Midazolam (midazolam hydrochloride) NDC 0409-2587

NDC codes

FDA NDC Directory

Product NDC (as listed)0409-2587Labeler and product segments. Claims need a package NDC.

Product NDC at billing width00409-2587Add 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 NDC	11-digit (billing)	Package	Copy
0409-2587-05	00409258705	10 VIAL, MULTI-DOSE in 1 CARTON (0409-2587-05) / 10 mL in 1 VIAL, MULTI-DOSE (0409-2587-04)Marketed from Feb 2, 2006

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): Midazolam
Generic name (nonproprietary): midazolam hydrochloride
Active ingredients: Midazolam hydrochloride — 1 mg/mL
Dosage form: Injection, Solution
Route: Intramuscular, Intravenous
Labeler: Hospira, Inc.
Product type: Prescription drug
Marketing category: ANDA — Abbreviated New Drug Application (generic)Application ANDA 075293
Marketing start: Feb 2, 2006
Listing expires: Dec 31, 2027
DEA schedule: CIV
Other FDA classes: Benzodiazepines (Chemical structure)
Identifiers: Product ID 0409-2587_6c075a2d-b68b-41a7-aa0c-bcf9894e3f76SPL ID 6c075a2d-b68b-41a7-aa0c-bcf9894e3f76SPL set ID affecd4d-1f78-4bbe-5a8d-86849bbdc520RxCUI 311700, 311702UNII W7TTW573JJ
Pharmacologic class: Benzodiazepine

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.

Administration

Drug administration (CPT 96360–96549)

When a clinician administers the drug, the administration is reported separately. Codes in this range cover hydration, therapeutic injections and infusions, and chemotherapy or other complex drug administration. The right code depends on route, duration and drug type, and self-administered drugs are not billed this way.

How CPT relates to drug billing

NDC on a medical claim

N400409258705 followed by a unit qualifier and the quantity

Package 00409-2587-05. 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

Current FDA label (SPL), effective Apr 15, 2026. This label includes a boxed warning.

Indications (excerpt from the label)

INDICATIONS AND USAGE Midazolam injection is indicated: • intramuscularly or intravenously for preoperative sedation/anxiolysis/amnesia; • intravenously as an agent for sedation/anxiolysis/amnesia prior to or during diagnostic, therapeutic or endoscopic procedures, such as bronchoscopy, gastroscopy, cystoscopy, coronary angiography, cardiac catheterization, oncology procedures, radiologic procedures, suture of lacerations and other procedures either alone or in combination with other CNS depressants; • intravenously for induction of general anesthesia, before administration of other anesthetic agents. With the use of narcotic premedication, induction of anesthesia can be attained within a re…

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under ANDA 075293

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

FDA NDC Directory listings under ANDA 075293
Product	Strength	Form · route	Labeler	Product NDC
Midazolammidazolam hydrochloride	Midazolam hydrochloride 5 mg/mL	Injection, SolutionIntramuscular, Intravenous	Hospira, Inc.	0409-2596
Midazolam Hydrochloride	Midazolam hydrochloride 5 mg/mL	Injection, SolutionIntramuscular, Intravenous	A-S Medication Solutions	50090-5342
Midazolam Hydrochloride	Midazolam hydrochloride 1 mg/mL	Injection, SolutionIntramuscular, Intravenous	A-S Medication Solutions	50090-5472
Midazolam	Midazolam hydrochloride 5 mg/mL	Injection, SolutionIntramuscular, Intravenous	Henry Schein, Inc.	0404-9915