NDC 0115-1490

NDC codes

FDA NDC Directory

Product NDC (as listed)0115-1490Labeler and product segments. Claims need a package NDC.

Product NDC at billing width00115-1490Add 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 NDC	11-digit (billing)	Package	Copy
0115-1490-01	00115149001	100 CAPSULE in 1 BOTTLE (0115-1490-01)Marketed from Feb 16, 2016

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): Dextroamphetamine Saccharate, Amphetamine Aspartate Monohydrate, Dextroamphetamine Sulfate and Amphetamine Sulfate
Generic name (nonproprietary): dextroamphetamine saccharate, amphetamine aspartate monohydrate, dextroamphetamine sulfate, and amphetamine sulfate
Active ingredients: Dextroamphetamine saccharate — 6.25 mg/1Amphetamine aspartate monohydrate — 6.25 mg/1Dextroamphetamine sulfate — 6.25 mg/1Amphetamine sulfate — 6.25 mg/1
Dosage form: Capsule
Route: Oral
Labeler: Amneal Pharmaceuticals of New York LLC
Product type: Prescription drug
Marketing category: ANDA — Abbreviated New Drug Application (generic)Application ANDA 076852
Marketing start: Feb 16, 2016
Listing expires: Dec 31, 2027
DEA schedule: CII
Other FDA classes: Central Nervous System Stimulation (Physiologic effect)Central Nervous System Stimulation (Physiologic effect)Central Nervous System Stimulation (Physiologic effect)Central Nervous System Stimulation (Physiologic effect)
Identifiers: Product ID 0115-1490_ce289645-272b-4036-a807-2077a3927e9fSPL ID ce289645-272b-4036-a807-2077a3927e9f
Pharmacologic class: Central Nervous System Stimulant

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

N400115149001 followed by a unit qualifier and the quantity

Package 00115-1490-01. 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

The FDA listing for this product does not reference a label (SPL) set.

Other NDCs under ANDA 076852

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

FDA NDC Directory listings under ANDA 076852
Product	Strength	Form · route	Labeler	Product NDC
Dextroamphetamine Saccharate, Amphetamine Aspartate Monohydrate, Dextroamphetamine Sulfate and Amphetamine Sulfatedextroamphetamine saccharate, amphetamine aspartate monohydrate, dextroamphetamine sulfate, and amphetamine sulfate	Dextroamphetamine saccharate 2.5 mg/1 + 3 more ingredients	CapsuleOral	Amneal Pharmaceuticals of New York LLC	0115-1487
Dextroamphetamine Saccharate, Amphetamine Aspartate Monohydrate, Dextroamphetamine Sulfate and Amphetamine Sulfatedextroamphetamine saccharate, amphetamine aspartate monohydrate, dextroamphetamine sulfate, and amphetamine sulfate	Dextroamphetamine saccharate 3.75 mg/1 + 3 more ingredients	CapsuleOral	Amneal Pharmaceuticals of New York LLC	0115-1488
Dextroamphetamine Saccharate, Amphetamine Aspartate Monohydrate, Dextroamphetamine Sulfate and Amphetamine Sulfatedextroamphetamine saccharate, amphetamine aspartate monohydrate, dextroamphetamine sulfate, and amphetamine sulfate	Dextroamphetamine saccharate 5 mg/1 + 3 more ingredients	CapsuleOral	Amneal Pharmaceuticals of New York LLC	0115-1489
Dextroamphetamine Saccharate, Amphetamine Aspartate Monohydrate, Dextroamphetamine Sulfate and Amphetamine Sulfatedextroamphetamine saccharate, amphetamine aspartate monohydrate, dextroamphetamine sulfate, and amphetamine sulfate	Dextroamphetamine saccharate 7.5 mg/1 + 3 more ingredients	CapsuleOral	Amneal Pharmaceuticals of New York LLC	0115-1491
Dextroamphetamine Saccharate, Amphetamine Aspartate Monohydrate, Dextroamphetamine Sulfate and Amphetamine Sulfatedextroamphetamine saccharate, amphetamine aspartate monohydrate, dextroamphetamine sulfate, and amphetamine sulfate	Dextroamphetamine saccharate 1.25 mg/1 + 3 more ingredients	CapsuleOral	Amneal Pharmaceuticals of New York LLC	0115-1486

Dextroamphetamine Saccharate, Amphetamine Aspartate Monohydrate, Dextroamphetamine Sulfate and Amphetamine Sulfate NDC 0115-1490