midazolam (midazolam hydrochloride) NDC 25021-661

NDC codes

FDA NDC Directory

Product NDC (as listed)25021-661Labeler and product segments. Claims need a package NDC.

Product NDC at billing width25021-0661Add 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 NDC	11-digit (billing)	Package	Copy
25021-661-10	25021066110	10 VIAL in 1 CARTON (25021-661-10) / 10 mL in 1 VIALMarketed from Mar 19, 2012

How the 11-digit form is made: The product segment has 3 digits, so one leading zero is added to it (5-3-2 → 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 hydrochloride
Active ingredients: Midazolam hydrochloride — 5 mg/mL
Dosage form: Injection, Solution
Route: Intramuscular, Intravenous
Labeler: Sagent Pharmaceuticals
Product type: Prescription drug
Marketing category: ANDA — Abbreviated New Drug Application (generic)Application ANDA 090850
Marketing start: Mar 19, 2012
Listing expires: Dec 31, 2026
DEA schedule: CIV
Other FDA classes: Benzodiazepines (Chemical structure)
Identifiers: Product ID 25021-661_002ea282-09ba-4d79-8bd1-94c9859f442bSPL ID 002ea282-09ba-4d79-8bd1-94c9859f442bSPL set ID 880cac48-5c0f-49a9-8aef-3c9770bf5d84RxCUI 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

N425021066110 followed by a unit qualifier and the quantity

Package 25021-0661-10. 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 Nov 3, 2023. This label includes a boxed warning.

Indications (excerpt from the label)

INDICATIONS AND USAGE Midazolam Injection is indicated: intramuscularly or intravenously for preoperative sedation/anxiolysis/amnesia; intravenously as an agent for sedation/anxiolysis/amnesia prior to or during diagnostic, therapeutic or endoscopic procedures, such as bronchoscopy, gastroscopy, cystoscopy, coronary angiography, cardiac catheterization, oncology procedures, radiologic procedures, suture of lacerations and other procedures either alone or in combination with other CNS depressants; intravenously for induction of general anesthesia, before administration of other anesthetic agents. With the use of narcotic premedication, induction of anesthesia can be attained within a relative…

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under ANDA 090850

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

FDA NDC Directory listings under ANDA 090850
Product	Strength	Form · route	Labeler	Product NDC
Midazolam Hydrochloride	Midazolam hydrochloride 5 mg/mL	Injection, SolutionIntramuscular, Intravenous	Gland Pharma Limited	68083-108
Midazolam Hydrochloride	Midazolam hydrochloride 5 mg/mL	Injection, SolutionIntramuscular, Intravenous	Jvet Pharmaceuticals LLC	86211-111
Midazolam hydrochloride	Midazolam hydrochloride 5 mg/mL	Injection, SolutionIntramuscular, Intravenous	Heritage Pharmaceuticals Inc. d/b/a Avet Pharmaceuticals Inc.	23155-601
Midazolam Hydrochloride	Midazolam hydrochloride 5 mg/mL	Injection, SolutionIntramuscular, Intravenous	Belcher Pharmaceuticals, LLC	62250-111