Midazolam Hydrochloride
NDC Package 64679-765-01

View Billable Units, 11-Digit Conversion Format, and RxNorm mappings
Table of Contents
    1. Package Information
    2. NDC HCPCS Crosswalk
    3. Other Packages
    4. Frequently Asked Questions

Package Information

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

Midazolam Hydrochloride is a . Marketed by Wockhardt Usa Llc., this product is identified by NDC 64679-765 and is authorized under FDA application ANDA078511.

Identification & Billing

NDC Package Code
64679-765-01
Package Description
10 VIAL in 1 CARTON / 1 mL in 1 VIAL (64679-765-05)
Product Code
64679-765
11-Digit Billing Format
64679076501

Clinical Specifications

Proprietary Name
Midazolam Hydrochloride
Dosage Form
-

Regulatory & Marketing

Labeler Name
Wockhardt Usa Llc.
FDA Application #
ANDA078511
Marketing Category
ANDA - A product marketed under an approved Abbreviated New Drug Application.
Start Marketing Date
11-10-2008
End Marketing Date
11-30-2023
Listing Expiration
11-30-2023
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.

Billing & HCPCS Mapping

To facilitate insurance claims and reimbursement, this drug package is mapped to specific HCPCS administrative codes. This crosswalk aligns clinical data with the billing standards used in ASP (Average Sales Price), AWP, and OPPS payment systems. Use the cards below to identify the correct billable units for provider claims.

J2250
Source: PDAC
INJECTION, MIDAZOLAM HYDROCHLORIDE, PER 1 MG
HCPCS Dosage 1 MG
Units / Pkg

Note for Medical Coders: These mappings are synthesized from various CMS datasets including OPPS, PrEP, and DAC (Data Analysis and Coding) contractors. Always confirm unit conversions against the current quarter's pricing files before final submission.

* Please review the full disclaimer at the bottom of this page.

Other Available Packages

The following commercial packages are registered under the same Product NDC (64679-765). Click a package code to view its specific billing and regulatory data.

64679-765-02
10 VIAL in 1 CARTON / 2 mL in 1 VIAL (64679-765-06)
64679-765-03
25 VIAL in 1 CARTON / 1 mL in 1 VIAL (64679-765-05)
64679-765-04
25 VIAL in 1 CARTON / 2 mL in 1 VIAL (64679-765-06)

* 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 64679-765-01 identifies a specific commercial package of 10 vial in 1 carton / 1 ml in 1 vial (64679-765-05) of Midazolam Hydrochloride, labeled by Wockhardt Usa Llc.. 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 Wockhardt Usa Llc. on November 10, 2008. The current certification is valid through November 30, 2023.

How is this Wockhardt Usa Llc. product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 64679076501. 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 (5-3-2)
64679-765-01
11-Digit CMS (5-4-2)
64679-0765-01

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