NDC codes

FDA NDC Directory
Product NDC (as listed)72162-1517Labeler and product segments. Claims need a package NDC.
Product NDC at billing width72162-1517Add 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
72162-1517-172162151701100 TABLET in 1 BOTTLE (72162-1517-1)Marketed from Oct 6, 2023

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 — 2.5 mg/1
Dosage form
Tablet
Route
Oral
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 207169
Marketing start
Listing expires
Other FDA classes
Adrenergic alpha-Agonists (Mechanism)
Identifiers
Product ID 72162-1517_c4296ad6-f454-4e6e-bf0b-2c1fc5d7271eSPL ID c4296ad6-f454-4e6e-bf0b-2c1fc5d7271eSPL set ID 17b24a0b-03e4-4b58-87ab-3d66fec30226RxCUI 993466UNII 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

N472162151701 followed by a unit qualifier and the quantity

Package 72162-1517-01. 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 .

Indications (excerpt from the label)

INDICATIONS AND USAGE Midodrine hydrochloride tablets, USP are indicated for the treatment of symptomatic orthostatic hypotension (OH). Because midodrine hydrochloride tablets, USP can cause marked elevation of supine blood pressure (BP > 200 mmHg systolic), it should be used in patients whose lives are considerably impaired despite standard clinical care, including non-pharmacologic treatment (such as support stockings), fluid expansion, and lifestyle alterations. The indication is based on midodrine hydrochloride tablets, USP effect on increases in 1-minute standing systolic blood pressure, a surrogate marker considered likely to correspond to a clinical benefit. At present, however, clini…

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under ANDA 207169

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

FDA NDC Directory listings under ANDA 207169
ProductStrengthForm · routeLabelerProduct NDC
Midodrine HydrochlorideMidodrine hydrochloride 2.5 mg/1TabletOralBryant Ranch Prepack63629-2227
Midodrine HydrochlorideMidodrine hydrochloride 5 mg/1TabletOralPar Health USA, LLC49884-849
Midodrine HydrochlorideMidodrine hydrochloride 2.5 mg/1TabletOralPar Health USA, LLC49884-814
Midodrine HydrochlorideMidodrine hydrochloride 10 mg/1TabletOralPar Health USA, LLC49884-874

Free account

Keep searching with a free account

You’ve used your 3 free searches for this session. Log in or create a free Med-Code account to keep looking up NDCs, J-codes and drugs.

Create a free accountLog in