LIDOCAINE HCI 20 mg/mL Injection, Solution, 5 mL — NDC 51662-1364-1 (Billing 51662-1364-01)
This is a package of 5 mL of LIDOCAINE HCI 20 mg/mL Injection, Solution from HF Acquisition Co LLC, DBA HealthFirst, marketed since Dec 2019 and currently FDA-listed. It is the main listing for this product, which comes in 2 package sizes.
Identity & classification
Regulatory identifiers FDA, NLM and CMS codes for this package
- RxCUI (RxNorm): 1737761
Where does this data come from?
- FDA openFDA NDC Directory · synced Oct 1, 2026
- FDA label on DailyMed · label index refreshed Oct 1, 2026
- RxNorm (NLM RxNav) · catalog refreshed Oct 1, 2026
- Medi-Span GPI (licensed)
- First Databank (licensed) · refreshed Oct 1, 2026
RxNorm drug class
This medicine belongs to the Antiarrhythmic class.
Where does this data come from?
- RxClass (NLM) · catalog refreshed Oct 1, 2026
Clinical
Lidocaine injection is used to treat arrhythmias (irregular heartbeats). Lidocaine injection is in a class of medications called antiarrhythmics. It works by acting on the heart muscle to improve the heart's rhythm.
Read the full MedlinePlus article ↗- It depends on the product. Injections numb areas for procedures, IV lidocaine treats dangerous heart rhythms, and skin products relieve minor pain and itching. Check which product...
- Most are applied in a thin layer to the affected area a few times a day. Limits and age rules vary by product, so read your label and follow your prescriber.
- Most come from too much lidocaine in the blood. They include dizziness, drowsiness, nervousness, ringing in the ears, and blurred vision.
- Seek help for seizures, trouble breathing, hives or swelling, or bluish skin. Also report loss of bladder or bowel control after an epidural.
Patient education
Supplement & herbal interactions
Where does this data come from?
- MedlinePlus (NLM) · refreshed Oct 1, 2026
- FDA label on DailyMed · label index refreshed Oct 1, 2026
Ask a licensed pharmacist directly — free, answered by our team.
Pricing
A drug doesn't have one price. Each row is a different public payment system, and none is what you'd pay at the counter — that depends on your insurance. The ⓘ on each row explains what it measures.
| Price system | Per mL | Per package |
|---|---|---|
| Retail pharmacies payNADAC · weekly | Not in the retail survey — common for institutional, discontinued, or low-volume packs. | |
| Medicaid paysCMS SDUD · 12 mo | No recent Medicaid claims on file for this NDC — rare and low-volume NDCs are suppressed in the public data. | |
| Medicare drug plans payPart D · quarterly | No Part D plan price is available for this NDC in our data. | |
Where does this data come from?
- CMS NADAC weekly file
- CMS ASP pricing files · refreshed Sep 20, 2026
- CMS Medicaid State Drug Utilization Data · refreshed Oct 2, 2026
- CMS Part D plan pricing files · refreshed Sep 24, 2026
- VA National Acquisition Center price file
Packaging — all sizes for this product
| Package NDC | Description | Marketing start | Marketing end | Status |
|---|---|---|---|---|
| 51662-1364-01 You're viewing this Main listing | 5 mL in 1 VIAL, SINGLE-DOSE | 2019-12-08 | — | Active |
| 51662-1364-03 51662-1364-3 | 25 POUCH in 1 CASE / 1 VIAL, SINGLE-DOSE in 1 POUCH / 5 mL in 1 VIAL, SINGLE-DOSE | 2023-01-08 | — | Active |
Pack size FAQ
What quantity is in this package?
What NDC number is used to bill for this package of LIDOCAINE HCI 20 mg/mL Injection, Solution?
Therapeutic equivalents
| Product | Labeler | Pack | NADAC/unit | TE | Status | Price vs. this |
|---|---|---|---|---|---|---|
| Lidocaine Hydrochloride 20 mg/mL 00409-2066-05 | Hospira, | 10 vials | $0.349 | AP | Availability likely | — |
| Lidocaine Hydrochloride 20 mg/mL 31722-0118-31 | Camber | 25 vials | $0.349 | AP | Availability likely | — |
| Lidocaine Hydrochloride 20 mg/mL 55150-0165-05 | Eugia | 10 vials | $0.349 | AP | Availability likely | — |
| Lidocaine Hydrochloride 20 mg/mL 72603-0505-10 | NorthStar | 10 vials | $0.349 | AP | Availability likely | — |
| Lidocaine Hydrochloride 20 mg/mL 00143-9594-25 | Hikma | 25 vials | $0.363 | AP | Availability likely | — |
| Lidocaine Hydrochloride 20 mg/mL 68094-0081-25 | Precision | 25 vials | $0.363 | AP | Availability likely | — |
| Lidocaine Hydrochloride 20 mg/mL 72572-0372-25 | Civica, | 25 vials | $0.363 | AP | Availability likely | — |
| Lidocaine Hydrochloride 20 mg/mL 00404-9897-05 | Henry | 1 vial | — | AP | FDA listed | — |
| Lidocaine Hci 20 mg/mL 51662-1233-01 | HF | 5 ml | — | AP | FDA listed | — |
| Lidocaine Hci 20 mg/mLthis 51662-1364-01 | HF | 5 ml | — | AP | FDA listed | — |
| Lidocaine Hci 20 mg/mL 51662-1422-01 | HF | 5 ml | — | AP | FDA listed | — |
| Lidocaine Hci 20 mg/mL 51662-1543-01 | HF | 5 ml | — | AP | FDA listed | — |
| XYLOCAINE- MPF (LIDOCAINE HCl ) 20 mg/mL 51662-1604-03 | HF | 25 pouches | — | AP | FDA listed | — |
| Lidocaine 20 mg/mL 63323-0208-05 | Fresenius | 25 vials | — | AP | FDA listed | — |
| Xylocaine MPF 20 mg/mL 63323-0495-26 | Fresenius | 25 vials | — | AP | FDA listed | — |
| Xylocaine MPF 20 mg/mL 65219-0814-05 | Fresenius | 25 vials | — | AP | FDA listed | — |
| Lidocaine Hydrochloride 20 mg/mL 70756-0643-10 | Lifestar | 10 vials | — | AP | FDA listed | — |
| Lidocaine Hydrochloride 20 mg/mL 71351-0023-10 | Brookfield | 10 vials | — | AP | FDA listed | — |
| Lidocaine Hydrochloride 20 mg/mL 71872-7144-01 | Medical | 1 vial | — | AP | FDA listed | — |
| Lidocaine Hydrochloride 20 mg/mL 71872-7161-01 | Medical | 1 vial | — | AP | FDA listed | — |
| Lidocaine Hydrochloride 20 mg/mL 71872-7357-01 | Medical | 1 vial | — | AP | FDA listed | — |
| Lidocaine Hydrochloride 20 mg/mL 73293-0003-02 | Huons | 10 vials | — | AP | FDA listed | — |
| Lidocaine Hydrochloride 20 mg/mL 76420-0078-05 | Asclemed | 5 ml | — | AP | FDA listed | — |
| Lidocaine Hydrochloride 20 mg/mL 76420-0540-05 | Asclemed | 5 ml | — | AP | FDA listed | — |
| Lidocaine Hydrochloride 20 mg/mL 83854-0012-25 | Anthea | 25 vials | — | AP | FDA listed | — |
| Lidocaine Hydrochloride 20 mg/mL 84549-0005-25 | ProPharma | 5 ml | — | AP | FDA listed | — |
| Lidocaine Hydrochloride 20 mg/mL 84549-0066-05 | ProPharma | 5 ml | — | AP | FDA listed | — |
| Lidocaine Hydrochloride 20 mg/mL 84549-0323-05 | ProPharma | 5 ml | — | AP | FDA listed | — |
| Lidocaine Hydrochloride 20 mg/mL 84769-0002-02 | Novagenix | 10 vials | — | AP | FDA listed | — |
| Lidocaine Hci 20 mg/mL 51662-1382-01 | HF | 1 syringe | — | AP | FDA listed | — |
Where does this data come from?
- FDA openFDA NDC Directory · synced Oct 1, 2026
- FDA Orange Book · refreshed Sep 3, 2026
- CMS NADAC weekly file
Availability & generic status
The FDA lists approved generic versions of this medicine, but that does not always mean a pharmacy can get one today. Patent rules, launch agreements, supply and pricing can affect when generics actually arrive.
Where does this data come from?
- FDA Orange Book · refreshed Sep 3, 2026
Inactive Ingredients / Excipients
Inactive ingredients, also called excipients, are components of the drug product other than the active ingredient. They may include fillers, dyes, coatings, preservatives, flavors, or other formulation ingredients.
💡 Tap an ingredient (hover on desktop) to see what it is and why it’s used.
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UNII QTT17582CB
A strong acid used to adjust and maintain the proper pH level in liquid medicines, ensuring stability and preventing breakdown of active ingredients.
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6 mg / 1 mL
UNII 451W47IQ8X
Sodium chloride is common table salt. It's used in medicines as a buffer to maintain proper pH, as a filler to add bulk, or to adjust the osmotic balance in liquid formulations.
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UNII 55X04QC32I
A strong alkaline chemical used to adjust and maintain the pH balance of liquid medicines. It helps keep the medicine stable and ensures it stays effective during storage.
3 inactive ingredients listed in the exact product block matched to this NDC.
Where does this data come from?
ingredient classCode="IACT" elements from the exact product block matched by this NDC. Label-section narrative from DailyMed / the openFDA label index is shown separately when available.- FDA label on DailyMed · label index refreshed Oct 1, 2026
- FDA openFDA NDC Directory · synced Oct 1, 2026
Inactive ingredient FAQ
Are inactive ingredients the same for every manufacturer?
Why might an inactive ingredient be missing?
Can inactive ingredients matter?
Manufacturer & labeler
Where does this data come from?
- FDA openFDA NDC Directory · synced Oct 1, 2026
- Drugs@FDA
Full prescribing information FDA SPL
🎯 Indications and Usage ▾
INDICATIONS & USAGE Lidocaine Hydrochloride Injection, USP administered intravenously is specifically indicated in the acute management of 1) ventricular arrhythmias occurring during cardiac manipulation such as cardiac surgery, and 2) life-threatening arrhythmias, particularly those which are ventricular in origin, such as those which occur during acute myocardial infarction.
⏱️ Dosage and Administration ▾
DOAAGE & ADMINISTRATION Adult For Direct Injection–The usual dose is 50 to 100 mg administered intravenously under ECG monitoring. This dose may be administered at the rate of approximately 25 to 50 mg/min. Sufficient time should be allowed to enable a slow circulation to carry the drug to the site of action.
If the initial injection of 50 to 100 mg does not produce a desired response, a second dose may be repeated after 5 minutes. NO MORE THAN 200 TO 300 MG OF LIDOCAINE HYDROCHLORIDE INJECTION, USP SHOULD BE ADMINISTERED DURING A ONE HOUR PERIOD. This product is for DIRECT INJECTION ONLY.
For continuous infusion protocol, see prescribing information for lidocaine hydrochloride, USP for infusion solution. Pediatric Although controlled clinical studies to establish pediatric dosing schedules have not been conducted, the American Heart Association’s Standards and Guidelines recommends a bolus dose of 1 mg/kg followed by an infusion rate of 30 mcg/kg/min. This product is for DIRECT INJECTION ONLY.
For continuous infusion protocol, see prescribing information for lidocaine hydrochloride, USP for infusion solution. Sterilization, Storage and Technical Procedures It is recommended that chemical disinfection be accomplished by wiping the vial thoroughly with cotton or gauze that has been moistened with either 91% isopropyl alcohol or 70% ethyl alcohol, just prior to use. Store at 20° to 25°C (68° to 77°F) [see USP Controlled Room Temperature].
Parenteral drug products should be inspected visually for particulate matter and discoloration prior to administration, whenever solution and container permit.
⛔ Contraindications ▾
CONTRAINDICATIONS Lidocaine Hydrochloride Injection, USP is contraindicated in patients with a known history of hypersensitivity to local anesthetics of the amide type. Lidocaine Hydrochloride Injection, USP should not be used in patients with STOKES-ADAMS syndrome, Wolff-Parkinson-White syndrome, or with severe degrees of sinoatrial, atrioventricular or intraventricular block.
⚠️ Warnings ▾
WARNINGS Constant monitoring of the electrocardiogram and blood pressure is essential in the proper administration of Lidocaine Hydrochloride Injection, USP intravenously. If hypotension or excessive depression of cardiac conductivity (such as prolongation of the PR interval and QRS complex and the appearance of aggravation of arrhythmias) is seen, administration of Lidocaine Hydrochloride Injection, USP should be discontinued. Emergency resuscitative equipment and drugs must be immediately available to manage possible adverse reactions involving the cardiovascular, respiratory, or central nervous system.
Occasional acceleration of ventricular rate may occur when Lidocaine Hydrochloride Injection, USP is administered to patients with atrial fibrillation. Toxicity may be manifest as central nervous system depression (sedation) or irritability (twitching), which may progress to frank convulsions accompanied by respiratory depression and/or arrest. Early recognition of premonitory signs, assurance of adequate oxygenation and (where necessary) establishment of artificial airway with ventilatory support are essential to management of the problem.
Should convulsions persist despite ventilatory support, small doses of anticonvulsant drugs may be used intravenously. Examples of such drugs include benzodiazepines (e.g., diazepam, lorazepam), or an ultrashort acting barbiturate (e.g., thiopental or thiamylal). If the patient is under anesthesia, a short-acting muscle relaxant (succinylcholine) may be used.
Longer acting drugs should be used only when recurrent convulsions are evidenced.
🤒 Adverse Reactions ▾
ADVERSE REACTIONS Most adverse reactions accompanying administration of Lidocaine Hydrochloride Injection, USP result from systemic toxicity affecting primarily the central nervous system and the cardiovascular system. Systemic reactions of the following types have been reported: 1. Central Nervous System Light-headedness; drowsiness; dizziness; apprehension; euphoria; tinnitus; blurred vision or double vision; vomiting; sensations of heat; cold or numbness; twitching; tremors; convulsions; unconsciousness; respiratory depression and arrest.
2. Cardiovascular System Hypotension; cardiovascular collapse; and bradycardia which may lead to cardiac arrest. Continuous monitoring of blood pressure and the electrocardiogram are essential to prevent these events.
3. Allergic reactions may occur but are infrequent. There have been no reports of cross-sensitivity between lidocaine hydrochloride and procainamide or between lidocaine and quinidine.
🆘 Overdosage ▾
OVERDOSAGE Management of Adverse Reactions— In the case of severe reaction, discontinue the use of Lidocaine Hydrochloride Injection, USP. Institute emergency resuscitative procedures and administer the emergency drugs necessary to manage the severe reaction. For severe convulsions, small increments of diazepam or an ultra short-acting barbiturate (thiopental or thiamylal); or if those are not available a short-acting barbiturate (pentobarbital or secobarbital); or if the patient is under anesthesia, a short-acting muscle relaxant (succinylcholine) may be given intravenously.
Muscle relaxants and intravenous medications should only be used by those familiar with their use. Patency of the airway and adequacy of ventilation must be assured. (See WARNINGS ) Should circulatory depression occur, vasopressors, such as ephedrine, or meta raminol may be used.
Should cardiac arrest occur, immediate initiation of standard CPR procedures should commence.
🧬 Clinical Pharmacology ▾
CLINICALPHARMACOLOGY Lidocaine hydrochloride exerts its antiarrhythmic effect by raising the electrical stimulation threshold of the ventricle during diastole. In usual therapeutic doses, lidocaine hydrochloride produces no change in myocardial contractility, systemic arterial pressure or in absolute refractory period. Onset of action is rapid after an intravenous bolus with a duration of action of approximately 15 to 20 minutes.
Approximately 90% of an administered dose of lidocaine hydrochloride is metabolized in the liver. The remainder (10%) of the drug is excreted unchanged in the urine. Pharmacokinetic data indicate reduced elimination of lidocaine after prolonged (24 hours) infusion with resultant prolongation of the half-life to approximately three times that seen following a single administration.
📦 How Supplied / Storage and Handling ▾
HOW SUPPLIED LIDOCAINE HCI INJECTION, USP is supplied in the following dosage forms. NDC 51662-1364-1 LIDOCAINE HCI INJECTION, USP 2% (100mg/5mL) (20mg/mL) 5mL VIAL NDC 51662-1364-2 LIDOCAINE HCI INJECTION, USP 2% (100mg/5mL) (20mg/mL) 5mL VIAL,1 VIAL/POUCH NDC 51662-1364-3 LIDOCAINE HCI INJECTION, USP 2% (100mg/5mL) (20mg/mL) 5mL VIAL, 1 VIAL/POUCH, 25 POUCHES/CASE HF Acquisition Co LLC, DBA HealthFirst Mukilteo, WA 98275 For Direct Injection Only Preservative Free Discard Unused Portion. Use only if solution is clear and seal intact.
📋 Description ▾
DESCRIPTION Lidocaine hydrochloride, chemical name: acetamide, 2-(diethylamino)-N-(2,6-dimethylphenyl)-, monohydrochloride has the following structural formula: Lidocaine Hydrochloride Injection, USP intravenous for cardiac arrhythmias, is a sterile, nonpyrogenic solution prepared from lidocaine with the aid of hydrochloric acid in Water for Injection. Each mL contains: Lidocaine HCl 20 mg; Sodium Chloride 6 mg; Water for Injection q.s. Hydrochloric acid and/or sodium hydroxide may have been added for pH adjustment (pH 5.0 to 7.0).
The container is for single use; solution contains no preservative. STRUCTURE
⚠️ Precautions ▾
PRECAUTIONS The safe use of Lidocaine Hydrochloride Injection, USP requires careful ECG observation in an environment equipped and by persons trained for resuscitation. General Caution should be employed in the repeated use of Lidocaine Hydrochloride Injection, USP in patients with severe liver or renal disease because accumulation may occur and lead to toxic phenomena since Lidocaine Hydrochloride Injection, USP is metabolized mainly in the liver and excreted by the kidneys. This drug should also be used with caution in patients with hypovolemia and shock and all forms of heart block (see CONTRAINDICATIONS and WARNINGS ).
In patients with sinus bradycardia or incomplete heart block, the administration of Lidocaine Hydrochloride Injection, USP intravenously or the elimination of ventricular ectopic beats without prior acceleration in heart rate may promote more frequent and serious ventricular arrhythmias or complete heart block. (See CONTRAINDICATIONS .) Many potent anesthetic drugs, neuromuscular blocking agents and possibly amide local anesthetics may serve as triggering agents for the fulminant hypermetabolic process termed malignant hyperthermia.
Key to successful outcome of fulminant hypermetabolism is early recognition of premonitory signs, i.e., unexplained or unexpected tachycardia and increased metabolic rate as evidenced by respiratory and/or metabolic acidosis. Treatment includes administration of oxygen and discontinuation of lidocaine hydrochloride administration and where necessary administration of dantrolene sodium. For additional information on management, see prescribing information for dantrolene sodium.
Drug Interaction The effect of Lidocaine Hydrochloride Injection, USP for the management of cardiac arrhythmias is potentiated with the simultaneous or prior administration of propranolol. Lidocaine Hydrochloride Injection, USP should be used with caution in patients with digitalis toxicity accompanied by atrioventricular block. (See CONTRAINDICATIONS.) Drug interaction was studied with several beta-blockers (propranolol, metoprolol, nadolol, and pindolol).
Pretreatment with propranolol, metoprolol and nadolol increased the serum concentration of lidocaine. Pretreatment with pindolol did not affect the serum concentration of lidocaine. Carcinogenesis, Mutagenesis, Impairment of Fertility Studies of Lidocaine Hydrochloride Injection, USP in animals to evaluate the carcinogenic and mutagenic potential or the effect on fertility have not been conducted.
Pregnancy Category B Reproductive studies have been performed in the rat at doses up to 5 times the human dose and have revealed no evidence of impaired fertility or harm to the fetus due to Lidocaine Hydrochloride Injection, USP. There are, however, no adequate and well controlled studies in pregnant women. Because animal reproduction studies are not always predictive of human response, this drug should be used in pregnancy only if clearly needed.
Labor and Delivery The effects of Lidocaine Hydrochloride Injection, USP solution on the mother and the fetus, when used in the management of cardiac arrhythmias during labor and delivery, are not known. Lidocaine Hydrochloride Injection, USP readily crosses the placental barrier. Nursing Mothers It is not known whether this drug is excreted in human milk.
Because many drugs are excreted in human milk, caution should be exercised when Lidocaine Hydrochloride Injection, USP is administered to a nursing woman. Pediatric Use Safety and effectiveness in children have not been established by controlled clinical studies. (See DOSAGE & ADMINISTRATION )
📄 Package Label / Principal Display Panel ▾
PRINCIPAL DISPLAY PANEL - VIAL LABEL IAL LABEL
PRINCIPAL DISPLAY PANEL - SERIALIZED LABELING SERIALIZED LABELING
PRINCIPAL DISPLAY PANEL, NDC 51662-1364-2 POUCH LABELING NDC 51662-1364-2 POUCH LABELING VIAL LABELING POUCH LABELING VIAL LABEL
PRINCIPAL DISPLAY PANEL, NDC 51662-1364-3 CASE LABELING NDC 51662-1364-3 CASE LABELING SERIALIZED RFID LABELING Case Labeling RFID Label
About this NDC listing & data coverage
What data is (and isn’t) available for this NDC — tap to expand
| NDC identity (package / product / labeler codes) | ✓ Available |
| Labeler | ✓ Available |
| Product & package description | ✓ Available |
| Marketing category & status | ✓ Available |
| Active ingredient / dosage form / route | ✓ Available |
| FDA label (SPL via DailyMed) | ✓ Available |
| Package photos | ✓ Available |
| Inactive ingredients (structured) | ✓ Available |
| NADAC pharmacy acquisition price (CMS) | — Not published for this NDC CMS publishes NADAC only for NDCs reported in its retail-pharmacy survey. |
| Orange Book / therapeutic-equivalence data | ✓ Available |
| HCPCS J-code billing crosswalk | — Not published for this NDC Most self-administered / retail products have no J-code — that is normal. |
| Medicaid utilization (CMS SDUD) | — Not published for this NDC CMS reports utilization only for NDCs with Medicaid claims above its privacy threshold. |