NDC codes

FDA NDC Directory
Product NDC (as listed)0362-1200Labeler and product segments. Claims need a package NDC.
Product NDC at billing width00362-1200Add 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
0362-1200-500036212005050 CARTRIDGE in 1 CARTON (0362-1200-50) / 1.7 mL in 1 CARTRIDGEMarketed from Mar 19, 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)
Flavalta
Generic name (nonproprietary)
lidocaine hydrochloride and epinephrine
Active ingredients
Lidocaine hydrochloride — 20 mg/mLEpinephrine bitartrate — .01 mg/mL
Dosage form
Injection, Solution
Route
Submucosal
Product type
Prescription drug
Marketing category
NDA — New Drug ApplicationApplication NDA 216564
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 0362-1200_6ec4f11a-4a43-4a5b-8072-eefcc695b4beSPL ID 6ec4f11a-4a43-4a5b-8072-eefcc695b4beSPL set ID 3f9f9b4f-bf6c-4b57-ac1a-98fd1a9a369dRxCUI 1293648, 2739501UNII V13007Z41A, 30Q7KI53AK
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

N400362120050 followed by a unit qualifier and the quantity

Package 00362-1200-50. 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)

FLAVALTA solution is indicated for the production of local anesthesia for dental procedures by nerve block or infiltration techniques [see Dosage and Administration (2.2) ]. FLAVALTA solution is a combination of lidocaine, an amide local anesthetic, and epinephrine, an alpha and beta adrenergic agonist indicated for the production of local anesthesia for dental procedures by nerve block or infiltration techniques.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

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