NDC codes

FDA NDC Directory
Product NDC (as listed)0115-4422Labeler and product segments. Claims need a package NDC.
Product NDC at billing width00115-4422Add 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
0115-4422-0100115442201100 CAPSULE in 1 BOTTLE (0115-4422-01)Marketed from Mar 1, 2005
0115-4422-0200115442202500 CAPSULE in 1 BOTTLE (0115-4422-02)Marketed from Mar 1, 2005
0115-4422-03001154422031000 CAPSULE in 1 BOTTLE (0115-4422-03)Marketed from Mar 1, 2005

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)
Dantrolene Sodium
Generic name (nonproprietary)
dantrolene sodium
Active ingredients
Dantrolene sodium — 50 mg/1
Dosage form
Capsule
Route
Oral
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 076856
Marketing start
Listing expires
Other FDA classes
Decreased Striated Muscle Contraction (Physiologic effect)Decreased Striated Muscle Tone (Physiologic effect)
Identifiers
Product ID 0115-4422_c254d463-2f1c-4c34-9db0-917a7bac870fSPL ID c254d463-2f1c-4c34-9db0-917a7bac870fSPL set ID c3c45b27-f786-456e-95d6-2e38ef36190aRxCUI 856652, 856656, 856660UNII 287M0347EVUPC 0301154411019
Pharmacologic class
Skeletal Muscle Relaxant

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

N400115442201 followed by a unit qualifier and the quantity

Package 00115-4422-01. 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

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

Indications (excerpt from the label)

INDICATIONS AND USAGE In Chronic Spasticity Dantrolene sodium capsules are indicated in controlling the manifestations of clinical spasticity resulting from upper motor neuron disorders (e.g., spinal cord injury, stroke, cerebral palsy, or multiple sclerosis). It is of particular benefit to the patient whose functional rehabilitation has been retarded by the sequelae of spasticity. Such patients must have presumably reversible spasticity where relief of spasticity will aid in restoring residual function. Dantrolene sodium capsules are not indicated in the treatment of skeletal muscle spasm resulting from rheumatic disorders. If improvement occurs, it will ordinarily occur within the dosage t…

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under ANDA 076856

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

FDA NDC Directory listings under ANDA 076856
ProductStrengthForm · routeLabelerProduct NDC
Dantrolene SodiumDantrolene sodium 25 mg/1CapsuleOralCardinal Health 107, LLC55154-7140
Dantrolene SodiumDantrolene sodium 25 mg/1CapsuleOralAmerican Health Packaging68084-300
Dantrolene SodiumDantrolene sodium 25 mg/1CapsuleOralMajor Pharmaceuticals0904-7211
Dantrolene SodiumDantrolene sodium 25 mg/1CapsuleOralAmneal Pharmaceuticals of New York LLC0115-4411
Dantrolene SodiumDantrolene sodium 100 mg/1CapsuleOralAmneal Pharmaceuticals of New York LLC0115-4433
Dantrolene SodiumDantrolene sodium 25 mg/1CapsuleOralAvPAK50268-217

Free account

Keep searching with a free account

You’ve used your 3 free searches for this session. Log in or create a free Med-Code account to keep looking up NDCs, J-codes and drugs.

Create a free accountLog in
Dantrolene Sodium NDC 0115-4422 | Med-Code