What is NDC 63187-403?

63187-403 is the product NDC for Mirtazapine, Mirtazapine 30 mg/1 tablet, film coated, listed with the FDA by Proficient Rx LP. It has 1 package NDC, shown above in 10- and 11-digit form.

Proficient Rx LP, NDC labeler code 63187. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.

What other NDCs exist for Mirtazapine?

138 other product NDCs are listed under this name.

Is there a related HCPCS / J-code?

Not in Med-Code's curated HCPCS directory.

Mirtazapine NDC 63187-403 | National Drug Code

NDC codes

FDA NDC Directory

Product NDC (as listed)63187-403Labeler and product segments. Claims need a package NDC.

Product NDC at billing width63187-0403Add 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	Copy
63187-403-60	63187040360	60 TABLET, FILM COATED in 1 BOTTLE (63187-403-60)Marketed from Jan 1, 2019

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): Mirtazapine
Generic name (nonproprietary): mirtazapine
Active ingredients: Mirtazapine — 30 mg/1
Dosage form: Tablet, Film coated
Route: Oral
Labeler: Proficient Rx LPNDC labeler code 63187
Product type: Prescription drug
Marketing category: ANDA — Abbreviated New Drug Application (generic)Application ANDA 076921
Marketing start: Aug 17, 2009
Listing expires: Dec 31, 2026
Identifiers: Product ID 63187-403_1b0a2717-1fd5-46a0-9e7c-8368f21575ccSPL ID 1b0a2717-1fd5-46a0-9e7c-8368f21575ccSPL set ID a96e0d95-1a7b-4588-923a-2169b5506203RxCUI 314111UNII A051Q2099Q

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

N463187040360 followed by a unit qualifier and the quantity

Package 63187-0403-60. 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 Jan 1, 2021. This label includes a boxed warning.

Indications (excerpt from the label)

INDICATIONS AND USAGE Mirtazapine tablets, USP are indicated for the treatment of major depressive disorder. The efficacy of mirtazapine in the treatment of major depressive disorder was established in 6-week controlled trials of outpatients whose diagnoses corresponded most closely to the Diagnostic and Statistical Manual of Mental Disorders-3rd edition (DSM-III) category of major depressive disorder (see CLINICAL PHARMACOLOGY ). A major depressive episode (DSM-IV) implies a prominent and relatively persistent (nearly every day for at least 2 weeks) depressed or dysphoric mood that usually interferes with daily functioning, and includes at least 5 of the following 9 symptoms: depressed mood…

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 63187-403

What is NDC 63187-403?: 63187-403 is the product NDC for Mirtazapine, Mirtazapine 30 mg/1 tablet, film coated, listed with the FDA by Proficient Rx LP. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?: Mirtazapine.
What is the active ingredient?: Mirtazapine.
Who is the labeler?: Proficient Rx LP, NDC labeler code 63187. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Mirtazapine?: 138 other product NDCs are listed under this name. See all Mirtazapine NDCs.
Is there a related HCPCS / J-code?: Not in Med-Code's curated HCPCS directory. See Billing references above.

Other finished products listed under the same name: strengths, forms and labelers.

Other Mirtazapine NDCs
Product	Strength	Form · route	Labeler	Product NDC	Package NDCs (11-digit)
Mirtazapine	Mirtazapine 15 mg/1	Tablet, Film coatedOral	Coupler LLC	67046-0319	67046-0319-03
Mirtazapine	Mirtazapine 15 mg/1	Tablet, Film coatedOral	Cardinal Health 107, LLC	55154-0280	55154-0280-00
Mirtazapine	Mirtazapine 7.5 mg/1	Tablet, Film coatedOral	Coupler LLC	67046-0625	67046-0625-03
Mirtazapine	Mirtazapine 45 mg/1	Tablet, Film coatedOral	Coupler LLC	67046-2024	67046-2024-03
Mirtazapine	Mirtazapine 7.5 mg/1	Tablet, Film coatedOral	NCS HealthCare of KY, LLC dba Vangard Labs	0615-8663	00615-8663-0500615-8663-39
Mirtazapine	Mirtazapine 7.5 mg/1	Tablet, Film coatedOral	ANI Pharmaceuticals, Inc.	70954-830	70954-0830-10
Mirtazapine	Mirtazapine 30 mg/1	Tablet, Film coatedOral	Coupler LLC	67046-0484	67046-0484-03
Mirtazapine	Mirtazapine 30 mg/1	Tablet, Film coatedOral	Coupler LLC	67046-0068	67046-0068-03
Mirtazapine	Mirtazapine 30 mg/1	Tablet, Film coatedOral	Safecor Health LLC	48433-077	48433-0077-20
Mirtazapine	Mirtazapine 15 mg/1	Tablet, Film coatedOral	Safecor Health LLC	48433-076	48433-0076-20

All 139 Mirtazapine NDCs

Other NDCs under ANDA 076921

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

FDA NDC Directory listings under ANDA 076921
Product	Strength	Form · route	Labeler	Product NDC
Mirtazapine	Mirtazapine 45 mg/1	Tablet, Film coatedOral	Aurolife Pharma LLC	13107-032
Mirtazapine	Mirtazapine 15 mg/1	Tablet, Film coatedOral	REMEDYREPACK INC.	70518-2453
Mirtazapine	Mirtazapine 30 mg/1	Tablet, Film coatedOral	REMEDYREPACK INC.	70518-1309
Mirtazapine	Mirtazapine 15 mg/1	Tablet, Film coatedOral	Advanced Rx Pharmacy of Tennessee, LLC	80425-0305
Mirtazapine	Mirtazapine 7.5 mg/1	Tablet, Film coatedOral	Coupler LLC	67046-0625
Mirtazapine	Mirtazapine 30 mg/1	Tablet, Film coatedOral	Aurolife Pharma LLC	13107-003
Mirtazapine	Mirtazapine 7.5 mg/1	Tablet, Film coatedOral	Aurolife Pharma LLC	13107-001
Mirtazapine	Mirtazapine 7.5 mg/1	Tablet, Film coatedOral	Rising Pharma Holdings, Inc.	57237-007
Mirtazapine	Mirtazapine 15 mg/1	Tablet, Film coatedOral	REMEDYREPACK INC.	70518-1397
Mirtazapine	Mirtazapine 7.5 mg/1	Tablet, Film coatedOral	Bryant Ranch Prepack	72162-2562
Mirtazapine	Mirtazapine 15 mg/1	Tablet, Film coatedOral	A-S Medication Solutions	50090-2140
Mirtazapine	Mirtazapine 45 mg/1	Tablet, Film coatedOral	Rising Pharma Holdings, Inc.	57237-010
Mirtazapine	Mirtazapine 15 mg/1	Tablet, Film coatedOral	Rising Pharma Holdings, Inc.	57237-008
Mirtazapine	Mirtazapine 15 mg/1	Tablet, Film coatedOral	Aurolife Pharma LLC	13107-031
Mirtazapine	Mirtazapine 30 mg/1	Tablet, Film coatedOral	Rising Pharma Holdings, Inc.	57237-009
Mirtazapine	Mirtazapine 30 mg/1	Tablet, Film coatedOral	Aurobindo Pharma Limited	65862-003
Mirtazapine	Mirtazapine 7.5 mg/1	Tablet, Film coatedOral	Aurobindo Pharma Limited	65862-001
Mirtazapine	Mirtazapine 45 mg/1	Tablet, Film coatedOral	REMEDYREPACK INC.	70518-2581
Mirtazapine	Mirtazapine 15 mg/1	Tablet, Film coatedOral	Bryant Ranch Prepack	71335-0664
Mirtazapine	Mirtazapine 15 mg/1	Tablet, Film coatedOral	Proficient Rx LP	71205-481

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