NDC codes

FDA NDC Directory
Product NDC (as listed)55111-302Labeler and product segments. Claims need a package NDC.
Product NDC at billing width55111-0302Add 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
55111-302-305511103023030 TABLET, FILM COATED in 1 BOTTLE (55111-302-30)Marketed from Aug 20, 2025
55111-302-905511103029090 TABLET, FILM COATED in 1 BOTTLE (55111-302-90)Marketed from Aug 20, 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)
Donepezil hydrochloride
Generic name (nonproprietary)
donepezil hydrochloride
Active ingredients
Donepezil hydrochloride — 23 mg/1
Dosage form
Tablet, Film coated
Route
Oral
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 202723
Marketing start
Listing expires
Other FDA classes
Cholinesterase Inhibitors (Mechanism)
Identifiers
Product ID 55111-302_0df6bfb2-4604-2035-9677-06c125e77bb9SPL ID 0df6bfb2-4604-2035-9677-06c125e77bb9SPL set ID 7c0d3bcb-157d-0414-64ee-055bc614d190RxCUI 1100184UNII 3O2T2PJ89DUPC 0355111302308
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

N455111030230 followed by a unit qualifier and the quantity

Package 55111-0302-30. 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 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)

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