NDC codes

FDA NDC Directory
Product NDC (as listed)0054-0275Labeler and product segments. Claims need a package NDC.
Product NDC at billing width00054-0275Add the package segment from the table below.
Package NDCs as listed with the FDA, and the 11-digit 5-4-2 form used on claims. The highlighted digit is the added leading zero.
Package NDC11-digit (billing)PackageCopy
0054-0275-130005402751330 CAPSULE in 1 BOTTLE (0054-0275-13)Marketed from Apr 19, 2010

How the 11-digit form is made: The labeler segment has 4 digits, so one leading zero is added to it (4-4-2 → 5-4-2). Formatting the NDC does not by itself make it billable — the product, package and quantity must match what was dispensed or administered, and payer rules apply. Conversion rules

Product information

Brand name (proprietary)
Imipramine Pamoate
Generic name (nonproprietary)
imipramine pamoate
Active ingredients
Imipramine pamoate — 125 mg/1
Dosage form
Capsule
Route
Oral
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 091099
Marketing start
Listing expires
Identifiers
Product ID 0054-0275_9c97ff7a-cee1-4c19-a52e-3f22798834fbSPL ID 9c97ff7a-cee1-4c19-a52e-3f22798834fbSPL set ID 6e780825-2a66-41fd-a04c-78fa7c4df05eRxCUI 835572, 835577, 835589, 835591UNII MC34P30298UPC 0300540274139, 0300540276133
Pharmacologic class
Tricyclic Antidepressant

Billing references

What Med-Code can say about coding this product, and where each statement comes from. Nothing here is inferred from the name alone.

HCPCS codeNo match

No HCPCS code in Med-Code's directory. Oral products like this are usually dispensed by a pharmacy and billed by NDC.

NDC on a medical claim

N400054027513 followed by a unit qualifier and the quantity

Package 00054-0275-13. Unit qualifiers: F2 (international unit), GR (gram), ME (milligram), ML (milliliter), UN (unit (each)). The qualifier and quantity depend on what was given. About the N4 qualifier

Product label

Current FDA label (SPL), effective . This label includes a boxed warning.

Indications (excerpt from the label)

INDICATIONS AND USAGE For the relief of symptoms of depression. Endogenous depression is more likely to be alleviated than other depressive states. One to three weeks of treatment may be needed before optimal therapeutic effects are evident.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under ANDA 091099

Products listed under the same FDA application: other strengths and forms, and repackagers who relabel the same product.

FDA NDC Directory listings under ANDA 091099
ProductStrengthForm · routeLabelerProduct NDC
Imipramine PamoateImipramine pamoate 75 mg/1CapsuleOralHikma Pharmaceuticals USA Inc0054-0273
Imipramine PamoateImipramine pamoate 150 mg/1CapsuleOralHikma Pharmaceuticals USA Inc0054-0276
Imipramine PamoateImipramine pamoate 100 mg/1CapsuleOralHikma Pharmaceuticals USA Inc0054-0274

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Imipramine Pamoate NDC 0054-0275 | Med-Code