Lorazepam NDC 80425-0465

NDC codes

FDA NDC Directory

Product NDC (as listed)80425-0465Labeler and product segments. Claims need a package NDC.

Product NDC at billing width80425-0465Add 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
80425-0465-1	80425046501	30 TABLET in 1 BOTTLE (80425-0465-1)Marketed from Dec 28, 2024
80425-0465-2	80425046502	60 TABLET in 1 BOTTLE (80425-0465-2)Marketed from Dec 28, 2024
80425-0465-3	80425046503	90 TABLET in 1 BOTTLE (80425-0465-3)Marketed from Dec 28, 2024

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: Advanced Rx of Tennessee, LLC
Product type: Prescription drug
Marketing category: ANDA — Abbreviated New Drug Application (generic)Application ANDA 203572
Marketing start: Dec 28, 2024
Listing expires: Dec 31, 2026
DEA schedule: CIV
Other FDA classes: Benzodiazepines (Chemical structure)
Identifiers: Product ID 80425-0465_2a57e551-1ed3-718f-e063-6394a90a30e1SPL ID 2a57e551-1ed3-718f-e063-6394a90a30e1SPL set ID 2a57e549-390b-5482-e063-6394a90aeb3bRxCUI 197901UNII 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

N480425046501 followed by a unit qualifier and the quantity

Package 80425-0465-01. 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

Label details couldn’t be retrieved right now. Open the label on DailyMed.

Other NDCs under ANDA 203572

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

FDA NDC Directory listings under ANDA 203572
Product	Strength	Form · route	Labeler	Product NDC
Lorazepam	Lorazepam .5 mg/1	TabletOral	DirectRx	72189-351
Lorazepam	Lorazepam 1 mg/1	TabletOral	NuCare Pharmaceuticals,Inc.	68071-5022
Lorazepam	Lorazepam 1 mg/1	TabletOral	Preferred Pharmaceuticals Inc.	68788-4180
Lorazepam	Lorazepam .5 mg/1	TabletOral	NuCare Pharmaceuticals,Inc.	68071-5068
Lorazepam	Lorazepam 1 mg/1	TabletOral	American Health Packaging	60687-831
Lorazepam	Lorazepam 2 mg/1	TabletOral	American Health Packaging	60687-842
Lorazepam	Lorazepam .5 mg/1	TabletOral	Bryant Ranch Prepack	71335-1455
Lorazepam	Lorazepam 1 mg/1	TabletOral	REMEDYREPACK INC.	70518-3870
Lorazepam	Lorazepam .5 mg/1	TabletOral	Preferred Pharmaceuticals Inc.	68788-7355
Lorazepam	Lorazepam 2 mg/1	TabletOral	PD-Rx Pharmaceuticals, Inc.	72789-339
Lorazepam	Lorazepam 1 mg/1	TabletOral	Preferred Pharmaceuticals, Inc.	68788-7428
Lorazepam	Lorazepam 2 mg/1	TabletOral	Aphena Pharma Solutions - Tennessee, LLC	71610-600
Lorazepam	Lorazepam .5 mg/1	TabletOral	American Health Packaging	60687-820
Lorazepam	Lorazepam 1 mg/1	TabletOral	Aurolife Pharma LLC	13107-084
Lorazepam	Lorazepam 1 mg/1	TabletOral	A-S Medication Solutions	50090-5562
Lorazepam	Lorazepam 1 mg/1	TabletOral	NuCare Pharmaceuticals,Inc.	68071-5250
Lorazepam	Lorazepam .5 mg/1	TabletOral	Aurolife Pharma LLC	13107-083
Lorazepam	Lorazepam 1 mg/1	TabletOral	A-S Medication Solutions	50090-5563
Lorazepam	Lorazepam 2 mg/1	TabletOral	Aurolife Pharma LLC	13107-085
Lorazepam	Lorazepam 2 mg/1	TabletOral	Preferred Pharmaceuticals, Inc.	68788-7533

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