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  5. NDC Package Code: 0404-9912-10 Midazolam

NDC Package 0404-9912-10 Midazolam

View Billable Units, 11-Digit Format, RxNorm

Table of Contents

    1. Package Information
    2. NDC HCPCS Crosswalk
    3. Frequently Asked Questions

Package Information

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

Find all the important details about this NDC Package code, including the 11-Digit NDC Billing number, billing units, wholesale price, RxNorm crosswalk, active ingredients, pharmacologic clasess, etc.

NDC Package Code:
0404-9912-10
Package Description:
1 VIAL in 1 BAG / 10 mL in 1 VIAL
Product Code:
0404-9912
Proprietary Name:
Midazolam
Usage Information:
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 relatively narrow dose range and in a short period of time. Intravenous midazolam can also be used as a component of intravenous supplementation of nitrous oxide and oxygen (balanced anesthesia);continuous intravenous infusion for sedation of intubated and mechanically ventilated patients as a component of anesthesia or during treatment in a critical care setting.
11-Digit NDC Billing Format:
00404991210
Labeler Name:
Henry Schein, Inc.
Sample Package:
No
FDA Application Number:
ANDA075154
Marketing Category:
ANDA - A product marketed under an approved Abbreviated New Drug Application.
Start Marketing Date:
01-13-2022
End Marketing Date:
03-01-2025
Listing Expiration Date:
03-01-2025
Exclude Flag:
D
Code Structure:

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.

NDC HCPCS Crosswalk

This crosswalk is intended to help the public understand which drug products (identified by NDCs) are assigned to which HCPCS billing codes.

NDC 0404-9912-10 HCPCS crosswalk information with package details and bill units information.

NDC Billing CodeHCPCS CodeHCPCS Code Desc.DosagePackage SizePackage QuantityBillable UnitsBillable Units / Pkg
00404991210J2250Inj midazolam hydrochloride1 MG1011010

* Please review the disclaimer below.

Frequently Asked Questions

What is NDC 0404-9912-10?

The NDC Packaged Code 0404-9912-10 is assigned to a package of 1 vial in 1 bag / 10 ml in 1 vial of Midazolam, labeled by Henry Schein, Inc.. The product's dosage form is and is administered via form.

Is NDC 0404-9912 included in the NDC Directory?

No, Midazolam with product code 0404-9912 is excluded from the NDC Directory because it was discontinued by the manufacturer. The product was first marketed by Henry Schein, Inc. on January 13, 2022 and its listing in the NDC Directory is set to expire on March 01, 2025 if the product is not updated or renewed by the manufacturer.

What is the 11-digit format for NDC 0404-9912-10?

The 11-digit format is 00404991210. The 11-digit billing format might be required by the Centers for Medicare & Medicaid Services (CMS) and other payers in billing claim forms.

This package code is originally configured in a 4-4-2 segment 10-digit format and by adding a zero within the original NDC package code we can obtain the converted 11-digit format in a 5-4-2 segment configuration. The table below shows the 11-digit code conversion:

10-Digit Format10-Digit Original Code11-Digit Format11-Digit Code
4-4-20404-9912-105-4-200404-9912-10