What is NDC 76420-874?

76420-874 is the product NDC for Lorazepam, Lorazepam 2 mg/1 tablet, listed with the FDA by Asclemed USA, Inc.. It has 6 package NDCs, shown above in 10- and 11-digit form.

Asclemed USA, Inc., NDC labeler code 76420. 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.

Is there a related HCPCS / J-code?

Not in Med-Code's curated HCPCS directory.

Lorazepam NDC 76420-874 | National Drug Code

NDC codes

FDA NDC Directory

Product NDC (as listed)76420-874Labeler and product segments. Claims need a package NDC.

Product NDC at billing width76420-0874Add 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
76420-874-00	76420087400	1000 TABLET in 1 BOTTLE (76420-874-00)Marketed from Nov 6, 2024
76420-874-01	76420087401	100 TABLET in 1 BOTTLE (76420-874-01)Marketed from Nov 6, 2024
76420-874-05	76420087405	500 TABLET in 1 BOTTLE (76420-874-05)Marketed from Nov 6, 2024
76420-874-30	76420087430	30 TABLET in 1 BOTTLE (76420-874-30)Marketed from Nov 6, 2024
76420-874-60	76420087460	60 TABLET in 1 BOTTLE (76420-874-60)Marketed from Nov 6, 2024
76420-874-90	76420087490	90 TABLET in 1 BOTTLE (76420-874-90)Marketed from Nov 6, 2024

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 — 2 mg/1
Dosage form: Tablet
Route: Oral
Labeler: Asclemed USA, Inc.NDC labeler code 76420
Product type: Prescription drug
Marketing category: ANDA — Abbreviated New Drug Application (generic)Application ANDA 076045
Marketing start: Jun 25, 2023
Listing expires: Dec 31, 2026
DEA schedule: CIV
Other FDA classes: Benzodiazepines (Chemical structure)
Identifiers: Product ID 76420-874_263734e7-2ecc-2712-e063-6394a90a6124SPL ID 263734e7-2ecc-2712-e063-6394a90a6124SPL set ID ebdf72f7-7462-4b83-81b4-c7988860c728RxCUI 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

N476420087400 followed by a unit qualifier and the quantity

Package 76420-0874-00. 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

Current FDA label (SPL), effective Nov 5, 2024. This label includes a boxed warning.

Indications (excerpt from the label)

INDICATIONS AND USAGE Lorazepam tablets are 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 76420-874

What is NDC 76420-874?: 76420-874 is the product NDC for Lorazepam, Lorazepam 2 mg/1 tablet, listed with the FDA by Asclemed USA, Inc.. It has 6 package NDCs, 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?: Asclemed USA, Inc., NDC labeler code 76420. 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
Product	Strength	Form · route	Labeler	Product NDC	Package NDCs (11-digit)
Lorazepam	Lorazepam 1 mg/1	TabletOral	Unit Dose Solutions, Inc.	87441-091	87441-0091-01
Lorazepam	Lorazepam 1 mg/1	TabletOral	Preferred Pharmaceuticals Inc.	68788-4180	68788-4180-0168788-4180-0368788-4180-06+2 more
Lorazepam	Lorazepam .5 mg/1	TabletOral	St. Mary's Medical Park Pharmacy	60760-947	60760-0947-02
Lorazepam	Lorazepam 1 mg/1	TabletOral	St. Mary's Medical Park Pharmacy	60760-948	60760-0948-02
Lorazepam	Lorazepam 2 mg/1	TabletOral	Unit Dose Solutions, Inc.	87441-051	87441-0051-01
Lorazepam	Lorazepam .5 mg/1	TabletOral	Unit Dose Solutions, Inc.	87441-050	87441-0050-01
Lorazepam	Lorazepam 1 mg/1	TabletOral	Coupler LLC	67046-0230	67046-0230-03
Lorazepam	Lorazepam 2 mg/1	TabletOral	Coupler LLC	67046-0936	67046-0936-03
Lorazepam	Lorazepam .5 mg/1	TabletOral	Coupler LLC	67046-0786	67046-0786-03
Lorazepam	Lorazepam 2 mg/mL	LiquidOral	American Health Packaging	68000-107	68000-0107-05

All 136 Lorazepam NDCs

Other NDCs under ANDA 076045

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

FDA NDC Directory listings under ANDA 076045
Product	Strength	Form · route	Labeler	Product NDC
Lorazepam	Lorazepam .5 mg/1	TabletOral	NuCare Pharmaceuticals, Inc.	68071-3751
Lorazepam	Lorazepam .5 mg/1	TabletOral	Aphena Pharma Solutions - Tennessee, LLC	71610-764
Lorazepam	Lorazepam 2 mg/1	TabletOral	Aphena Pharma Solutions - Tennessee, LLC	71610-768
Lorazepam	Lorazepam 1 mg/1	TabletOral	REMEDYREPACK INC.	70518-4276
Lorazepam	Lorazepam .5 mg/1	TabletOral	Aphena Pharma Solutions - Tennessee, LLC	71610-827
Lorazepam	Lorazepam 1 mg/1	TabletOral	Aphena Pharma Solutions - Tennessee, LLC	71610-828
Lorazepam	Lorazepam 2 mg/1	TabletOral	Aphena Pharma Solutions - Tennessee, LLC	71610-842
Lorazepam	Lorazepam .5 mg/1	TabletOral	PD-Rx Pharmaceuticals, Inc.	72789-355
Lorazepam	Lorazepam 1 mg/1	TabletOral	PD-Rx Pharmaceuticals, Inc.	72789-356
Lorazepam	Lorazepam 2 mg/1	TabletOral	PD-Rx Pharmaceuticals, Inc.	72789-357
Lorazepam	Lorazepam .5 mg/1	TabletOral	SUN PHARMACEUTICAL INDUSTRIES INC	63304-772
Lorazepam	Lorazepam 1 mg/1	TabletOral	SUN PHARMACEUTICAL INDUSTRIES INC	63304-773
Lorazepam	Lorazepam 2 mg/1	TabletOral	PD-Rx Pharmaceuticals, Inc.	72789-376
Lorazepam	Lorazepam 2 mg/1	TabletOral	SUN PHARMACEUTICAL INDUSTRIES INC	63304-774
Lorazepam	Lorazepam 1 mg/1	TabletOral	Clinical Solutions Wholesale, LLC	58118-0773
Lorazepam	Lorazepam 1 mg/1	TabletOral	Asclemed USA, Inc.	76420-873
Lorazepam	Lorazepam 2 mg/1	TabletOral	Clinical Solutions Wholesale, LLC	58118-0774
Lorazepam	Lorazepam .5 mg/1	TabletOral	Asclemed USA, Inc.	76420-872