Prescription drug · ANDA
Polocaine (mepivacaine hydrochloride) NDC 51004-4411
Mepivacaine hydrochloride 30 mg/mL · Injection, Solution · Submucosal · Novocol Pharmaceutical of Canada Inc.
NDC codes
FDA NDC Directory| Package NDC | 11-digit (billing) | Package | Copy |
|---|---|---|---|
| 51004-4411-6 | 51004441106 | 50 CARTRIDGE in 1 CARTON (51004-4411-6) / 1.7 mL in 1 CARTRIDGEMarketed from Oct 10, 1984 |
How the 11-digit form is made: The package segment has 1 digit, so one leading zero is added to it (5-4-1 → 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)
- Polocaine
- Generic name (nonproprietary)
- mepivacaine hydrochloride
- Active ingredients
- Mepivacaine hydrochloride — 30 mg/mL
- Dosage form
- Injection, Solution
- Route
- Submucosal
- Product type
- Prescription drug
- Marketing category
- ANDA — Abbreviated New Drug Application (generic)Application ANDA 088387
- Marketing start
- Listing expires
- Other FDA classes
- Amides (Chemical structure)Local Anesthesia (Physiologic effect)
- Identifiers
- Product ID 51004-4411_c0be08fc-d144-437c-9890-fa29b33eb3fbSPL ID c0be08fc-d144-437c-9890-fa29b33eb3fbSPL set ID eb7e2284-fe8d-46ad-b1d3-92ee2c6222bfRxCUI 1012756, 1305263UNII 4VFX2L7EM5
- Pharmacologic class
- Amide Local Anesthetic
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.
- NDC on a medical claim
N451004441106followed by a unit qualifier and the quantityPackage 51004-4411-06. 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
Current FDA label (SPL), effective .
Indications (excerpt from the label)
INDICATIONS AND USAGE Mepivacaine is indicated for production of local anesthesia for dental procedures by infiltration or nerve block in adults and pediatric patients.
Excerpt only. Read the full label for complete information.
Other NDCs under ANDA 088387
Products listed under the same FDA application: other strengths and forms, and repackagers who relabel the same product.
| Product | Strength | Form · route | Labeler | Product NDC |
|---|---|---|---|---|
| Mepivacainemepivacaine hydrochloride | Mepivacaine hydrochloride 30 mg/mL | Injection, SolutionSubmucosal | Novocol Pharmaceutical of Canada, Inc. | 51004-0005 |
| Mepivacainemepivacaine hydrochloride | Mepivacaine hydrochloride 30 mg/mL | Injection, SolutionSubmucosal | NDC, Inc. | 43128-005 |
| Mepivacainemepivacaine hydrochloride | Mepivacaine hydrochloride 30 mg/mL | Injection, SolutionSubmucosal | Patterson Dental Supply, Inc. | 50227-1080 |
| Polocainemepivacaine hydrochloride | Mepivacaine hydrochloride 30 mg/mL | Injection, SolutionSubmucosal | Dentsply Pharmaceutical | 66312-441 |
| Mepivacainemepivacaine hydrochloride | Mepivacaine hydrochloride 30 mg/mL | Injection, SolutionSubmucosal | Benco Dental | 66975-406 |
| Carbocainemepivacaine hydrochloride | Mepivacaine hydrochloride 30 mg/mL | Injection, SolutionSubmucosal | Septodont, Inc. | 0362-0753 |
| Mepivacaine Hydrochloride | Mepivacaine hydrochloride 30 mg/mL | Injection, SolutionSubmucosal | Safco Dental Supply Co. | 67239-0201 |
| Mepivacaine Hydrochloride | Mepivacaine hydrochloride 30 mg/mL | Injection, SolutionSubmucosal | Henry Schein Inc. | 0404-6730 |
| Scandonest 3% Plainmepivacaine hydrochloride | Mepivacaine hydrochloride 30 mg/mL | Injection, SolutionSubcutaneous | Septodont, Inc. | 0362-1098 |
| Mepivacainemepivacaine hydrochloride | Mepivacaine hydrochloride 30 mg/mL | Injection, SolutionSubmucosal | Darby Dental Supply, LLC | 66467-9760 |