NDC codes

FDA NDC Directory
Product NDC (as listed)0404-9899Labeler and product segments. Claims need a package NDC.
Product NDC at billing width00404-9899Add 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
0404-9899-20004049899201 VIAL, SINGLE-USE in 1 BAG (0404-9899-20) / 20 mL in 1 VIAL, SINGLE-USEMarketed from Jan 12, 2022

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
Generic name (nonproprietary)
lidocaine hydrochloride
Active ingredients
Lidocaine hydrochloride — 20 mg/mL
Dosage form
Jelly
Route
Topical
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 086283
Marketing start
Listing expires
Other FDA classes
Amides (Chemical structure)Local Anesthesia (Physiologic effect)
Identifiers
Product ID 0404-9899_f3af6083-51e2-4b9b-a451-dc39b46cd488SPL ID f3af6083-51e2-4b9b-a451-dc39b46cd488SPL set ID ddaee8bc-f55c-48b1-9b0e-ad1e2dd15a2cRxCUI 1011852UNII V13007Z41A
Pharmacologic class
Amide Local Anesthetic; Antiarrhythmic

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. Topical products like this are usually dispensed by a pharmacy and billed by NDC.

NDC on a medical claim

N400404989920 followed by a unit qualifier and the quantity

Package 00404-9899-20. 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

Label details couldn’t be retrieved right now. Open the label on DailyMed.

Other NDCs under ANDA 086283

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

FDA NDC Directory listings under ANDA 086283
ProductStrengthForm · routeLabelerProduct NDC
Lidocaine HydrochlorideLidocaine hydrochloride 20 mg/mLJellyTopicalInternational Medication Systems, Limited76329-3015
Lidocaine HydrochlorideLidocaine hydrochloride 20 mg/mLJellyTopicalInternational Medication Systems, Limited76329-3011
Lidocaine HydrochlorideLidocaine hydrochloride 20 mg/mLJellyTopicalInternational Medication Systems, Limited76329-3012
Lidocaine HydrochlorideLidocaine hydrochloride 20 mg/mLJellyTopicalInternational Medication Systems, Limited76329-3013
Lidocaine HydrochlorideLidocaine hydrochloride 20 mg/mLJellyTopicalHF Acquisition Co LLC, DBA HealthFirst51662-1551
Lidocaine HydrochlorideLidocaine hydrochloride 20 mg/mLJellyTopicalHF Acquisition Co LLC, DBA HealthFirst51662-1552
Lidocaine HciLidocaine hydrochloride 20 mg/mLJellyTopicalHF Acquisition Co LLC, DBA HealthFirst51662-1389
Lidocaine HydrochlorideLidocaine hydrochloride 20 mg/mLJellyTopicalHenry Schein, Inc.0404-9898
Lidocaine HydrochlorideLidocaine hydrochloride 20 mg/mLJellyTopicalHenry Schein, Inc.0404-9900

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