Norepinephrine Bitartrate 1 mg/mL Injection, Solution, Concentrate — NDC 70121-1576-7 (Billing 70121-1576-07)
This is a package of Norepinephrine Bitartrate 1 mg/mL Injection, Solution, Concentrate from Amneal Pharmaceuticals LLC, no longer marketed (first marketed Dec 2018), no longer in the FDA NDC Directory. It is this product's only package size.
Other active recalls for Norepinephrine Bitartrate (different manufacturers) — 1 · tap to view
Identity & classification
Regulatory identifiers FDA, NLM and CMS codes for this package
Drug-database identifiers Medi-Span GPI and First Databank GCN / HICL / AHFS classification
- GSN (GCN sequence number): 028633
- GCN: 00476
- GPI-14 (Medi-Span): 38000090102010
- HICL (First Databank): 002051
- AHFS class code: 12:12.12.00
- RxCUI (RxNorm): 242969
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 Catecholamine class.
Where does this data come from?
- RxClass (NLM) · catalog refreshed Oct 1, 2026
Clinical
Norepinephrine is used to increase low blood pressure. Norepinephrine is in a class of medications called adrenergic agents. It works by constricting blood vessels in the body and improving the pumping action of the heart.
Read the full MedlinePlus article ↗- It raises blood pressure when it has dropped dangerously low, such as in severe, sudden hypotension. It is given in a hospital setting. Some older product labels also list use as a...
- It is given through an IV drip into a large vein by trained staff. Your team adjusts the rate to your blood pressure and lowers it slowly when it's time to stop.
- The most common ones are high blood pressure, slow heart rate, anxiety, headache and trouble breathing. Tell your nurse right away about pain, swelling or skin changes at the IV si...
- Yes. MAO inhibitors, linezolid and tricyclic antidepressants can cause severe, prolonged high blood pressure. It can also raise blood sugar, so diabetes medicines may need adjustin...
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 3, 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 |
|---|---|---|---|---|
| 70121-1576-07 You're viewing this Main listing | 10 VIAL in 1 CARTON / 4 mL in 1 VIAL | 2018-12-17 | — | Discontinued by firm |
Therapeutic equivalents
| Product | Labeler | Pack | NADAC/unit | TE | Status | Price vs. this |
|---|---|---|---|---|---|---|
| Norepinephrine Bitartrate 1 mg/mL 00143-9318-10 | Hikma | 10 vials | — | AP | FDA listed | — |
| Levophed 1 mg/mL 00409-0161-10 | Hospira, | 10 vials | — | AP | FDA listed | — |
| Levophed 1 mg/mL 00409-3375-04 | Hospira, | 10 vials | — | AP | FDA listed | — |
| Norepinephrine Bitartrate 1 mg/mL 00781-3755-95 | Sandoz | 10 vials | — | AP | FDA listed | — |
| Norepinephrine Bitartrate 1 mg/mL 25021-0316-04 | Sagent | 10 vials | — | AP | FDA listed | — |
| Norepinephrine bitartrate 1 mg/mL 31722-0372-32 | Camber | 10 vials | — | AP | FDA listed | — |
| Norepinephrine bitartrate 1 mg/mL 36000-0162-10 | Baxter | 10 ampules | — | AP | Discontinued | — |
| Norepinephrine Bitartrate 1 mg/mL 43066-0997-10 | Baxter | 10 vials | — | AP | FDA listed | — |
| Norepinephrine Bitartrate 1 mg/mL 47335-0615-44 | Sun | 10 vials | — | — | FDA listed | — |
| Levophed(R) Norepinephrine Bitartrate 1 mg/mL 51662-1315-01 | HF | 4 ml | — | AP | FDA listed | — |
| Norepinephrine Bitartrate 1 mg/mL 51662-1528-01 | HF | 4 ml | — | AP | FDA listed | — |
| Norepinephrine Bitartrate 1 mg/mL 51991-0983-17 | Breckenridge | 10 vials | — | AP | FDA listed | — |
| Norepinephrine Bitartrate 1 mg/mL 63323-0940-04 | Fresenius | 10 vials | — | AP | FDA listed | — |
| Norepinephrine Bitartrate 1 mg/mL 64980-0630-41 | Rising | 10 vials | — | AP | FDA listed | — |
| Norepinephrine Bitartrate 1 mg/mL 65145-0133-10 | Caplin | 10 vials | — | AP | FDA listed | — |
| Norepinephrine Bitartrate 1 mg/mL 65219-0140-04 | Fresenius | 10 vials | — | AP | FDA listed | — |
| Norepinephrine bitartrate 1 mg/mL 67457-0852-04 | Mylan | 10 vials | — | AP | FDA listed | — |
| Norepinephrine bitartrate 1 mg/mL 68083-0437-10 | Gland | 10 vials | — | AP | FDA listed | — |
| Norepinephrine Bitartrate 1 mg/mLthis 70121-1576-07 | Amneal | 10 vials | — | — | Discontinued | — |
| Norepinephrine Bitartrate 1 mg/mL 70377-0121-12 | BIOCON | 10 vials | — | AP | FDA listed | — |
| Norepinephrine Bitartrate 1 mg/mL 71288-0439-05 | Meitheal | 10 vials | — | AP | FDA listed | — |
| Norepinephrine Bitartrate 1 mg/mL 71839-0143-10 | BE | 10 vials | — | AP | FDA listed | — |
| Norepinephrine bitartrate 1 mg/mL 72078-0002-04 | Mylan | 10 vials | — | AP | FDA listed | — |
| norepinephrine bitartrate 1 mg/mL 72205-0241-07 | Novadoz | 10 vials | — | AP | FDA listed | — |
| Norepinephrine Bitartrate 1 mg/mL 72572-0481-10 | Civica, | 10 vials | — | AP | FDA listed | — |
| Norepinephrine Bitartrate 1 mg/mL 72603-0180-10 | NorthStar | 10 vials | — | AP | FDA listed | — |
| norepinephrine bitartrate 1 mg/mL 83634-0307-04 | Avenacy, | 10 vials | — | AP | FDA listed | — |
| Norepinephrine Bitartrate 1 mg/mL 83854-0017-10 | Anthea | 10 vials | — | 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
This product is an FDA-approved generic. Other versions of the same drug are listed under Therapeutic equivalents, least expensive first.
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.
Where does this data come from?
IACT rows and label-wide narrative are kept separate; availability and product-level specificity depend on the submitted label.- 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 AND USAGE For blood pressure control in certain acute hypotensive states (e.g., pheochromocytomectomy, sympathectomy, poliomyelitis, spinal anesthesia, myocardial infarction, septicemia, blood transfusion, and drug reactions). As an adjunct in the treatment of cardiac arrest and profound hypotension.
⏱️ Dosage and Administration ▾
DOSAGE AND ADMINISTRATION Norepinephrine bitartrate injection is a concentrated, potent drug which must be diluted in dextrose containing solutions prior to infusion. An infusion of norepinephrine bitartrate injection should be given into a large vein ( see PRECAUTIONS ). Restoration of Blood Pressure in Acute Hypotensive States Blood volume depletion should always be corrected as fully as possible before any vasopressor is administered.
When, as an emergency measure, intraaortic pressures must be maintained to prevent cerebral or coronary artery ischemia, norepinephrine bitartrate injection can be administered before and concurrently with blood volume replacement. Diluent: Norepinephrine bitartrate injection should be diluted in 5 percent dextrose injection or 5 percent dextrose and sodium chloride injections. These dextrose containing fluids are protection against significant loss of potency due to oxidation.
Administration in saline solution alone is not recommended. Whole blood or plasma, if indicated to increase blood volume, should be administered separately (for example, by use of a Y-tube and individual containers if given simultaneously). Average Dosage: Add the content of the vial (4 mg/4 mL) of norepinephrine bitartrate injection to 1,000 mL of a 5 percent dextrose containing solution.
Each mL of this dilution contains 4 mcg of the base of norepinephrine bitartrate. Give this solution by intravenous infusion. Insert a plastic intravenous catheter through a suitable bore needle well advanced centrally into the vein and securely fixed with adhesive tape, avoiding, if possible, a catheter tie-in technique as this promotes stasis.
An IV drip chamber or other suitable metering device is essential to permit an accurate estimation of the rate of flow in drops per minute. After observing the response to an initial dose of 2 mL to 3 mL (from 8 mcg to 12 mcg of base) per minute, adjust the rate of flow to establish and maintain a low normal blood pressure (usually 80 mm Hg to 100 mm Hg systolic) sufficient to maintain the circulation to vital organs. In previously hypertensive patients, it is recommended that the blood pressure should be raised no higher than 40 mm Hg below the preexisting systolic pressure.
The average maintenance dose ranges from 0.5 mL to 1 mL per minute (from 2 mcg to 4 mcg of base). High Dosage: Great individual variation occurs in the dose required to attain and maintain an adequate blood pressure. In all cases, dosage of norepinephrine bitartrate injection should be titrated according to the response of the patient.
Occasionally much larger or even enormous daily doses (as high as 68 mg base or 17 vials) may be necessary if the patient remains hypotensive, but occult blood volume depletion should always be suspected and corrected when present. Central venous pressure monitoring is usually helpful in detecting and treating this situation. Fluid Intake: The degree of dilution depends on clinical fluid volume requirements.
If large volumes of fluid (dextrose) are needed at a flow rate that would involve an excessive dose of the pressor agent per unit of time, a solution more dilute than 4 mcg per mL should be used. On the other hand, when large volumes of fluid are clinically undesirable, a concentration greater than 4 mcg per mL may be necessary. Duration of Therapy: The infusion should be continued until adequate blood pressure and tissue perfusion are maintained without therapy.
Infusions of norepinephrine bitartrate injection should be reduced gradually, avoiding abrupt withdrawal. In some of the reported cases of vascular collapse due to acute myocardial infarction, treatment was required for up to six days. Adjunctive Treatment in Cardiac Arrest Infusions of norepinephrine bitartrate injection are usually administered intravenously during cardiac resuscitation to restore and maintain an adequate blood pressure after an effective heartbeat and ventilation have been established by other means. [Norepi…
⛔ Contraindications ▾
CONTRAINDICATIONS Norepinephrine should not be given to patients who are hypotensive from blood volume deficits except as an emergency measure to maintain coronary and cerebral artery perfusion until blood volume replacement therapy can be completed. If norepinephrine bitartrate injection is continuously administered to maintain blood pressure in the absence of blood volume replacement, the following may occur: severe peripheral and visceral vasoconstriction, decreased renal perfusion and urine output, poor systemic blood flow despite “normal” blood pressure, tissue hypoxia, and lactate acidosis.
Norepinephrine should also not be given to patients with mesenteric or peripheral vascular thrombosis (because of the risk of increasing ischemia and extending the area of infarction) unless, in the opinion of the attending physician, the administration of norepinephrine bitartrate injection is necessary as a life-saving procedure. Cyclopropane and halothane anesthetics increase cardiac autonomic irritability and therefore seem to sensitize the myocardium to the action of intravenously administered epinephrine or norepinephrine.
Hence, the use of norepinephrine during cyclopropane and halothane anesthesia is generally considered contraindicated because of the risk of producing ventricular tachycardia or fibrillation. The same type of cardiac arrhythmias may result from the use of norepinephrine bitartrate injection in patients with profound hypoxia or hypercarbia.
⚠️ Warnings ▾
WARNINGS Norepinephrine should be used with extreme caution in patients receiving monoamine oxidase inhibitors (MAOI) or antidepressants of the triptyline or imipramine types, because severe, prolonged hypertension may result. Norepinephrine bitartrate injection contains sodium metabisulfite, a sulfite that may cause allergic-type reactions including anaphylactic symptoms and life-threatening or less severe asthmatic episodes in certain susceptible people. The overall prevalence of sulfite sensitivity in the general population is unknown.
Sulfite sensitivity is seen more frequently in asthmatic than in nonasthmatic people.
🤒 Adverse Reactions ▾
ADVERSE REACTIONS The following reactions can occur: Body As A Whole: Ischemic injury due to potent vasoconstrictor action and tissue hypoxia. Cardiovascular System: Bradycardia, probably as a reflex result of a rise in blood pressure, arrhythmias. Nervous System: Anxiety, transient headache.
Respiratory System: Respiratory difficulty. Skin and Appendages: Extravasation necrosis at injection site. Prolonged administration of any potent vasopressor may result in plasma volume depletion which should be continuously corrected by appropriate fluid and electrolyte replacement therapy.
If plasma volumes are not corrected, hypotension may recur when norepinephrine is discontinued, or blood pressure may be maintained at the risk of severe peripheral and visceral vasoconstriction (e.g., decreased renal perfusion) with diminution in blood flow and tissue perfusion with subsequent tissue hypoxia and lactic acidosis and possible ischemic injury. Gangrene of extremities has been rarely reported. Overdoses or conventional doses in hypersensitive persons (e.g., hyperthyroid patients) cause severe hypertension with violent headache, photophobia, stabbing retrosternal pain, pallor, intense sweating, and vomiting.
To report SUSPECTED ADVERSE REACTIONS, contact Amneal Biosciences at 1-855-266-3251 or FDA at 1-800-FDA-1088 or www.fda.gov/medwatch.
🔄 Drug Interactions ▾
Drug Interactions: Cyclopropane and halothane anesthetics increase cardiac autonomic irritability and therefore seem to sensitize the myocardium to the action of intravenously administered epinephrine or norepinephrine. Hence, the use of norepinephrine during cyclopropane and halothane anesthesia is generally considered contraindicated because of the risk of producing ventricular tachycardia or fibrillation. The same type of cardiac arrhythmias may result from the use of norepinephrine in patients with profound hypoxia or hypercarbia.
Norepinephrine should be used with extreme caution in patients receiving monoamine oxidase inhibitors (MAOI) or antidepressants of the triptyline or imipramine types, because severe, prolonged hypertension may result.
🤰 Pregnancy ▾
Pregnancy Category C: Animal reproduction studies have not been conducted with norepinephrine. It is also not known whether norepinephrine can cause fetal harm when administered to a pregnant woman or can affect reproduction capacity. Norepinephrine should be given to a pregnant woman only if clearly needed.
🧒 Pediatric Use ▾
Pediatric Use: Safety and effectiveness in pediatric patients has not been established.
🧓 Geriatric Use ▾
Geriatric Use: Clinical studies of norepinephrine did not include sufficient numbers of subjects aged 65 and over to determine whether they respond differently from younger subjects. Other reported clinical experience has not identified differences in responses between the elderly and younger patients. In general, dose selection for an elderly patient should be cautious, usually starting at the low end of the dosing range, reflecting the greater frequency of decreased hepatic, renal, or cardiac function, and of concomitant disease or other drug therapy.
Norepinephrine infusions should not be administered into the veins in the leg in elderly patients (see PRECAUTIONS , General ).
🆘 Overdosage ▾
OVERDOSAGE Overdosage with norepinephrine may result in headache, severe hypertension, reflex bradycardia, marked increase in peripheral resistance, and decreased cardiac output. In case of accidental overdosage, as evidenced by excessive blood pressure elevation, discontinue norepinephrine until the condition of the patient stabilizes.
🧬 Clinical Pharmacology ▾
CLINICAL PHARMACOLOGY Norepinephrine functions as a peripheral vasoconstrictor (alpha-adrenergic action) and as an inotropic stimulator of the heart and dilator of coronary arteries (beta-adrenergic action).
📦 How Supplied / Storage and Handling ▾
HOW SUPPLIED Norepinephrine Bitartrate Injection, USP is a clear, colorless or practically colorless to slightly yellow color liquid and supplied in 4 mL single-dose vial. Each mL contains norepinephrine bitartrate, USP equivalent to norepinephrine 1 mg. It is available as follows: 4 mg/4 mL (1 mg/mL) 10 x 4 mL Single-Dose Vials in a Carton: NDC 70121-1576-7 Store at 20° to 25°C (68° to 77°F); excursions permitted between 15° to 30°C (59° to 86°F) [see USP Controlled Room Temperature].
Protect from light. Manufactured by: Amneal Pharmaceuticals Pvt. Ltd.
Parenteral Unit Ahmedabad 382213, INDIA Distributed by: Amneal Biosciences LLC Bridgewater, NJ 08807 Rev. 05-2018-00
📋 Description ▾
DESCRIPTION Norepinephrine (sometimes referred to as l-arterenol/Levarterenol or l-norepinephrine ) is a sympathomimetic amine which differs from epinephrine by the absence of a methyl group on the nitrogen atom. Norepinephrine Bitartrate is (-)-α-(aminomethyl)-3,4-dihydroxybenzyl alcohol tartrate (1:1) (salt) monohydrate and has the following structural formula: Norepinephrine bitartrate, USP is a white to faintly grey powder with a molecular formula of C 8 H 11 NO 3 •C 4 H 6 O 6 •H 2 O, and a molecular weight of 337.28 g/mol.
It is freely soluble in water, slightly soluble in alcohol, practically insoluble in chloroform and in ether. Norepinephrine bitartrate injection, USP is a clear, colorless or practically colorless to slightly yellow color liquid and supplied in sterile aqueous solution in the form of the bitartrate salt to be administered by intravenous infusion following dilution. Each mL contains the equivalent of 1 mg base of norepinephrine, sodium chloride for isotonicity, and not more than 0.2 mg of sodium metabisulfite as an antioxidant.
It has a pH of 3 to 4.5. The air in the vials has been displaced by nitrogen gas. 10
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 | — Not published for this NDC No photo available yet for this listing. |
| Inactive ingredients (structured) | — Not published for this NDC The labeler did not submit a structured excipient list, or no SPL is 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 | — Not published for this NDC Applies only to products approved under an NDA/ANDA; many listings are out of scope. |
| 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. |