NDC codes

FDA NDC Directory
Product NDC (as listed)59417-118Labeler and product segments. Claims need a package NDC.
Product NDC at billing width59417-0118Add 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
59417-118-0159417011801100 TABLET, CHEWABLE in 1 BOTTLE (59417-118-01)Marketed from Jan 28, 2017

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)
Vyvanse
Generic name (nonproprietary)
lisdexamfetamine dimesylate
Active ingredients
Lisdexamfetamine dimesylate — 40 mg/1
Dosage form
Tablet, Chewable
Route
Oral
Product type
Prescription drug
Marketing category
NDA — New Drug ApplicationApplication NDA 208510
Marketing start
Listing expires
DEA schedule
CII
Other FDA classes
Central Nervous System Stimulation (Physiologic effect)
Identifiers
Product ID 59417-118_81d087b6-4cb4-466a-9693-679edeb062e2SPL ID 81d087b6-4cb4-466a-9693-679edeb062e2SPL set ID 704e4378-ca83-445c-8b45-3cfa51c1ecadRxCUI 854830, 854832, 854834, 854836, 854838, 854840, 854842, 854844, 854846, 854848, 854850, 854852, 1593856, 1593858, 1871456, 1871459, 1871460, 1871461, 1871462, 1871463, 1871464, 1871465, 1871466, 1871467, 1871468, 1871469UNII 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

N459417011801 followed by a unit qualifier and the quantity

Package 59417-0118-01. 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 . This label includes a boxed warning.

Indications (excerpt from the label)

VYVANSE ® is 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) ] . VYVANSE is a central nervous system (CNS) stimulant indicated for the treatment of ( 1 ): Attention Deficit Hyperactivity Disorder (ADHD) in adults and pediatric patients 6 years and older Moderate to severe binge eating disorder (BED) in adults Limitations of Use : The use of VYVANSE is not recommended in pediatric patients younger than 6 years of age because they had higher plasma exposure and a higher incidence of adverse react…

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under NDA 208510

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

FDA NDC Directory listings under NDA 208510
ProductStrengthForm · routeLabelerProduct NDC
Vyvanselisdexamfetamine dimesylateLisdexamfetamine dimesylate 20 mg/1Tablet, ChewableOralTakeda Pharmaceuticals America, Inc.59417-116
Vyvanselisdexamfetamine dimesylateLisdexamfetamine dimesylate 10 mg/1Tablet, ChewableOralTakeda Pharmaceuticals America, Inc.59417-115
Vyvanselisdexamfetamine dimesylateLisdexamfetamine dimesylate 60 mg/1Tablet, ChewableOralTakeda Pharmaceuticals America, Inc.59417-120
Vyvanselisdexamfetamine dimesylateLisdexamfetamine dimesylate 30 mg/1Tablet, ChewableOralTakeda Pharmaceuticals America, Inc.59417-117
Vyvanselisdexamfetamine dimesylateLisdexamfetamine dimesylate 50 mg/1Tablet, ChewableOralTakeda Pharmaceuticals America, Inc.59417-119

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Vyvanse (lisdexamfetamine dimesylate) NDC 59417-118 | Med-Code