NDC codes

FDA NDC Directory
Product NDC (as listed)51079-453Labeler and product segments. Claims need a package NDC.
Product NDC at billing width51079-0453Add 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
51079-453-2051079045320100 BLISTER PACK in 1 CARTON (51079-453-20) / 1 TABLET in 1 BLISTER PACK (51079-453-01)Marketed from Sep 11, 2006

How the 11-digit form is made: The product segment has 3 digits, so one leading zero is added to it (5-3-2 → 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)
Midodrine Hydrochloride
Generic name (nonproprietary)
midodrine hydrochloride
Active ingredients
Midodrine hydrochloride — 5 mg/1
Dosage form
Tablet
Route
Oral
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 076577
Marketing start
Listing expires
Other FDA classes
Adrenergic alpha-Agonists (Mechanism)
Identifiers
Product ID 51079-453_3a8743bb-679f-ae20-e063-6394a90a41c6SPL ID 3a8743bb-679f-ae20-e063-6394a90a41c6SPL set ID fd28d383-add9-42a9-ad07-4d7e89f12460RxCUI 993470UNII 59JV96YTXV
Pharmacologic class
alpha-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 HCPCS code in Med-Code's directory. Oral products like this are usually dispensed by a pharmacy and billed by NDC.

NDC on a medical claim

N451079045320 followed by a unit qualifier and the quantity

Package 51079-0453-20. 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 076577

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

FDA NDC Directory listings under ANDA 076577
ProductStrengthForm · routeLabelerProduct NDC
Midodrine HydrochlorideMidodrine hydrochloride 2.5 mg/1TabletOralMylan Pharmaceuticals Inc.0378-1901
Midodrine HydrochlorideMidodrine hydrochloride 5 mg/1TabletOralMylan Pharmaceuticals Inc.0378-1902
Midodrine HydrochlorideMidodrine hydrochloride 10 mg/1TabletOralMylan Pharmaceuticals Inc.0378-1903
Midodrine HydrochlorideMidodrine hydrochloride 5 mg/1TabletOralCardinal Health 107, LLC55154-5696
Midodrine HydrochlorideMidodrine hydrochloride 5 mg/1TabletOralSafecor Health LLC48433-075

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