NDC codes

FDA NDC Directory
Product NDC (as listed)69315-905Labeler and product segments. Claims need a package NDC.
Product NDC at billing width69315-0905Add 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
69315-905-0169315090501100 TABLET in 1 BOTTLE (69315-905-01)Marketed from May 16, 2023
69315-905-0569315090505500 TABLET in 1 BOTTLE (69315-905-05)Marketed from May 16, 2023
69315-905-10693150905101000 TABLET in 1 BOTTLE (69315-905-10)Marketed from May 16, 2023

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)
Lorazepam
Generic name (nonproprietary)
lorazepam
Active ingredients
Lorazepam — 1 mg/1
Dosage form
Tablet
Route
Oral
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 69315-905_40249bb6-0d25-4b2f-aa4b-85c15af6bf8bSPL ID 40249bb6-0d25-4b2f-aa4b-85c15af6bf8bSPL set ID 5ca13415-4b77-4131-a9d2-6db26bc49167RxCUI 197900, 197901, 197902UNII O26FZP769LUPC 0369315905104, 0369315904053, 0369315904107, 0369315906101, 0369315906057, 0369315905050, 0369315904015, 0369315905012, 0369315906019
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

N469315090501 followed by a unit qualifier and the quantity

Package 69315-0905-01. 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)

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 .5 mg/1TabletOralNuCare Pharmaceuticals, Inc.68071-3096
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/1TabletOralAsclemed USA, Inc.76420-647
LorazepamLorazepam 1 mg/1TabletOralBryant Ranch Prepack71335-1467
LorazepamLorazepam 1 mg/1TabletOralNuCare Pharmaceuticals, Inc.68071-3227
LorazepamLorazepam 1 mg/1TabletOralAphena Pharma Solutions - Tennessee, LLC71610-122
LorazepamLorazepam 1 mg/1TabletOralNuCare Pharmaceuticals, Inc.68071-3242
LorazepamLorazepam .5 mg/1TabletOralDIRECT RX61919-062
LorazepamLorazepam .5 mg/1TabletOralLeading Pharma, LLC69315-904
LorazepamLorazepam 2 mg/1TabletOralLeading Pharma, LLC69315-906
LorazepamLorazepam 1 mg/1TabletOralA-S Medication Solutions50090-5508
LorazepamLorazepam 1 mg/1TabletOralPharmPak, Inc.54348-049
LorazepamLorazepam 1 mg/1TabletOralA-S Medication Solutions50090-5509
LorazepamLorazepam 2 mg/1TabletOralAphena Pharma Solutions - Tennessee, LLC71610-178
LorazepamLorazepam 1 mg/1TabletOralREMEDYREPACK INC.70518-2442
LorazepamLorazepam .5 mg/1TabletOralAphena Pharma Solutions - Tennessee, LLC71610-225

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Lorazepam NDC 69315-905 | Med-Code