NDC codes

FDA NDC Directory
Product NDC (as listed)58118-1095Labeler and product segments. Claims need a package NDC.
Product NDC at billing width58118-1095Add 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
58118-1095-85811810950830 TABLET in 1 BLISTER PACK (58118-1095-8)Marketed from Feb 15, 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)
Lorazepam
Generic name (nonproprietary)
lorazepam
Active ingredients
Lorazepam — 1 mg/1
Dosage form
Tablet
Route
Oral
Labeler
Clinical Solutions Wholesale, LLCNDC labeler code 58118
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 078203
Marketing start
Listing expires
DEA schedule
CIV
Other FDA classes
Benzodiazepines (Chemical structure)
Identifiers
Product ID 58118-1095_0e85cd9d-0f29-8950-e063-6294a90a33f7SPL ID 0e85cd9d-0f29-8950-e063-6294a90a33f7SPL set ID fdc11b95-2233-42b4-b5f3-9390b5e9e1b2RxCUI 197900, 197901, 197902UNII O26FZP769L
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 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

N458118109508 followed by a unit qualifier and the quantity

Package 58118-1095-08. 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 Lorazepam is indicated for the management of anxiety disorders or for the short-term relief of the symptoms of anxiety or anxiety associated with depressive symptoms. Anxiety or tension associated with the stress of everyday life usually does not require treatment with an anxiolytic. The effectiveness of lorazepam in long-term use, that is, more than 4 months, has not been assessed by systematic clinical studies. The physician should periodically reassess the usefulness of the drug for the individual patient.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 58118-1095

What is NDC 58118-1095?
58118-1095 is the product NDC for Lorazepam, Lorazepam 1 mg/1 tablet, listed with the FDA by Clinical Solutions Wholesale, LLC. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Lorazepam.
What is the active ingredient?
Lorazepam.
Who is the labeler?
Clinical Solutions Wholesale, LLC, NDC labeler code 58118. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Lorazepam?
135 other product NDCs are listed under this name. See all Lorazepam NDCs.
Is there a related HCPCS / J-code?
Not in Med-Code's curated HCPCS directory. See Billing references above.

Other finished products listed under the same name: strengths, forms and labelers.

Other Lorazepam NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
LorazepamLorazepam 1 mg/1TabletOralUnit Dose Solutions, Inc.87441-09187441-0091-01
LorazepamLorazepam 1 mg/1TabletOralPreferred Pharmaceuticals Inc.68788-418068788-4180-0168788-4180-0368788-4180-06+2 more
LorazepamLorazepam .5 mg/1TabletOralSt. Mary's Medical Park Pharmacy60760-94760760-0947-02
LorazepamLorazepam 1 mg/1TabletOralSt. Mary's Medical Park Pharmacy60760-94860760-0948-02
LorazepamLorazepam 2 mg/1TabletOralUnit Dose Solutions, Inc.87441-05187441-0051-01
LorazepamLorazepam .5 mg/1TabletOralUnit Dose Solutions, Inc.87441-05087441-0050-01
LorazepamLorazepam 1 mg/1TabletOralCoupler LLC67046-023067046-0230-03
LorazepamLorazepam 2 mg/1TabletOralCoupler LLC67046-093667046-0936-03
LorazepamLorazepam .5 mg/1TabletOralCoupler LLC67046-078667046-0786-03
LorazepamLorazepam 2 mg/mLLiquidOralAmerican Health Packaging68000-10768000-0107-05

All 136 Lorazepam NDCs

Other NDCs under ANDA 078203

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

FDA NDC Directory listings under ANDA 078203
ProductStrengthForm · routeLabelerProduct NDC
LorazepamLorazepam 1 mg/1TabletOralAphena Pharma Solutions - Tennessee, LLC71610-255
LorazepamLorazepam 2 mg/1TabletOralCoupler LLC67046-0936
LorazepamLorazepam .5 mg/1TabletOralREMEDYREPACK INC.70518-1520
LorazepamLorazepam 2 mg/1TabletOralREMEDYREPACK INC.70518-1679
LorazepamLorazepam 2 mg/1TabletOralPD-Rx Pharmaceuticals, Inc.72789-197
LorazepamLorazepam .5 mg/1TabletOralAsclemed USA, Inc.76420-647
LorazepamLorazepam 1 mg/1TabletOralREMEDYREPACK INC.70518-0275
LorazepamLorazepam 2 mg/1TabletOralREMEDYREPACK INC.70518-0445
LorazepamLorazepam 1 mg/1TabletOralREMEDYREPACK INC.70518-0486
LorazepamLorazepam .5 mg/1TabletOralBryant Ranch Prepack71335-0329
LorazepamLorazepam .5 mg/1TabletOralAphena Pharma Solutions - Tennessee, LLC71610-008
LorazepamLorazepam 2 mg/1TabletOralNuCare Pharmaceuticals, Inc.68071-3010
LorazepamLorazepam .5 mg/1TabletOralNuCare Pharmaceuticals, Inc.68071-3096
LorazepamLorazepam .5 mg/1TabletOralNuCare Pharmaceuticals, Inc.68071-3121
LorazepamLorazepam .5 mg/1TabletOralRedPharm Drug, Inc.67296-1629
LorazepamLorazepam 1 mg/1TabletOralProficient Rx LP71205-235
LorazepamLorazepam 1 mg/1TabletOralBryant Ranch Prepack71335-1467
LorazepamLorazepam 1 mg/1TabletOralNuCare Pharmaceuticals, Inc.68071-3227
LorazepamLorazepam 1 mg/1TabletOralNuCare Pharmaceuticals, Inc.68071-3242
LorazepamLorazepam .5 mg/1TabletOralDIRECT RX61919-062

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