NDC codes

FDA NDC Directory
Product NDC (as listed)72572-432Labeler and product segments. Claims need a package NDC.
Product NDC at billing width72572-0432Add 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
72572-432-107257204321010 VIAL in 1 CARTON (72572-432-10) / 5 mL in 1 VIAL (72572-432-01)Marketed from Dec 10, 2019

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)
Midazolam
Generic name (nonproprietary)
midazolam
Active ingredients
Midazolam hydrochloride — 1 mg/mL
Dosage form
Injection
Route
Intramuscular, Intravenous
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 075243
Marketing start
Marketing end
DEA schedule
CIV
Other FDA classes
Benzodiazepines (Chemical structure)
Identifiers
Product ID 72572-432_4f89faf4-7006-4214-bb61-9b812ad31b9eSPL ID 4f89faf4-7006-4214-bb61-9b812ad31b9eSPL set ID f0c8b6cd-9efc-4344-9212-fbdd3b8e2f9bRxCUI 1666798, 1666800UNII W7TTW573JJ
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 drug-specific HCPCS code in Med-Code's directory for this product. The directory is curated and not complete — check the current CMS HCPCS file before billing.

Administration

Drug administration (CPT 96360–96549)

When a clinician administers the drug, the administration is reported separately. Codes in this range cover hydration, therapeutic injections and infusions, and chemotherapy or other complex drug administration. The right code depends on route, duration and drug type, and self-administered drugs are not billed this way.

How CPT relates to drug billing

NDC on a medical claim

N472572043210 followed by a unit qualifier and the quantity

Package 72572-0432-10. 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 Midazolam Injection is indicated: intramuscularly or intravenously for preoperative sedation/anxiolysis/amnesia; intravenously as an agent for sedation/anxiolysis/amnesia prior to or during diagnostic, therapeutic or endoscopic procedures, such as bronchoscopy, gastroscopy, cystoscopy, coronary angiography, cardiac catheterization, oncology procedures, radiologic procedures, suture of lacerations and other procedures either alone or in combination with other CNS depressants; intravenously for induction of general anesthesia, before administration of other anesthetic agents. With the use of narcotic premedication, induction of anesthesia can be attained within a relative…

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under ANDA 075243

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

FDA NDC Directory listings under ANDA 075243
ProductStrengthForm · routeLabelerProduct NDC
MidazolamMidazolam hydrochloride 5 mg/mLInjectionIntramuscular, IntravenousHikma Pharmaceuticals USA Inc.0641-6061
MidazolamMidazolam hydrochloride 1 mg/mLInjectionIntramuscular, IntravenousHikma Pharmaceuticals USA Inc.0641-6057
MidazolamMidazolam hydrochloride 1 mg/mLInjectionIntramuscular, IntravenousCivica, Inc.72572-430
MidazolamMidazolam hydrochloride 1 mg/mLInjectionIntramuscular, IntravenousHikma Pharmaceuticals USA Inc.0641-6059
MidazolamMidazolam hydrochloride 5 mg/mLInjectionIntramuscular, IntravenousHikma Pharmaceuticals USA Inc.0641-6190
MidazolamMidazolam hydrochloride 5 mg/mLInjectionIntramuscular, IntravenousHikma Pharmaceuticals USA Inc.0641-6060
MidazolamMidazolam hydrochloride 5 mg/mLInjectionIntramuscular, IntravenousHikma Pharmaceuticals USA Inc.0641-6063
MidazolamMidazolam hydrochloride 1 mg/mLInjectionIntramuscular, IntravenousHikma Pharmaceuticals USA Inc.0641-6281
MidazolamMidazolam hydrochloride 1 mg/mLInjectionIntramuscular, IntravenousHenry Schein, Inc.0404-9913
MidazolamMidazolam hydrochloride 5 mg/mLInjectionIntramuscular, IntravenousHenry Schein, Inc.0404-9801
MidazolamMidazolam hydrochloride 1 mg/mLInjectionIntramuscular, IntravenousHikma Pharmaceuticals USA Inc.0641-6209
MidazolamMidazolam hydrochloride 1 mg/mLInjectionIntramuscular, IntravenousHikma Pharmaceuticals USA Inc.0641-6210
MidazolamMidazolam hydrochloride 1 mg/mLInjectionIntramuscular, IntravenousHenry Schein, Inc.0404-9780
MidazolamMidazolam hydrochloride 5 mg/mLInjectionIntramuscular, IntravenousHikma Pharmaceuticals USA Inc.0641-6211
MidazolamMidazolam hydrochloride 1 mg/mLInjectionIntramuscular, IntravenousHikma Pharmaceuticals USA Inc.0641-6056

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