NDC codes

FDA NDC Directory
Product NDC (as listed)72162-1974Labeler and product segments. Claims need a package NDC.
Product NDC at billing width72162-1974Add 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
72162-1974-172162197401100 TABLET in 1 BOTTLE, PLASTIC (72162-1974-1)Marketed from Feb 7, 2024

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)
Midodrine Hydrochloride
Generic name (nonproprietary)
midodrine hydrochloride
Active ingredients
Midodrine hydrochloride — 5 mg/1
Dosage form
Tablet
Route
Oral
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 207849
Marketing start
Listing expires
Other FDA classes
Adrenergic alpha-Agonists (Mechanism)
Identifiers
Product ID 72162-1974_60c62ba3-8315-4eb2-83da-27a7da303511SPL ID 60c62ba3-8315-4eb2-83da-27a7da303511SPL set ID 572edc14-3450-46db-bec6-9d63e620a364RxCUI 993470UNII 59JV96YTXV
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

N472162197401 followed by a unit qualifier and the quantity

Package 72162-1974-01. 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 207849

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

FDA NDC Directory listings under ANDA 207849
ProductStrengthForm · routeLabelerProduct NDC
Midodrine HydrochlorideMidodrine hydrochloride 2.5 mg/1TabletOralProficient Rx LP71205-904
Midodrine HydrochlorideMidodrine hydrochloride 5 mg/1TabletOralProficient Rx LP71205-905
Midodrine HydrochlorideMidodrine hydrochloride 10 mg/1TabletOralProficient Rx LP71205-906
Midodrine HydrochlorideMidodrine hydrochloride 10 mg/1TabletOralBryant Ranch Prepack63629-2346
Midodrine HydrochlorideMidodrine hydrochloride 2.5 mg/1TabletOralXiromed, LLC70700-157
Midodrine HydrochlorideMidodrine hydrochloride 5 mg/1TabletOralBryant Ranch Prepack63629-2347
Midodrine HydrochlorideMidodrine hydrochloride 5 mg/1TabletOralXiromed, LLC70700-158
Midodrine HydrochlorideMidodrine hydrochloride 2.5 mg/1TabletOralBryant Ranch Prepack63629-2348
Midodrine HydrochlorideMidodrine hydrochloride 10 mg/1TabletOralXiromed, LLC70700-159
Midodrine HydrochlorideMidodrine hydrochloride 2.5 mg/1TabletOralBryant Ranch Prepack72162-1973
Midodrine HydrochlorideMidodrine hydrochloride 10 mg/1TabletOralBryant Ranch Prepack72162-1975
Midodrine HydrochlorideMidodrine hydrochloride 2.5 mg/1TabletOralGolden State Medical Supply, Inc.51407-388
Midodrine HydrochlorideMidodrine hydrochloride 5 mg/1TabletOralGolden State Medical Supply, Inc.51407-389
Midodrine HydrochlorideMidodrine hydrochloride 10 mg/1TabletOralGolden State Medical Supply, Inc.51407-390

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