Nortriptyline Hydrochloride NDC 0121-0678

NDC codes

FDA NDC Directory

Product NDC (as listed)0121-0678Labeler and product segments. Claims need a package NDC.

Product NDC at billing width00121-0678Add 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
0121-0678-16	00121067816	473 mL in 1 BOTTLE (0121-0678-16)Marketed from Aug 23, 2000

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): Nortriptyline Hydrochloride
Generic name (nonproprietary): nortriptyline hydrochloride
Active ingredients: Nortriptyline hydrochloride — 10 mg/5mL
Dosage form: Solution
Route: Oral
Labeler: PAI Holdings, LLC dba PAI Pharma
Product type: Prescription drug
Marketing category: ANDA — Abbreviated New Drug Application (generic)Application ANDA 075606
Marketing start: Aug 23, 2000
Listing expires: Dec 31, 2027
Identifiers: Product ID 0121-0678_49445e55-d381-44c5-9e91-392f530d6dfcSPL ID 49445e55-d381-44c5-9e91-392f530d6dfcSPL set ID 3fcabf90-357a-4a06-b680-9572dc28bcfeRxCUI 312036UNII 00FN6IH15D
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

N400121067816 followed by a unit qualifier and the quantity

Package 00121-0678-16. 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 Jan 26, 2026. This label includes a boxed warning.

Indications (excerpt from the label)

INDICATIONS AND USAGE Nortriptyline hydrochloride oral solution is indicated for the relief of symptoms of depression. Endogenous depressions are more likely to be alleviated than are other depressive states.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)