NDC codes

FDA NDC Directory
Product NDC (as listed)31722-351Labeler and product segments. Claims need a package NDC.
Product NDC at billing width31722-0351Add 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
31722-351-0131722035101100 CAPSULE in 1 BOTTLE (31722-351-01)Marketed from Sep 9, 2024

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)
Lisdexamfetamine Dimesylate
Generic name (nonproprietary)
lisdexamfetamine dimesylate
Active ingredients
Lisdexamfetamine dimesylate — 20 mg/1
Dosage form
Capsule
Route
Oral
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 217442
Marketing start
Listing expires
DEA schedule
CII
Other FDA classes
Central Nervous System Stimulation (Physiologic effect)
Identifiers
Product ID 31722-351_2e13240a-a704-4e8e-8fd7-58caab9b9035SPL ID 2e13240a-a704-4e8e-8fd7-58caab9b9035SPL set ID 20baa61e-be0b-41a3-a896-29e8ce8c4799RxCUI 854830, 854834, 854838, 854842, 854846, 854850, 1593856UNII SJT761GEGSUPC 0331722353014, 0331722352017, 0331722356015, 0331722351010, 0331722354011, 0331722350013, 0331722355018

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

N431722035101 followed by a unit qualifier and the quantity

Package 31722-0351-01. 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 are 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 capsules are no…

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under ANDA 217442

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

FDA NDC Directory listings under ANDA 217442
ProductStrengthForm · routeLabelerProduct NDC
Lisdexamfetamine DimesylateLisdexamfetamine dimesylate 10 mg/1CapsuleOralCamber Pharmaceuticals, Inc.31722-350
Lisdexamfetamine DimesylateLisdexamfetamine dimesylate 40 mg/1CapsuleOralCamber Pharmaceuticals, Inc.31722-353
Lisdexamfetamine DimesylateLisdexamfetamine dimesylate 30 mg/1CapsuleOralCamber Pharmaceuticals, Inc.31722-352
Lisdexamfetamine DimesylateLisdexamfetamine dimesylate 50 mg/1CapsuleOralCamber Pharmaceuticals, Inc.31722-354
Lisdexamfetamine DimesylateLisdexamfetamine dimesylate 60 mg/1CapsuleOralCamber Pharmaceuticals, Inc.31722-355
Lisdexamfetamine DimesylateLisdexamfetamine dimesylate 70 mg/1CapsuleOralCamber Pharmaceuticals, Inc.31722-356
Lisdexamfetamine DimesylateLisdexamfetamine dimesylate 20 mg/1CapsuleOralAmerican Health Packaging60687-896
Lisdexamfetamine DimesylateLisdexamfetamine dimesylate 30 mg/1CapsuleOralAmerican Health Packaging60687-907
Lisdexamfetamine DimesylateLisdexamfetamine dimesylate 40 mg/1CapsuleOralAmerican Health Packaging60687-918
Lisdexamfetamine DimesylateLisdexamfetamine dimesylate 50 mg/1CapsuleOralAmerican Health Packaging60687-929
Lisdexamfetamine DimesylateLisdexamfetamine dimesylate 60 mg/1CapsuleOralAmerican Health Packaging60687-940
Lisdexamfetamine DimesylateLisdexamfetamine dimesylate 70 mg/1CapsuleOralAmerican Health Packaging60687-951

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Lisdexamfetamine Dimesylate NDC 31722-351 | Med-Code