NDC codes

FDA NDC Directory
Product NDC (as listed)0480-3565Labeler and product segments. Claims need a package NDC.
Product NDC at billing width00480-3565Add 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
0480-3565-0100480356501100 CAPSULE in 1 BOTTLE (0480-3565-01)Marketed from Dec 17, 2024

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)
Lisdexamfetamine dimesylate
Generic name (nonproprietary)
lisdexamfetamine dimesylate
Active ingredients
Lisdexamfetamine dimesylate — 10 mg/1
Dosage form
Capsule
Route
Oral
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 202802
Marketing start
Listing expires
DEA schedule
CII
Other FDA classes
Central Nervous System Stimulation (Physiologic effect)
Identifiers
Product ID 0480-3565_7a1feaa2-6b58-4aff-a45b-533ee3174e53SPL ID 7a1feaa2-6b58-4aff-a45b-533ee3174e53SPL set ID c32b5dce-2de4-4db0-a4ba-d2ce3b0a32fcRxCUI 854830, 854834, 854838, 854842, 854846, 854850, 1593856UNII SJT761GEGSUPC 0304803567013, 0304803570013, 0304803569017, 0304803566016, 0304803565019

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

N400480356501 followed by a unit qualifier and the quantity

Package 00480-3565-01. 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)

Lisdexamfetamine dimesylate capsules are indicated for the treatment of: Attention Deficit Hyperactivity Disorder (ADHD) in adults and pediatric patients 6 years and older [see Clinical Studies ( 14.1 )]. Moderate to severe binge eating disorder (BED) in adults [see Clinical Studies ( 14.2 )] . Limitations of Use: The use of lisdexamfetamine dimesylate capsules is not recommended in pediatric patients younger than 6 years of age because they had higher plasma exposure and a higher incidence of adverse reactions (e.g., weight loss) than patients 6 years and older at the same dosage [ see Warnings and Precautions ( 5.5 ), Use in Specific Populations ( 8.4 ) ] . Lisdexamfetamine dimesylate caps…

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under ANDA 202802

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

FDA NDC Directory listings under ANDA 202802
ProductStrengthForm · routeLabelerProduct NDC
Lisdexamfetamine dimesylateLisdexamfetamine dimesylate 30 mg/1CapsuleOralTeva Pharmaceuticals, Inc.0480-3567
Lisdexamfetamine dimesylateLisdexamfetamine dimesylate 70 mg/1CapsuleOralTeva Pharmaceuticals, Inc.0480-3564
Lisdexamfetamine dimesylateLisdexamfetamine dimesylate 20 mg/1CapsuleOralTeva Pharmaceuticals, Inc.0480-3566
Lisdexamfetamine dimesylateLisdexamfetamine dimesylate 40 mg/1CapsuleOralTeva Pharmaceuticals, Inc.0480-3568
Lisdexamfetamine dimesylateLisdexamfetamine dimesylate 50 mg/1CapsuleOralTeva Pharmaceuticals, Inc.0480-3569
Lisdexamfetamine dimesylateLisdexamfetamine dimesylate 60 mg/1CapsuleOralTeva Pharmaceuticals, Inc.0480-3570

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