Midodrine Hydrochloride NDC 55154-5623

NDC codes

FDA NDC Directory

Product NDC (as listed)55154-5623Labeler and product segments. Claims need a package NDC.

Product NDC at billing width55154-5623Add 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
55154-5623-0	55154562300	10 BLISTER PACK in 1 BAG (55154-5623-0) / 1 TABLET in 1 BLISTER PACKMarketed from Nov 3, 2004

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): Midodrine Hydrochloride
Generic name (nonproprietary): midodrine hydrochloride
Active ingredients: Midodrine hydrochloride — 5 mg/1
Dosage form: Tablet
Route: Oral
Labeler: Cardinal Health 107, LLC
Product type: Prescription drug
Marketing category: ANDA — Abbreviated New Drug Application (generic)Application ANDA 076725
Marketing start: Nov 3, 2004
Listing expires: Dec 31, 2027
Other FDA classes: Adrenergic alpha-Agonists (Mechanism)
Identifiers: Product ID 55154-5623_757c92e0-bed9-4e57-93ff-afe8cc15d18bSPL ID 757c92e0-bed9-4e57-93ff-afe8cc15d18b
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

N455154562300 followed by a unit qualifier and the quantity

Package 55154-5623-00. 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

The FDA listing for this product does not reference a label (SPL) set.

Other NDCs under ANDA 076725

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

FDA NDC Directory listings under ANDA 076725
Product	Strength	Form · route	Labeler	Product NDC
Midodrine Hydrochloride	Midodrine hydrochloride 2.5 mg/1	TabletOral	Avet Pharmaceuticals Inc.	23155-969
Midodrine Hydrochloride	Midodrine hydrochloride 5 mg/1	TabletOral	Avet Pharmaceuticals Inc.	23155-970
Midodrine Hydrochloride	Midodrine hydrochloride 10 mg/1	TabletOral	Avet Pharmaceuticals Inc.	23155-971
Midodrine Hydrochloride	Midodrine hydrochloride 2.5 mg/1	TabletOral	Upsher-Smith laboratories, LLC	0245-0211
Midodrine Hydrochloride	Midodrine hydrochloride 5 mg/1	TabletOral	Upsher-Smith laboratories, LLC	0245-0212
Midodrine Hydrochloride	Midodrine hydrochloride 10 mg/1	TabletOral	Upsher-Smith laboratories, LLC	0245-0213