memantine hydrochloride NDC 31722-807

NDC codes

FDA NDC Directory

Product NDC (as listed)31722-807Labeler and product segments. Claims need a package NDC.

Product NDC at billing width31722-0807Add 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 NDC	11-digit (billing)	Package
31722-807-02	31722080702	200 TABLET in 1 BOTTLE (31722-807-02)Marketed from Sep 26, 2022
31722-807-32	31722080732	10 BLISTER PACK in 1 CARTON (31722-807-32) / 10 TABLET in 1 BLISTER PACKMarketed from Sep 26, 2022
31722-807-60	31722080760	60 TABLET in 1 BOTTLE (31722-807-60)Marketed from Sep 26, 2022

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): memantine hydrochloride
Generic name (nonproprietary): memantine hydrochloride
Active ingredients: Memantine hydrochloride — 5 mg/1
Dosage form: Tablet
Route: Oral
Labeler: Camber Pharmaceuticals, Inc.
Product type: Prescription drug
Marketing category: ANDA — Abbreviated New Drug Application (generic)Application ANDA 204389
Marketing start: Sep 26, 2022
Listing expires: Dec 31, 2026
Other FDA classes: NMDA Receptor Antagonists (Mechanism)
Identifiers: Product ID 31722-807_eabf0e61-425e-9c9f-e053-2a95a90ade8eSPL ID eabf0e61-425e-9c9f-e053-2a95a90ade8eSPL set ID 910827aa-5320-446c-8f66-3f17c0ee36d9RxCUI 996561, 996571UNII JY0WD0UA60UPC 0331722807609, 0331722808606
Pharmacologic class: N-methyl-D-aspartate Receptor Antagonist

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

N431722080702 followed by a unit qualifier and the quantity

Package 31722-0807-02. 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

Label details couldn’t be retrieved right now. Open the label on DailyMed.

Other NDCs under ANDA 204389

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

FDA NDC Directory listings under ANDA 204389
Product	Strength	Form · route	Labeler	Product NDC
memantine hydrochloride	Memantine hydrochloride 5 mg/1	TabletOral	A-S Medication Solutions	50090-7348
memantine hydrochloride	Memantine hydrochloride 10 mg/1	TabletOral	A-S Medication Solutions	50090-7356
memantine hydrochloride	Memantine hydrochloride 10 mg/1	TabletOral	Camber Pharmaceuticals, Inc.	31722-808