NDC codes

FDA NDC Directory
Product NDC (as listed)42291-036Labeler and product segments. Claims need a package NDC.
Product NDC at billing width42291-0036Add 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
42291-036-904229100369090 CAPSULE in 1 BOTTLE (42291-036-90)Marketed from Jun 4, 2025

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
Active ingredients
Lisdexamfetamine dimesylate — 20 mg/1
Dosage form
Capsule
Route
Oral
Labeler
AvKARE
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 202830
Marketing start
Listing expires
DEA schedule
CII
Other FDA classes
Central Nervous System Stimulation (Physiologic effect)
Identifiers
Product ID 42291-036_36c401bd-e228-6fbd-e063-6394a90a5f1fSPL ID 36c401bd-e228-6fbd-e063-6394a90a5f1fSPL set ID 36c40404-fe94-6fb7-e063-6394a90a2657RxCUI 854830, 854834, 854838, 854842, 854846, 854850UNII SJT761GEGS

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

N442291003690 followed by a unit qualifier and the quantity

Package 42291-0036-90. 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: Pediatric patients with ADHD younger than 6 years of age experienced more long-term weight loss than patients 6 years and older [see Use in Specific Populations (8.4) ] . Lisdexamfetamine dimesylate capsules are not indicated or recommended for weight loss. Use of other sympathomimetic drugs for weight loss has been associated with serious cardiovascular adverse events. The safety and…

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under ANDA 202830

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

FDA NDC Directory listings under ANDA 202830
ProductStrengthForm · routeLabelerProduct NDC
Lisdexamfetamine DimesylatelisdexamfetamineLisdexamfetamine dimesylate 30 mg/1CapsuleOralAvKARE42291-037
Lisdexamfetamine DimesylatelisdexamfetamineLisdexamfetamine dimesylate 70 mg/1CapsuleOralAvKARE42291-041
Lisdexamfetamine DimesylatelisdexamfetamineLisdexamfetamine dimesylate 40 mg/1CapsuleOralAvKARE42291-038
Lisdexamfetamine DimesylatelisdexamfetamineLisdexamfetamine dimesylate 50 mg/1CapsuleOralAvKARE42291-039
Lisdexamfetamine DimesylatelisdexamfetamineLisdexamfetamine dimesylate 60 mg/1CapsuleOralAvKARE42291-040
Lisdexamfetamine DimesylatelisdexamfetamineLisdexamfetamine dimesylate 30 mg/1CapsuleOralAmneal Pharmaceuticals LLC65162-024
Lisdexamfetamine DimesylatelisdexamfetamineLisdexamfetamine dimesylate 20 mg/1CapsuleOralAmneal Pharmaceuticals LLC65162-023
Lisdexamfetamine DimesylatelisdexamfetamineLisdexamfetamine dimesylate 70 mg/1CapsuleOralAmneal Pharmaceuticals LLC65162-028
Lisdexamfetamine DimesylatelisdexamfetamineLisdexamfetamine dimesylate 40 mg/1CapsuleOralAmneal Pharmaceuticals LLC65162-025
Lisdexamfetamine DimesylatelisdexamfetamineLisdexamfetamine dimesylate 50 mg/1CapsuleOralAmneal Pharmaceuticals LLC65162-026
Lisdexamfetamine DimesylatelisdexamfetamineLisdexamfetamine dimesylate 60 mg/1CapsuleOralAmneal Pharmaceuticals LLC65162-027

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Lisdexamfetamine Dimesylate NDC 42291-036 | Med-Code