NDC codes

FDA NDC Directory
Product NDC (as listed)0264-9378Labeler and product segments. Claims need a package NDC.
Product NDC at billing width00264-9378Add 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
0264-9378-05002649378055 AMPULE in 1 CARTON (0264-9378-05) / 5 mL in 1 AMPULE (0264-9378-88)Marketed from Sep 8, 2021

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)
LIDOCAINE HCl and EPINEPHRINE
Generic name (nonproprietary)
lidocaine hcl and epinephrine
Active ingredients
Lidocaine hydrochloride anhydrous — 15 mg/mLEpinephrine bitartrate — .005 mg/mL
Dosage form
Injection
Route
Epidural, Infiltration, Intracaudal, Perineural
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 208475
Marketing start
Listing expires
Other FDA classes
Adrenergic alpha-Agonists (Mechanism)Adrenergic beta-Agonists (Mechanism)Amides (Chemical structure)Catecholamines (Chemical structure)Local Anesthesia (Physiologic effect)
Identifiers
Product ID 0264-9378_cdb3c70a-d86a-4964-855d-59d2aeac2297SPL ID cdb3c70a-d86a-4964-855d-59d2aeac2297
Pharmacologic class
Amide Local Anesthetic; Antiarrhythmic; Catecholamine; alpha-Adrenergic Agonist; beta-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 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

N400264937805 followed by a unit qualifier and the quantity

Package 00264-9378-05. 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.

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