Memantine Hydrochloride NDC 55111-596

NDC codes

FDA NDC Directory

Product NDC (as listed)55111-596Labeler and product segments. Claims need a package NDC.

Product NDC at billing width55111-0596Add 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
55111-596-01	55111059601	100 TABLET, FILM COATED in 1 BOTTLE (55111-596-01)Marketed from Jul 11, 2015
55111-596-05	55111059605	500 TABLET, FILM COATED in 1 BOTTLE (55111-596-05)Marketed from Jul 11, 2015
55111-596-30	55111059630	30 TABLET, FILM COATED in 1 BOTTLE (55111-596-30)Marketed from Jul 11, 2015
55111-596-60	55111059660	60 TABLET, FILM COATED in 1 BOTTLE (55111-596-60)Marketed from Jul 11, 2015
55111-596-78	55111059678	10 BLISTER PACK in 1 CARTON (55111-596-78) / 10 TABLET, FILM COATED in 1 BLISTER PACKMarketed from Jul 11, 2015
55111-596-79	55111059679	1 BLISTER PACK in 1 CARTON (55111-596-79) / 10 TABLET, FILM COATED in 1 BLISTER PACKMarketed from Jul 11, 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 hydrochloride
Active ingredients: Memantine hydrochloride — 5 mg/1
Dosage form: Tablet, Film coated
Route: Oral
Labeler: Dr. Reddys Laboratories Limited
Product type: Prescription drug
Marketing category: ANDA — Abbreviated New Drug Application (generic)Application ANDA 090048
Marketing start: Jul 11, 2015
Listing expires: Dec 31, 2026
Other FDA classes: NMDA Receptor Antagonists (Mechanism)
Identifiers: Product ID 55111-596_998c5d15-8b47-fe20-82c5-98897caf80ebSPL ID 998c5d15-8b47-fe20-82c5-98897caf80ebSPL set ID a71e2482-5266-d03e-8b36-862afe78c9a4RxCUI 996561, 996571UNII JY0WD0UA60UPC 0355111596608
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

N455111059601 followed by a unit qualifier and the quantity

Package 55111-0596-01. 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 Feb 8, 2019.

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 is 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 090048

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

FDA NDC Directory listings under ANDA 090048
Product	Strength	Form · route	Labeler	Product NDC
Memantine	Memantine hydrochloride 5 mg/1	TabletOral	NCS HealthCare of KY, LLC dba Vangard Labs	0615-8192
Memantine Hydrochloride	Memantine hydrochloride 5 mg/1	Tablet, Film coatedOral	Cardinal Health 107, LLC	55154-4151
Memantine	Memantine hydrochloride 5 mg/1	TabletOral	American Health Packaging	60687-173
Memantine	Memantine hydrochloride 10 mg/1	TabletOral	American Health Packaging	60687-184
Memantine	Memantine hydrochloride 5 mg/1	TabletOral	NorthStar RxLLC	72603-118
Memantine	Memantine hydrochloride 10 mg/1	TabletOral	NorthStar RxLLC	72603-119
Memantine Hydrochloride	Memantine hydrochloride 5 mg/1	Tablet, Film coatedOral	Major Pharmaceuticals	0904-6505
Memantine Hydrochloride	Memantine hydrochloride 10 mg/1	Tablet, Film coatedOral	Major Pharmaceuticals	0904-6506
Memantine Hydrochloride	Memantine hydrochloride 10 mg/1	Tablet, Film coatedOral	Dr. Reddys Laboratories Limited	55111-597
Memantine	Memantine hydrochloride 10 mg/1	TabletOral	NCS HealthCare of KY, LLC dba Vangard Labs	0615-8319
Memantine Hydrochloride	Memantine hydrochloride 10 mg/1	Tablet, Film coatedOral	Cardinal Health 107, LLC	55154-7637