NDC codes

FDA NDC Directory
Product NDC (as listed)0404-9788Labeler and product segments. Claims need a package NDC.
Product NDC at billing width00404-9788Add 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
0404-9788-20004049788201 VIAL, MULTI-DOSE in 1 BAG (0404-9788-20) / 20 mL in 1 VIAL, MULTI-DOSEMarketed from Feb 17, 2025

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 Hydrochloride and Epinephrine
Generic name (nonproprietary)
lidocaine hydrochloride and epinephrine
Active ingredients
Lidocaine hydrochloride — 20 mg/mLEpinephrine — 10 ug/mL
Dosage form
Injection, Solution
Route
Infiltration, Perineural
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 089646
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 0404-9788_96589b9d-b9c8-49f5-a5a4-5abdf8d00dd0SPL ID 96589b9d-b9c8-49f5-a5a4-5abdf8d00dd0SPL set ID 5692e28d-559c-4b6a-8421-fa85d7155818RxCUI 1010759UNII V13007Z41A, YKH834O4BH
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

N400404978820 followed by a unit qualifier and the quantity

Package 00404-9788-20. 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 Lidocaine Hydrochloride and Epinephrine Injection, USP is indicated for production of local or regional anesthesia by infiltration techniques such as percutaneous injection, by peripheral nerve block techniques such as brachial plexus and intercostal and by central neural techniques such as lumbar and caudal epidural blocks, when the accepted procedures for these techniques as described in standard textbooks are observed.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under ANDA 089646

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

FDA NDC Directory listings under ANDA 089646
ProductStrengthForm · routeLabelerProduct NDC
LIDOCAINE HCl AND EPINEPHRINELidocaine hydrochloride 20 mg/mL; Epinephrine 10 ug/mLInjection, SolutionInfiltration, PerineuralHF Acquisition Co LLC, DBA HealthFirst51662-1503
LIDOCAINE HCl AND EPINEPHRINEEpinephrine 10 ug/mL; Lidocaine hydrochloride 20 mg/mLInjection, SolutionInfiltration, PerineuralHF Acquisition Co LLC, DBA HealthFirst51662-1504
Lidocaine Hydrochloride and EpinephrineLidocaine hydrochloride 20 mg/mL; Epinephrine 10 ug/mLInjection, SolutionInfiltration, PerineuralHospira, Inc.0409-3182
Lidocaine Hydrochloride and EpinephrineLidocaine hydrochloride 20 mg/mL; Epinephrine 10 ug/mLInjection, SolutionInfiltration, PerineuralProPharma Distribution84549-182
Lidocaine Hydrochloride and EpinephrineLidocaine hydrochloride 20 mg/mL; Epinephrine 10 ug/mLInjection, SolutionInfiltration, PerineuralHospira, Inc.0409-0147
Lidocaine Hydrochloride and EpinephrineLidocaine hydrochloride 20 mg/mL; Epinephrine 10 ug/mLInjection, SolutionInfiltration, PerineuralHenry Schein, Inc.0404-9896

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