NDC codes

FDA NDC Directory
Product NDC (as listed)63629-1977Labeler and product segments. Claims need a package NDC.
Product NDC at billing width63629-1977Add 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
63629-1977-163629197701100 CAPSULE, EXTENDED RELEASE in 1 BOTTLE (63629-1977-1)Marketed from Dec 21, 2021

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)
Dextroamphetamine Saccharate, Amphetamine Aspartate Monohydrate, Dextroamphetamine Sulfate and Amphetamine Sulfate
Generic name (nonproprietary)
dextroamphetamine saccharate, amphetamine aspartate monohydrate, dextroamphetamine sulfate and amphetamine sulfate
Active ingredients
Amphetamine sulfate — 7.5 mg/1Amphetamine aspartate monohydrate — 7.5 mg/1Dextroamphetamine sulfate — 7.5 mg/1Dextroamphetamine saccharate — 7.5 mg/1
Dosage form
Capsule, Extended release
Route
Oral
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 205401
Marketing start
Listing expires
DEA schedule
CII
Other FDA classes
Central Nervous System Stimulation (Physiologic effect)Central Nervous System Stimulation (Physiologic effect)Central Nervous System Stimulation (Physiologic effect)Central Nervous System Stimulation (Physiologic effect)
Identifiers
Product ID 63629-1977_f8a9e469-99c8-4003-a2d8-4064e042df86SPL ID f8a9e469-99c8-4003-a2d8-4064e042df86SPL set ID 2df1e78a-11c9-44eb-9173-767d2e8bc4b5RxCUI 861232UNII 6DPV8NK46S, O1ZPV620O4, JJ768O327N, G83415V073

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

N463629197701 followed by a unit qualifier and the quantity

Package 63629-1977-01. 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)

Dextroamphetamine saccharate, amphetamine aspartate monohydrate, dextroamphetamine sulfate, and amphetamine sulfate extended-release capsules, a CNS stimulant, are indicated for the treatment of attention deficit hyperactivity disorder (ADHD). ( 1 ) • Children (ages 6-12): Efficacy was established in one 3-week outpatient, controlled trial and one analogue classroom, controlled trial in children with ADHD. ( 14 ) • Adolescents (ages 13-17): Efficacy was established in one 4-week controlled trial in adolescents with ADHD. ( 14 ) • Adults: Efficacy was established in one 4-week controlled trial in adults with ADHD. ( 14 ) 1.1 Attention Deficit Hyperactivity Disorder Dextroamphetamine saccharat…

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under ANDA 205401

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

FDA NDC Directory listings under ANDA 205401
ProductStrengthForm · routeLabelerProduct NDC
Dextroamphetamine Saccharate, Amphetamine Aspartate Monohydrate, Dextroamphetamine Sulfate and Amphetamine SulfateAmphetamine sulfate 2.5 mg/1 + 3 more ingredientsCapsule, Extended releaseOralBryant Ranch Prepack72162-1378
Dextroamphetamine Saccharate, Amphetamine Aspartate Monohydrate, Dextroamphetamine Sulfate and Amphetamine SulfateAmphetamine sulfate 1.25 mg/1 + 3 more ingredientsCapsule, Extended releaseOralBryant Ranch Prepack72162-1377
Dextroamphetamine Saccharate, Amphetamine Aspartate Monohydrate, Dextroamphetamine Sulfate and Amphetamine SulfateAmphetamine sulfate 5 mg/1 + 3 more ingredientsCapsule, Extended releaseOralBryant Ranch Prepack72162-1379
Dextroamphetamine Saccharate, Amphetamine Aspartate Monohydrate, Dextroamphetamine Sulfate and Amphetamine SulfateAmphetamine sulfate 6.25 mg/1 + 3 more ingredientsCapsule, Extended releaseOralBryant Ranch Prepack72162-1380
Dextroamphetamine Saccharate, Amphetamine Aspartate Monohydrate, Dextroamphetamine Sulfate and Amphetamine SulfateAmphetamine sulfate 7.5 mg/1 + 3 more ingredientsCapsule, Extended releaseOralBryant Ranch Prepack72162-1381
Dextroamphetamine Saccharate, Amphetamine Aspartate Monohydrate, Dextroamphetamine Sulfate and Amphetamine SulfateAmphetamine sulfate 2.5 mg/1 + 3 more ingredientsCapsule, Extended releaseOralANI Pharmaceuticals, Inc.43975-278
Dextroamphetamine Saccharate, Amphetamine Aspartate Monohydrate, Dextroamphetamine Sulfate and Amphetamine SulfateAmphetamine sulfate 1.25 mg/1 + 3 more ingredientsCapsule, Extended releaseOralANI Pharmaceuticals, Inc.43975-277
Dextroamphetamine Saccharate, Amphetamine Aspartate Monohydrate, Dextroamphetamine Sulfate and Amphetamine SulfateAmphetamine sulfate 7.5 mg/1 + 3 more ingredientsCapsule, Extended releaseOralANI Pharmaceuticals, Inc.43975-282
Dextroamphetamine Saccharate, Amphetamine Aspartate Monohydrate, Dextroamphetamine Sulfate and Amphetamine SulfateAmphetamine sulfate 3.75 mg/1 + 3 more ingredientsCapsule, Extended releaseOralANI Pharmaceuticals, Inc.43975-279
Dextroamphetamine Saccharate, Amphetamine Aspartate Monohydrate, Dextroamphetamine Sulfate and Amphetamine SulfateAmphetamine sulfate 5 mg/1 + 3 more ingredientsCapsule, Extended releaseOralANI Pharmaceuticals, Inc.43975-280
Dextroamphetamine Saccharate, Amphetamine Aspartate Monohydrate, Dextroamphetamine Sulfate and Amphetamine SulfateAmphetamine sulfate 6.25 mg/1 + 3 more ingredientsCapsule, Extended releaseOralANI Pharmaceuticals, Inc.43975-281
Dextroamphetamine Saccharate, Amphetamine Aspartate Monohydrate, Dextroamphetamine Sulfate and Amphetamine SulfateAmphetamine sulfate 5 mg/1 + 3 more ingredientsCapsule, Extended releaseOralBryant Ranch Prepack63629-1975
Dextroamphetamine Saccharate, Amphetamine Aspartate Monohydrate, Dextroamphetamine Sulfate and Amphetamine SulfateAmphetamine sulfate 2.5 mg/1 + 3 more ingredientsCapsule, Extended releaseOralBryant Ranch Prepack63629-1973
Dextroamphetamine Saccharate, Amphetamine Aspartate Monohydrate, Dextroamphetamine Sulfate and Amphetamine SulfateAmphetamine sulfate 3.75 mg/1 + 3 more ingredientsCapsule, Extended releaseOralBryant Ranch Prepack63629-1974
Dextroamphetamine Saccharate, Amphetamine Aspartate Monohydrate, Dextroamphetamine Sulfate and Amphetamine SulfateAmphetamine sulfate 6.25 mg/1 + 3 more ingredientsCapsule, Extended releaseOralBryant Ranch Prepack63629-1976
Dextroamphetamine Saccharate, Amphetamine Aspartate Monohydrate, Dextroamphetamine Sulfate and Amphetamine SulfateAmphetamine sulfate 1.25 mg/1 + 3 more ingredientsCapsule, Extended releaseOralBryant Ranch Prepack63629-1978

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