NDC codes

FDA NDC Directory
Product NDC (as listed)59762-0119Labeler and product segments. Claims need a package NDC.
Product NDC at billing width59762-0119Add 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
59762-0119-15976201190160 TABLET, FILM COATED in 1 BOTTLE (59762-0119-1)Marketed from Mar 23, 2011

How the 11-digit form is made: The package segment has 1 digit, so one leading zero is added to it (5-4-1 → 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)
phenelzine sulfate
Generic name (nonproprietary)
phenelzine sulfate
Active ingredients
Phenelzine sulfate — 15 mg/1
Dosage form
Tablet, Film coated
Route
Oral
Product type
Prescription drug
Marketing category
NDA authorized genericApplication NDA 011909
Marketing start
Listing expires
Other FDA classes
Monoamine Oxidase Inhibitors (Mechanism)
Identifiers
Product ID 59762-0119_d7302106-710a-49a4-9ab4-2de28937306cSPL ID d7302106-710a-49a4-9ab4-2de28937306cSPL set ID fa041652-fdde-4794-a8d2-279dd309e075RxCUI 312347UNII 2681D7P965UPC 0359762011916
Pharmacologic class
Monoamine Oxidase 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

N459762011901 followed by a unit qualifier and the quantity

Package 59762-0119-01. 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)

INDICATIONS AND USAGE Phenelzine sulfate has been found to be effective in depressed patients clinically characterized as "atypical," "nonendogenous," or "neurotic." These patients often have mixed anxiety and depression and phobic or hypochondriacal features. There is less conclusive evidence of its usefulness with severely depressed patients with endogenous features. Phenelzine sulfate should rarely be the first antidepressant drug used. Rather, it is more suitable for use with patients who have failed to respond to the drugs more commonly used for these conditions.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under NDA 011909

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

FDA NDC Directory listings under NDA 011909
ProductStrengthForm · routeLabelerProduct NDC
Nardilphenelzine sulfatePhenelzine sulfate 15 mg/1Tablet, Film coatedOralParke-Davis Div of Pfizer Inc0071-0350

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