NDC codes

FDA NDC Directory
Product NDC (as listed)51004-2105Labeler and product segments. Claims need a package NDC.
Product NDC at billing width51004-2105Add 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
51004-2105-05100421050050 CARTRIDGE in 1 CARTON (51004-2105-0) / 1.7 mL in 1 CARTRIDGEMarketed from Mar 18, 2019

How the 11-digit form is made: The package segment has 1 digit, so one leading zero is added to it (5-4-1 → 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
Generic name (nonproprietary)
lidocaine hydrochloride and epinephrine bitartrate
Active ingredients
Lidocaine hydrochloride — 20 mg/mLEpinephrine bitartrate — .01 mg/mL
Dosage form
Injection, Solution
Route
Submucosal
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 088390
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 51004-2105_d1233ce4-5401-402f-b434-7999af2edc40SPL ID d1233ce4-5401-402f-b434-7999af2edc40SPL set ID 2005680a-8a23-4403-a618-e4ee74fa1121RxCUI 1293648UNII 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

N451004210500 followed by a unit qualifier and the quantity

Package 51004-2105-00. 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 and Epinephrine Injection, USP is indicated for the production of local anesthesia for dental procedures by nerve block or infiltration techniques. Only accepted procedures for these techniques as described in standard textbooks are recommended.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under ANDA 088390

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

FDA NDC Directory listings under ANDA 088390
ProductStrengthForm · routeLabelerProduct NDC
Lidocainelidocaine hydrochloride and epinephrine bitartrateLidocaine hydrochloride 20 mg/mL; Epinephrine bitartrate .01 mg/mLInjection, SolutionSubmucosalPatterson Dental50227-1030
Lidocainelidocaine hydrochloride and epinephrine bitartrateLidocaine hydrochloride 20 mg/mL; Epinephrine bitartrate .01 mg/mLInjection, SolutionSubmucosalThe Atlanta Dental Supply Company DBA Advanced Dental Products71347-210
Xylocainelidocaine hydrochloride and epinephrine bitartrateLidocaine hydrochloride 20 mg/mL; Epinephrine bitartrate 10 ug/mLInjection, SolutionSubmucosalDentsply Pharmaceutical66312-176
Lidocainelidocaine hydrochloride and epinephrine bitartrateLidocaine hydrochloride 20 mg/mL; Epinephrine bitartrate .01 mg/mLInjection, SolutionSubmucosalBenco Dental66975-425
Lidocainelidocaine hydrochloride and epinephrine bitartrateLidocaine hydrochloride 20 mg/mL; Epinephrine bitartrate .01 mg/mLInjection, SolutionSubmucosalHenry Schein Inc.0404-6512
Lidocainelidocaine hydrochloride and epinephrine bitartrateLidocaine hydrochloride 20 mg/mL; Epinephrine bitartrate .01 mg/mLInjection, SolutionSubmucosalSafco Dental Supply Co67239-0240
Lidocainelidocaine hydrochloride and epinephrineLidocaine hydrochloride 20 mg/mL; Epinephrine bitartrate .01 mg/mLInjection, SolutionSubmucosalSeptodont, Inc.0362-0898
Lignospan Standardlidocaine hydrochloride and epinephrineLidocaine hydrochloride 20 mg/mL; Epinephrine bitartrate .01 mg/mLInjection, SolutionSubmucosalSeptodont, Inc.0362-1095
Lidocainelidocaine hydrochloride and epinephrine bitartrateLidocaine hydrochloride 20 mg/mL; Epinephrine bitartrate .01 mg/mLInjection, SolutionSubmucosalDarby Dental Supply, LLC66467-9730
Lidocainelidocaine hydrochloride and epinephrine bitartrateLidocaine hydrochloride 20 mg/mL; Epinephrine bitartrate .01 mg/mLInjection, SolutionSubmucosalNDC, Inc.43128-105

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