NDC codes

FDA NDC Directory
Product NDC (as listed)35573-467Labeler and product segments. Claims need a package NDC.
Product NDC at billing width35573-0467Add 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
35573-467-0235573046702100 CAPSULE, EXTENDED RELEASE in 1 BOTTLE (35573-467-02)Marketed from Dec 16, 2019

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 Monohydrate, Dextroamphetamine Sulfate, and Amphetamine Sulfate
Generic name (nonproprietary)
dextroamphetamine saccharate, amphetamine aspartate monohydrate, dextroamphetamine sulfate, and amphetamine sulfate
Active ingredients
Dextroamphetamine saccharate — 5 mg/1Dextroamphetamine sulfate — 5 mg/1Amphetamine aspartate monohydrate — 5 mg/1Amphetamine sulfate — 5 mg/1
Dosage form
Capsule, Extended release
Route
Oral
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 212037
Marketing start
Marketing end
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 35573-467_01fe666a-d04e-4dce-af71-8db45bbde653SPL ID 01fe666a-d04e-4dce-af71-8db45bbde653SPL set ID bcdd2fe2-d0de-4a28-aced-40ac9ce5122dRxCUI 861221, 861223, 861225, 861227, 861232, 861237UNII JJ768O327N, O1ZPV620O4, 6DPV8NK46S, G83415V073UPC 0335573466022, 0335573468026, 0335573467029

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

N435573046702 followed by a unit qualifier and the quantity

Package 35573-0467-02. 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

Current FDA label (SPL), effective . This label includes a boxed warning.

Indications (excerpt from the label)

Dextroamphetamine saccharate, amphetamine aspartate monohydrate, dextroamphetamine sulfate and amphetamine sulfate extended-release capsules, a CNS stimulant, is indicated for the treatment of attention deficit hyperactivity disorder (ADHD) in adults and pediatric patients 6 years and older. ( 1 ) 1.1 Attention Deficit Hyperactivity Disorder Dextroamphetamine saccharate, amphetamine aspartate monohydrate, dextroamphetamine sulfate and amphetamine sulfate extended-release capsules are indicated for the treatment of attention deficit hyperactivity disorder (ADHD) in adults and pediatric patients 6 years and older.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under ANDA 212037

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

FDA NDC Directory listings under ANDA 212037
ProductStrengthForm · routeLabelerProduct NDC
Dextroamphetamine Saccharate, Amphetamine Aspartate Monohydrate, Dextroamphetamine Sulfate, and Amphetamine SulfateDextroamphetamine saccharate 3.75 mg/1 + 3 more ingredientsCapsule, Extended releaseOralElite Laboratories, Inc.64850-512
Dextroamphetamine Saccharate, Amphetamine Aspartate Monohydrate, Dextroamphetamine Sulfate, and Amphetamine SulfateDextroamphetamine saccharate 1.25 mg/1 + 3 more ingredientsCapsule, Extended releaseOralElite Laboratories, Inc.64850-510
Dextroamphetamine Saccharate, Amphetamine Aspartate Monohydrate, Dextroamphetamine Sulfate, and Amphetamine SulfateDextroamphetamine saccharate 2.5 mg/1 + 3 more ingredientsCapsule, Extended releaseOralElite Laboratories, Inc.64850-511
Dextroamphetamine Saccharate, Amphetamine Aspartate Monohydrate, Dextroamphetamine Sulfate, and Amphetamine SulfateDextroamphetamine saccharate 7.5 mg/1 + 3 more ingredientsCapsule, Extended releaseOralElite Laboratories, Inc.64850-515
Dextroamphetamine Saccharate, Amphetamine Aspartate Monohydrate, Dextroamphetamine Sulfate, and Amphetamine SulfateDextroamphetamine saccharate 5 mg/1 + 3 more ingredientsCapsule, Extended releaseOralElite Laboratories, Inc.64850-513
Dextroamphetamine Saccharate, Amphetamine Aspartate Monohydrate, Dextroamphetamine Sulfate, and Amphetamine SulfateDextroamphetamine saccharate 6.25 mg/1 + 3 more ingredientsCapsule, Extended releaseOralElite Laboratories, Inc.64850-514
Dextroamphetamine Saccharate, Amphetamine Aspartate Monohydrate, Dextroamphetamine Sulfate, and Amphetamine SulfateDextroamphetamine saccharate 1.25 mg/1 + 3 more ingredientsCapsule, Extended releaseOralBurel Pharmaceuticals, LLC35573-464
Dextroamphetamine Saccharate, Amphetamine Aspartate Monohydrate, Dextroamphetamine Sulfate, and Amphetamine SulfateDextroamphetamine saccharate 6.25 mg/1 + 3 more ingredientsCapsule, Extended releaseOralBurel Pharmaceuticals, LLC35573-468
Dextroamphetamine Saccharate, Amphetamine Aspartate Monohydrate, Dextroamphetamine Sulfate, and Amphetamine SulfateDextroamphetamine saccharate 2.5 mg/1 + 3 more ingredientsCapsule, Extended releaseOralBurel Pharmaceuticals, LLC35573-465
Dextroamphetamine Saccharate, Amphetamine Aspartate Monohydrate, Dextroamphetamine Sulfate, and Amphetamine SulfateDextroamphetamine saccharate 3.75 mg/1 + 3 more ingredientsCapsule, Extended releaseOralBurel Pharmaceuticals, LLC35573-466
Dextroamphetamine Saccharate, Amphetamine Aspartate Monohydrate, Dextroamphetamine Sulfate, and Amphetamine SulfateDextroamphetamine saccharate 7.5 mg/1 + 3 more ingredientsCapsule, Extended releaseOralBurel Pharmaceuticals, LLC35573-469

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NDC 35573-467 | Med-Code