hydrochloride 10 mg/1TabletOralNorthStar RxLLC72603-90872603-0908-0372603-0908-05
Midodrine HydrochlorideMidodrine hydrochloride 2.5 mg/1TabletOralAvet Pharmaceuticals Inc.23155-96923155-0969-01
Midodrine HydrochlorideMidodrine hydrochloride 5 mg/1TabletOralAvet Pharmaceuticals Inc.23155-97023155-0970-01
Midodrine HydrochlorideMidodrine hydrochloride 10 mg/1TabletOralAvet Pharmaceuticals Inc.23155-97123155-0971-01
Midodrine HydrochlorideMidodrine hydrochloride 5 mg/1TabletOralSafecor Health LLC48433-07548433-0075-20
Midodrine HydrochlorideMidodrine hydrochloride 2.5 mg/1TabletOralFirst Nation Group, LLC81469-13981469-0139-90

All 109 Midodrine Hydrochloride NDCs

Other NDCs under ANDA 217271

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

FDA NDC Directory listings under ANDA 217271
ProductStrengthForm · routeLabelerProduct NDC
Midodrine HydrochlorideMidodrine hydrochloride 2.5 mg/1TabletOralMajor Pharmaceuticals0904-7640
Midodrine HydrochlorideMidodrine hydrochloride 10 mg/1TabletOralMajor Pharmaceuticals0904-7642
Midodrine HydrochlorideMidodrine hydrochloride 5 mg/1TabletOralCoupler LLC67046-1512
Midodrine HydrochlorideMidodrine hydrochloride 2.5 mg/1TabletOralLifestar Pharma LLC70756-010
Midodrine HydrochlorideMidodrine hydrochloride 5 mg/1TabletOralLifestar Pharma LLC70756-049
Midodrine HydrochlorideMidodrine hydrochloride 10 mg/1TabletOralLifestar Pharma LLC70756-050
Midodrine HydrochlorideMidodrine hydrochloride 2.5 mg/1TabletOralNorthStar RxLLC72603-906
Midodrine HydrochlorideMidodrine hydrochloride 5 mg/1TabletOralNorthStar RxLLC72603-907
Midodrine HydrochlorideMidodrine hydrochloride 10 mg/1TabletOralNorthStar RxLLC72603-908
Midodrine HydrochlorideMidodrine hydrochloride 2.5 mg/1TabletOralFirst Nation Group, LLC81469-139
Midodrine HydrochlorideMidodrine hydrochloride 5 mg/1TabletOralFirst Nation Group, LLC81469-140
Midodrine HydrochlorideMidodrine hydrochloride 10 mg/1TabletOralFirst Nation Group, LLC81469-141

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