NDC 0115-4211-01 Midodrine Hydrochloride

NDC Package Code 0115-4211-01

The NDC Code 0115-4211-01 is assigned to a package of 100 tablet in 1 bottle of Midodrine Hydrochloride, labeled by Impax Generics. The product's dosage form is and is administered via form.

The National Average Drug Acquisition Cost (NADAC) wholesale price per unit for NDC 0115-4211-01 is $0.25647 and is up-to-date as of 05-26-2021.

Field Name Field Value
NDC Code 0115-4211-01
Package Description 100 TABLET in 1 BOTTLE
Proprietary Name Midodrine Hydrochloride What is the Proprietary Name?
The proprietary name also known as the trade name is the name of the product chosen by the medication labeler for marketing purposes.
11-Digit NDC Billing Format 00115421101 NDC Format for Billing
For insurance billing purposes the Centers for Medicare & Medicaid Services (CMS) created an 11 digit NDC derivative identifier. If the NDC Package code is less than 11 digits the code must be padded with leading zeros. The leading zeros must be added to the appropriate segment to create a 5-4-2 configuration.
Billing Unit EA - Billing unit of "each" is used when the product is dispensed in discreet units.
RxNorm Crosswalk993462, 993466 and 993470 - RxCUIs What is RxNorm?
The RxNorm crosswalk provides a normalized naming system for generic and branded drugs by assigning unique concept identifiers (RxCUI) to each NDC.
Labeler Name Impax Generics
Sample Package No Sample Package?
This field Indicates whether this package is a sample packaging or not.
Start Marketing Date 05-27-2004 What is the Start Marketing Date?
This is the date that the labeler indicates was the start of its marketing of the drug product.
Listing Expiration Date 12-31-2019 What is the Listing Expiration Date?
This is the date when the listing record will expire if not updated or certified by the product labeler.
Exclude Flag I What is the NDC Exclude Flag?
This field indicates whether the product has been removed/excluded from the NDC Directory for failure to respond to FDA"s requests for correction to deficient or non-compliant submissions ("Y"), or because the listing certification is expired ("E"), or because the listing data was inactivated by FDA ("I"). Values = "Y", "N", "E", or "I".
This product is EXCLUDED from the official NDC directory because the listing data was inactivated by the FDA.

NDC Code Structure

  • 0115 - Impax Generics
    • 0115-4211 - Midodrine Hydrochloride
      • 0115-4211-01 - 100 TABLET in 1 BOTTLE

The NDC Directory contains ONLY information on final marketed drugs submitted to FDA electronically by labelers. A labeler might be a manufacturer, re-packager or re-labeler. The product information included in the NDC directory does not indicate that FDA has verified the information provided by the product labeler. Assigned NDC numbers are not in any way an indication of FDA approval of the product.

* Please review the disclaimer below.

National Average Drug Acquisition Cost (NADAC)

The National Average Drug Acquisition Cost (NADAC) is the average drug invoice price paid by retail community pharmacies to wholesalers. The Centers for Medicare and Medicaid Services (CMS) compile the NADAC data based on random monthly surveys on more than 60,000 pharmacies from all 50 states and the District of Columbia. NADAC pricing information is NOT the price paid by end-customers but instead the price paid by pharmacies to drug wholesalers and distributors.

Field Name Field Value
Price per Unit $0.25647
Effective Date 05-19-2021 Effective Date
The effective date of the NADAC Per Unit cost.
Pricing Unit EA Pricing Unit
Indicates the pricing unit for the associated NDC (ML, GM or EA).
Pharmacy Type Indicator C/I - Chain or Independent Pharmacy Pharmacy Type Indicator
The source of pharmacy survey data used to calculate the NADAC. 'C/I' indicates data was collected from surveys of Chain/Independent pharmacies. Other pharmacy type indicators are not used at this time.
Explanation Code Code 1: The NADAC was calculated using information from the most recently completed pharmacy survey. Explanation Code
The source of pharmacy survey data used to calculate the NADAC. 'C/I' indicates data was collected from surveys of Chain/Independent pharmacies. Other pharmacy type indicators are not used at this time.
Classification for Rate Setting G - Generic Classification for Rate Setting
Indicates whether the NDC was considered brand (B) or generic (G) for the NADAC rate calculation process. If the NDC was considered brand (B) and approved under an Abbreviated New Drug Application (ANDA), the indicator is shown as (B-ANDA).
As of Date 05-26-2021
View Pricing Details

* Please review the disclaimer below.

Other Product Packages

The following packages are also available for Midodrine Hydrochloride with product NDC 0115-4211.

NDC Package CodePackage Description
0115-4211-02500 TABLET in 1 BOTTLE
0115-4211-031000 TABLET in 1 BOTTLE

* Please review the disclaimer below.