NDC codes

FDA NDC Directory
Product NDC (as listed)0641-6219Labeler and product segments. Claims need a package NDC.
Product NDC at billing width00641-6219Add 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
0641-6219-100064162191010 SYRINGE in 1 CARTON (0641-6219-10) / 2 mL in 1 SYRINGE (0641-6219-01)Marketed from Mar 29, 2024

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
Active ingredients
Midazolam hydrochloride — 5 mg/mL
Dosage form
Injection
Route
Intramuscular, Intravenous
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 212847
Marketing start
Listing expires
DEA schedule
CIV
Other FDA classes
Benzodiazepines (Chemical structure)
Identifiers
Product ID 0641-6219_c7078d4a-0f37-4305-b20c-0a8f17382963SPL ID c7078d4a-0f37-4305-b20c-0a8f17382963SPL set ID 51c8bfa4-5c78-4b7a-9ffb-8f00828acadcRxCUI 998211, 1551393, 1551395UNII 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

N400641621910 followed by a unit qualifier and the quantity

Package 00641-6219-10. 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 . 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 relative…

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under ANDA 212847

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

FDA NDC Directory listings under ANDA 212847
ProductStrengthForm · routeLabelerProduct NDC
MidazolamMidazolam hydrochloride 5 mg/mLInjectionIntramuscular, IntravenousHikma Pharmaceuticals USA Inc.0641-6218
MidazolamMidazolam hydrochloride 1 mg/mLInjectionIntramuscular, IntravenousHikma Pharmaceuticals USA Inc.0641-6220

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