Mepivacaine Hydrochloride With Levonordefrin
NDC Package 0404-6740-05

View Billable Units, 11-Digit Conversion Format, and RxNorm mappings
Table of Contents
    1. Package Information
    2. Frequently Asked Questions

Package Information

This product is EXCLUDED from the official NDC directory because the listing data was discontinued by the firm.

Mepivacaine Hydrochloride With Levonordefrin is a . Marketed by Henry Schein Inc., this product is identified by NDC 0404-6740 and is authorized under FDA application ANDA088388.

Identification & Billing

NDC Package Code
0404-6740-05
Package Description
5 BLISTER PACK in 1 CARTON / 10 CARTRIDGE in 1 BLISTER PACK / 1.7 mL in 1 CARTRIDGE
Product Code
0404-6740
11-Digit Billing Format
00404674005

Clinical Specifications

Proprietary Name
Mepivacaine Hydrochloride With Levonordefrin
Dosage Form
-

Regulatory & Marketing

Labeler Name
Henry Schein Inc.
FDA Application #
ANDA088388
Marketing Category
ANDA - A product marketed under an approved Abbreviated New Drug Application.
Start Marketing Date
01-01-2011
End Marketing Date
12-27-2018
Listing Expiration
12-27-2018
Exclude Flag
D
Sample Package
No

Hierarchy Structure

Code Lineage

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 full disclaimer at the bottom of this page.

Frequently Asked Questions

What is the distribution configuration for this product package?

The code 0404-6740-05 identifies a specific commercial package of 5 blister pack in 1 carton / 10 cartridge in 1 blister pack / 1.7 ml in 1 cartridge of Mepivacaine Hydrochloride With Levonordefrin, labeled by Henry Schein Inc.. This is formulated for use and contains as the active substance.

Is this product currently listed with the FDA?

This product code is currently listed as inactive or excluded from the primary directory. It was introduced to the market by Henry Schein Inc. on January 01, 2011. The current certification is valid through December 27, 2018.

How is this Henry Schein Inc. product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 00404674005. The table below illustrates the segment conversion from the 10-digit labeler code to the 11-digit provider format.

11-Digit Code Conversion

Billing payers usually require a 5-4-2 segment configuration. Below is the conversion from the 10-digit package format to the 11-digit billing format:

10-Digit Format (4-4-2)
0404-6740-05
11-Digit CMS (5-4-2)
00404-6740-05

Note: The zero is added to the Labeler segment to maintain the 5-4-2 structure.