NDC codes

FDA NDC Directory
Product NDC (as listed)0378-0330Labeler and product segments. Claims need a package NDC.
Product NDC at billing width00378-0330Add 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
0378-0330-0100378033001100 TABLET, FILM COATED in 1 BOTTLE, PLASTIC (0378-0330-01)Marketed from Nov 10, 1988

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)
Perphenazine and Amitriptyline Hydrochloride
Generic name (nonproprietary)
perphenazine and amitriptyline hydrochloride
Active ingredients
Perphenazine — 2 mg/1Amitriptyline hydrochloride — 10 mg/1
Dosage form
Tablet, Film coated
Route
Oral
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 071443
Marketing start
Listing expires
Other FDA classes
Phenothiazines (Chemical structure)
Identifiers
Product ID 0378-0330_a0ce12cc-6720-4bbe-9e86-41feb8e6d4cdSPL ID a0ce12cc-6720-4bbe-9e86-41feb8e6d4cdSPL set ID e2937445-c015-c9a5-52f8-a2959da97290RxCUI 856706, 856720, 856797, 856825, 856840UNII FTA7XXY4EZ, 26LUD4JO9K
Pharmacologic class
Phenothiazine; 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

N400378033001 followed by a unit qualifier and the quantity

Package 00378-0330-01. 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 Perphenazine and amitriptyline hydrochloride tablets are recommended for treatment of (1) patients with moderate to severe anxiety and/or agitation and depressed mood, (2) patients with depression in whom anxiety and/or agitation are severe, and (3) patients with depression and anxiety in association with chronic physical disease. In many of these patients, anxiety masks the depressive state so that, although therapy with a tranquilizer appears to be indicated, the administration of a tranquilizer alone will not be adequate. Schizophrenic patients who have associated depressive symptoms should be considered for therapy with perphenazine and amitriptyline hydrochloride t…

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under ANDA 071443

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

FDA NDC Directory listings under ANDA 071443
ProductStrengthForm · routeLabelerProduct NDC
Perphenazine and Amitriptyline HydrochloridePerphenazine 2 mg/1; Amitriptyline hydrochloride 25 mg/1Tablet, Film coatedOralMylan Pharmaceuticals Inc.0378-0442
Perphenazine and Amitriptyline HydrochloridePerphenazine 4 mg/1; Amitriptyline hydrochloride 10 mg/1Tablet, Film coatedOralMylan Pharmaceuticals Inc.0378-0042
Perphenazine and Amitriptyline HydrochloridePerphenazine 4 mg/1; Amitriptyline hydrochloride 25 mg/1Tablet, Film coatedOralMylan Pharmaceuticals Inc.0378-0574
Perphenazine and Amitriptyline HydrochloridePerphenazine 4 mg/1; Amitriptyline hydrochloride 50 mg/1Tablet, Film coatedOralMylan Pharmaceuticals Inc.0378-0073

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