NDC codes

FDA NDC Directory
Product NDC (as listed)0904-7411Labeler and product segments. Claims need a package NDC.
Product NDC at billing width00904-7411Add 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
0904-7411-6100904741161100 BLISTER PACK in 1 CARTON (0904-7411-61) / 1 TABLET in 1 BLISTER PACKMarketed from Mar 8, 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)
Amitriptyline Hydrochloride
Generic name (nonproprietary)
amitriptyline hydrochloride
Active ingredients
Amitriptyline hydrochloride — 50 mg/1
Dosage form
Tablet
Route
Oral
Labeler
Major PharmaceuticalsNDC labeler code 0904
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 217411
Marketing start
Listing expires
Identifiers
Product ID 0904-7411_54771c13-f83b-4c28-b2ed-be967b14d388SPL ID 54771c13-f83b-4c28-b2ed-be967b14d388SPL set ID 29ec1221-04d8-4b21-822e-2779fcaae62cRxCUI 856834, 856845UNII 26LUD4JO9K
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

N400904741161 followed by a unit qualifier and the quantity

Package 00904-7411-61. 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 For the relief of symptoms of depression. Endogenous depression is 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)

About NDC 0904-7411

What is NDC 0904-7411?
0904-7411 is the product NDC for Amitriptyline Hydrochloride, Amitriptyline hydrochloride 50 mg/1 tablet, listed with the FDA by Major Pharmaceuticals. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Amitriptyline Hydrochloride.
What is the active ingredient?
Amitriptyline hydrochloride.
Who is the labeler?
Major Pharmaceuticals, NDC labeler code 0904. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Amitriptyline Hydrochloride?
200 other product NDCs are listed under this name. See all Amitriptyline Hydrochloride NDCs.
Is there a related HCPCS / J-code?
Not in Med-Code's curated HCPCS directory. See Billing references above.

Other finished products listed under the same name: strengths, forms and labelers.

Other Amitriptyline Hydrochloride NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
Amitriptyline HydrochlorideAmitriptyline hydrochloride 25 mg/1Tablet, Film coatedOralCoupler LLC67046-068967046-0689-03
Amitriptyline HydrochlorideAmitriptyline hydrochloride 100 mg/1Tablet, Film coatedOralCoupler LLC67046-169467046-1694-03
Amitriptyline HydrochlorideAmitriptyline hydrochloride 150 mg/1Tablet, Film coatedOralCoupler LLC67046-167167046-1671-03
Amitriptyline HydrochlorideAmitriptyline hydrochloride 100 mg/1Tablet, Film coatedOralCoupler LLC67046-076467046-0764-03
Amitriptyline HydrochlorideAmitriptyline hydrochloride 25 mg/1Tablet, Film coatedOralCoupler LLC67046-166967046-1669-03
Amitriptyline HydrochlorideAmitriptyline hydrochloride 100 mg/1Tablet, Film coatedOralAurobindo Pharma Limited59651-82159651-0821-0159651-0821-60
Amitriptyline HydrochlorideAmitriptyline hydrochloride 25 mg/1Tablet, Film coatedOralAurobindo Pharma Limited59651-81859651-0818-0159651-0818-99
Amitriptyline HydrochlorideAmitriptyline hydrochloride 50 mg/1Tablet, Film coatedOralAurobindo Pharma Limited59651-81959651-0819-0159651-0819-99
Amitriptyline HydrochlorideAmitriptyline hydrochloride 75 mg/1Tablet, Film coatedOralAurobindo Pharma Limited59651-82059651-0820-01
Amitriptyline HydrochlorideAmitriptyline hydrochloride 150 mg/1Tablet, Film coatedOralAurobindo Pharma Limited59651-82259651-0822-01

All 201 Amitriptyline Hydrochloride NDCs

Other NDCs under ANDA 217411

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

FDA NDC Directory listings under ANDA 217411
ProductStrengthForm · routeLabelerProduct NDC
Amitriptyline HydrochlorideAmitriptyline hydrochloride 25 mg/1TabletOralMajor Pharmaceuticals0904-7410
Amitriptyline HydrochlorideAmitriptyline hydrochloride 100 mg/1TabletOralPreferred Pharmaceuticals Inc.68788-4052
Amitriptyline HydrochlorideAmitriptyline hydrochloride 50 mg/1TabletOralBryant Ranch Prepack71335-2491
Amitriptyline HydrochlorideAmitriptyline hydrochloride 25 mg/1TabletOralAdvanced Rx of Tennessee, LLC80425-0395
Amitriptyline HydrochlorideAmitriptyline hydrochloride 50 mg/1TabletOralREMEDYREPACK INC.70518-4048
Amitriptyline HydrochlorideAmitriptyline hydrochloride 100 mg/1TabletOralREMEDYREPACK INC.70518-4054
Amitriptyline HydrochlorideAmitriptyline hydrochloride 75 mg/1TabletOralREMEDYREPACK INC.70518-4365
Amitriptyline HydrochlorideAmitriptyline hydrochloride 25 mg/1TabletOralREMEDYREPACK INC.70518-4088
Amitriptyline HydrochlorideAmitriptyline hydrochloride 25 mg/1TabletOralPreferred Pharmaceuticals Inc.68788-8691
Amitriptyline HydrochlorideAmitriptyline hydrochloride 50 mg/1TabletOralAdvanced Rx of Tennessee, LLC80425-0434
Amitriptyline HydrochlorideAmitriptyline hydrochloride 100 mg/1TabletOralAdvanced Rx of Tennessee, LLC80425-0439
Amitriptyline HCLAmitriptyline hydrochloride 100 mg/1TabletOralDirect_rx72189-581
Amitriptyline HydrochlorideAmitriptyline hydrochloride 100 mg/1TabletOralA-S Medication Solutions50090-7583
Amitriptyline HydrochlorideAmitriptyline hydrochloride 50 mg/1TabletOralA-S Medication Solutions50090-7598
Amitriptyline HydrochlorideAmitriptyline hydrochloride 50 mg/1TabletOralPreferred Pharmaceuticals Inc.68788-8767
Amitriptyline HydrochlorideAmitriptyline hydrochloride 75 mg/1TabletOralPreferred Pharmaceuticals Inc.68788-8788
Amitriptyline HydrochlorideAmitriptyline hydrochloride 100 mg/1TabletOralBryant Ranch Prepack71335-2374
Amitriptyline HydrochlorideAmitriptyline hydrochloride 25 mg/1TabletOralST. MARY'S MEDICAL PARK PHARMACY60760-685
Amitriptyline HydrochlorideAmitriptyline hydrochloride 50 mg/1TabletOralST. MARY'S MEDICAL PARK PHARMACY60760-686
Amitriptyline HydrochlorideAmitriptyline hydrochloride 10 mg/1TabletOralRising Pharma Holdings, Inc.16571-105

Showing 20 of 29.

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