NDC codes

FDA NDC Directory
Product NDC (as listed)16714-803Labeler and product segments. Claims need a package NDC.
Product NDC at billing width16714-0803Add 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
16714-803-0116714080301100 TABLET in 1 BOTTLE, PLASTIC (16714-803-01)Marketed from Sep 9, 2003

How the 11-digit form is made: The product segment has 3 digits, so one leading zero is added to it (5-3-2 → 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)
Dextroamphetamine saccharate, amphetamine aspartate, dextroamphetamine sulfate, and amphetamine sulfate
Generic name (nonproprietary)
dextroamphetamine saccharate, amphetamine aspartate, dextroamphetamine sulfate, and amphetamine sulfate
Active ingredients
Dextroamphetamine saccharate — 1.875 mg/1Amphetamine aspartate — 1.875 mg/1Dextroamphetamine sulfate — 1.875 mg/1Amphetamine sulfate — 1.875 mg/1
Dosage form
Tablet
Route
Oral
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 040480
Marketing start
Listing expires
DEA schedule
CII
Other FDA classes
Central Nervous System Stimulation (Physiologic effect)Central Nervous System Stimulation (Physiologic effect)Central Nervous System Stimulation (Physiologic effect)Central Nervous System Stimulation (Physiologic effect)
Identifiers
Product ID 16714-803_0e86a41d-6f4d-238f-e063-6294a90a8ab2SPL ID 0e86a41d-6f4d-238f-e063-6294a90a8ab2SPL set ID facdf159-1d95-4981-a8ad-d82edcc14a0cRxCUI 541363, 541878, 541892, 577957, 577961, 687043, 1009145UNII JJ768O327N, 6DPV8NK46S, G83415V073, H527KAP6L5UPC 0316714803012, 0316714807010, 0316714806013, 0316714804019, 0316714805016, 0316714808017

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

N416714080301 followed by a unit qualifier and the quantity

Package 16714-0803-01. 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 Dextroamphetamine saccharate, amphetamine aspartate, dextroamphetamine sulfate and amphetamine sulfate tablets are indicated for the treatment of Attention Deficit Hyperactivity Disorder (ADHD) and Narcolepsy. Attention Deficit Hyperactivity Disorder (ADHD) A diagnosis of Attention Deficit Hyperactivity Disorder (ADHD; DSM-IV®) implies the presence of hyperactive-impulsive or inattentive symptoms that caused impairment and were present before age 7 years. The symptoms must cause clinically significant impairment, e.g., in social, academic, or occupational functioning, and be present in two or more settings, e.g., school (or work) and at home. The symptoms must not be be…

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under ANDA 040480

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

FDA NDC Directory listings under ANDA 040480
ProductStrengthForm · routeLabelerProduct NDC
Dextroamphetamine saccharate, amphetamine aspartate, dextroamphetamine sulfate, and amphetamine sulfateDextroamphetamine saccharate 1.25 mg/1 + 3 more ingredientsTabletOralNorthstar Rx LLC16714-802
Dextroamphetamine saccharate, amphetamine aspartate, dextroamphetamine sulfate, and amphetamine sulfateDextroamphetamine saccharate 5 mg/1 + 3 more ingredientsTabletOralNorthstar Rx LLC16714-807
Dextroamphetamine saccharate, amphetamine aspartate, dextroamphetamine sulfate, and amphetamine sulfateDextroamphetamine saccharate 2.5 mg/1 + 3 more ingredientsTabletOralNorthstar Rx LLC16714-804
Dextroamphetamine saccharate, amphetamine aspartate, dextroamphetamine sulfate, and amphetamine sulfateDextroamphetamine saccharate 3.125 mg/1 + 3 more ingredientsTabletOralNorthstar Rx LLC16714-805
Dextroamphetamine saccharate, amphetamine aspartate, dextroamphetamine sulfate, and amphetamine sulfateDextroamphetamine saccharate 3.75 mg/1 + 3 more ingredientsTabletOralNorthstar Rx LLC16714-806
Dextroamphetamine saccharate, amphetamine aspartate, dextroamphetamine sulfate, and amphetamine sulfateDextroamphetamine saccharate 7.5 mg/1 + 3 more ingredientsTabletOralNorthstar Rx LLC16714-808
Dextroamphetamine saccharate, amphetamine aspartate, dextroamphetamine sulfate, and amphetamine sulfateDextroamphetamine saccharate 2.5 mg/1 + 3 more ingredientsTabletOralBryant Ranch Prepack71335-0171
Dextroamphetamine saccharate, amphetamine aspartate, dextroamphetamine sulfate, and amphetamine sulfateDextroamphetamine saccharate 1.25 mg/1 + 3 more ingredientsTabletOralSun Pharmaceutical Industries, Inc.57664-641
Dextroamphetamine saccharate, amphetamine aspartate, dextroamphetamine sulfate, and amphetamine sulfateDextroamphetamine saccharate 1.875 mg/1 + 3 more ingredientsTabletOralSun Pharmaceutical Industries, Inc.57664-642
Dextroamphetamine saccharate, amphetamine aspartate, dextroamphetamine sulfate, and amphetamine sulfateDextroamphetamine saccharate 2.5 mg/1 + 3 more ingredientsTabletOralSun Pharmaceutical Industries, Inc.57664-643
Dextroamphetamine saccharate, amphetamine aspartate, dextroamphetamine sulfate, and amphetamine sulfateDextroamphetamine saccharate 3.125 mg/1 + 3 more ingredientsTabletOralSun Pharmaceutical Industries, Inc.57664-644
Dextroamphetamine saccharate, amphetamine aspartate, dextroamphetamine sulfate, and amphetamine sulfateDextroamphetamine saccharate 3.75 mg/1 + 3 more ingredientsTabletOralSun Pharmaceutical Industries, Inc.57664-645
Dextroamphetamine saccharate, amphetamine aspartate, dextroamphetamine sulfate, and amphetamine sulfateDextroamphetamine saccharate 5 mg/1 + 3 more ingredientsTabletOralSun Pharmaceutical Industries, Inc.57664-646
Dextroamphetamine saccharate, amphetamine aspartate, dextroamphetamine sulfate, and amphetamine sulfateDextroamphetamine saccharate 7.5 mg/1 + 3 more ingredientsTabletOralSun Pharmaceutical Industries, Inc.57664-647

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