NDC codes

FDA NDC Directory
Product NDC (as listed)31722-738Labeler and product segments. Claims need a package NDC.
Product NDC at billing width31722-0738Add 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
31722-738-0131722073801100 TABLET in 1 BOTTLE (31722-738-01)Marketed from Feb 2, 2015
31722-738-0531722073805500 TABLET in 1 BOTTLE (31722-738-05)Marketed from Feb 2, 2015
31722-738-303172207383030 TABLET in 1 BOTTLE (31722-738-30)Marketed from Feb 2, 2015
31722-738-3131722073831100 TABLET in 1 BLISTER PACK (31722-738-31)Marketed from Feb 2, 2015
31722-738-903172207389090 TABLET in 1 BOTTLE (31722-738-90)Marketed from Feb 2, 2015

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)
Donepezil
Generic name (nonproprietary)
donepezil hydrochloride
Active ingredients
Donepezil hydrochloride — 10 mg/1
Dosage form
Tablet
Route
Oral
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 203034
Marketing start
Listing expires
Other FDA classes
Cholinesterase Inhibitors (Mechanism)
Identifiers
Product ID 31722-738_2b1d0795-adc8-39e4-e063-6294a90a91cbSPL ID 2b1d0795-adc8-39e4-e063-6294a90a91cbSPL set ID 11ac01f4-d26e-47b2-9660-d514ab097fdbRxCUI 997223, 997229UNII 3O2T2PJ89DUPC 0331722737302, 0331722738309
Pharmacologic class
Cholinesterase Inhibitor

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

N431722073801 followed by a unit qualifier and the quantity

Package 31722-0738-01. 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 .

Indications (excerpt from the label)

Donepezil hydrochloride tablets are indicated for the treatment of dementia of the Alzheimer’s type. Efficacy has been demonstrated in patients with mild, moderate, and severe Alzheimer’s disease. Donepezil hydrochloride tablet, is an acetylcholinesterase inhibitor indicated for the treatment of dementia of the Alzheimer’s type. Efficacy has been demonstrated in patients with mild, moderate, and severe Alzheimer’s Disease ( 1 ).

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under ANDA 203034

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

FDA NDC Directory listings under ANDA 203034
ProductStrengthForm · routeLabelerProduct NDC
Donepezildonepezil hydrochlorideDonepezil hydrochloride 5 mg/1TabletOralQuallent Pharmaceuticals Health LLC82009-119
Donepezildonepezil hydrochlorideDonepezil hydrochloride 10 mg/1TabletOralQuallent Pharmaceuticals Health LLC82009-120
Donepezildonepezil hydrochlorideDonepezil hydrochloride 10 mg/1TabletOralAmerican Health Packaging60687-303
Donepezildonepezil hydrochlorideDonepezil hydrochloride 5 mg/1TabletOralAmerican Health Packaging60687-292
Donepezildonepezil hydrochlorideDonepezil hydrochloride 5 mg/1TabletOralREMEDYREPACK INC.70518-4380
Donepezildonepezil hydrochlorideDonepezil hydrochloride 10 mg/1TabletOralA-S Medication Solutions50090-2627
Donepezildonepezil hydrochlorideDonepezil hydrochloride 5 mg/1TabletOralCamber Pharmaceuticals, Inc.31722-737

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