NDC codes

FDA NDC Directory
Product NDC (as listed)53746-169Labeler and product segments. Claims need a package NDC.
Product NDC at billing width53746-0169Add 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
53746-169-10537460169101000 TABLET, FILM COATED in 1 BOTTLE (53746-169-10)Marketed from Apr 30, 2015
53746-169-305374601693030 TABLET, FILM COATED in 1 BOTTLE (53746-169-30)Marketed from Apr 30, 2015
53746-169-605374601696060 TABLET, FILM COATED in 1 BOTTLE (53746-169-60)Marketed from Apr 30, 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)
Memantine hydrochloride
Generic name (nonproprietary)
memantine
Active ingredients
Memantine hydrochloride — 10 mg/1
Dosage form
Tablet, Film coated
Route
Oral
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 090041
Marketing start
Listing expires
Other FDA classes
NMDA Receptor Antagonists (Mechanism)
Identifiers
Product ID 53746-169_cf08de43-a887-40f3-a074-57ecc8d3093aSPL ID cf08de43-a887-40f3-a074-57ecc8d3093aSPL set ID 054069b5-7aac-4106-821f-ebf7fd531b4fRxCUI 996561, 996571UNII JY0WD0UA60UPC 0353746169105, 0353746169303, 0353746173300, 0353746173102
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

N453746016910 followed by a unit qualifier and the quantity

Package 53746-0169-10. 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)

Memantine hydrochloride tablets are indicated for the treatment of moderate to severe dementia of the Alzheimer’s type. Memantine hydrochloride tablets are an N-methyl-D-aspartate (NMDA) receptor antagonist indicated for the treatment of moderate to severe dementia of the Alzheimer’s type. (1)

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under ANDA 090041

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

FDA NDC Directory listings under ANDA 090041
ProductStrengthForm · routeLabelerProduct NDC
Memantine hydrochloridememantineMemantine hydrochloride 5 mg/1Tablet, Film coatedOralAmneal Pharmaceuticals of New York LLC53746-173
memantine hydrochloridememantineMemantine hydrochloride 10 mg/1Tablet, Film coatedOralAmneal Pharmaceuticals LLC65162-169
memantine hydrochloridememantineMemantine hydrochloride 5 mg/1Tablet, Film coatedOralAmneal Pharmaceuticals LLC65162-173

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