NDC Package 0904-6817-06 Midodrine Hydrochloride

Tablet Oral - View Billable Units, 11-Digit Format, RxNorm

Package Information

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:
0904-6817-06
Package Description:
50 BLISTER PACK in 1 CARTON / 1 TABLET in 1 BLISTER PACK
Product Code:
Proprietary Name:
Midodrine Hydrochloride
Non-Proprietary Name:
Midodrine Hydrochloride
Substance Name:
Midodrine Hydrochloride
Usage Information:
Midodrine hydrochloride is indicated for the treatment of symptomatic orthostatic hypotension (OH). Because midodrine hydrochloride can cause marked elevation of supine blood pressure (BP>200 mmHg systolic), it should be used in patients whose lives are considerably impaired despite standard clinical care, including non-pharmacologic treatment (such as support stockings), fluid expansion, and lifestyle alterations. The indication is based on midodrine hydrochloride's effect on increases in 1-minute standing systolic blood pressure, a surrogate marker considered likely to correspond to a clinical benefit. At present, however, clinical benefits of midodrine hydrochloride, principally improved ability to perform life activities, have not been established. Further clinical trials are underway to verify and describe the clinical benefits of midodrine hydrochloride.After initiation of treatment, midodrine hydrochloride should be continued only for patients who report significant symptomatic improvement.
11-Digit NDC Billing Format:
00904681706
Billing Unit:
EA - Billing unit of "each" is used when the product is dispensed in discreet units.
NDC to RxNorm Crosswalk:
50 EA
NDC to RxNorm Crosswalk:
Product Type:
Human Prescription Drug
Labeler Name:
Major Pharmaceuticals
Dosage Form:
Tablet - A solid dosage form containing medicinal substances with or without suitable diluents.
Administration Route(s):
Oral - Administration to or by way of the mouth.
Sample Package:
No
FDA Application Number:
ANDA077746
Marketing Category:
ANDA - A product marketed under an approved Abbreviated New Drug Application.
Start Marketing Date:
09-12-2006
Listing Expiration Date:
12-31-2026
Exclude Flag:
N
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.

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Other Product Packages

The following packages are also available for this product:

NDC Package CodePackage Description
0904-6817-61100 BLISTER PACK in 1 CARTON / 1 TABLET in 1 BLISTER PACK

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Frequently Asked Questions

What is NDC 0904-6817-06?

The NDC Packaged Code 0904-6817-06 is assigned to a package of 50 blister pack in 1 carton / 1 tablet in 1 blister pack of Midodrine Hydrochloride, a human prescription drug labeled by Major Pharmaceuticals. The product's dosage form is tablet and is administered via oral form.

Is NDC 0904-6817 included in the NDC Directory?

Yes, Midodrine Hydrochloride with product code 0904-6817 is active and included in the NDC Directory. The product was first marketed by Major Pharmaceuticals on September 12, 2006 and its listing in the NDC Directory is set to expire on December 31, 2026 if the product is not updated or renewed by the manufacturer.

What is the NDC billing unit for package 0904-6817-06?

The contents of this package are billed per "each", products billed on a per each basis are usually products dispensed in discreet units. The calculated billable units for this package is 50.

What is the 11-digit format for NDC 0904-6817-06?

The 11-digit format is 00904681706. 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
4-4-20904-6817-065-4-200904-6817-06