NDC codes

FDA NDC Directory
Product NDC (as listed)63629-2368Labeler and product segments. Claims need a package NDC.
Product NDC at billing width63629-2368Add 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
63629-2368-16362923680130 TABLET in 1 BOTTLE (63629-2368-1)Marketed from Apr 22, 2004

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)
Mirtazapine
Generic name (nonproprietary)
mirtazapine
Active ingredients
Mirtazapine — 30 mg/1
Dosage form
Tablet
Route
Oral
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 076541
Marketing start
Listing expires
Identifiers
Product ID 63629-2368_3204d175-0c96-44c1-8487-c8cddede729bSPL ID 3204d175-0c96-44c1-8487-c8cddede729bSPL set ID 3bb242b0-42ed-471a-b3c4-5ded1e292e80RxCUI 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

N463629236801 followed by a unit qualifier and the quantity

Package 63629-2368-01. 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)

Mirtazapine tablets are indicated for the treatment of major depressive disorder (MDD) in adults [see Clinical Studies (14) ]. Mirtazapine tablets are indicated for the treatment of major depressive disorder (MDD) in adults. (1)

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under ANDA 076541

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

FDA NDC Directory listings under ANDA 076541
ProductStrengthForm · routeLabelerProduct NDC
MirtazapineMirtazapine 15 mg/1TabletOralSun Pharmaceutical Industries, Inc.57664-499
MirtazapineMirtazapine 30 mg/1TabletOralAphena Pharma Solutions - Tennessee, LLC71610-713
MirtazapineMirtazapine 30 mg/1TabletOralSun Pharmaceutical Industries, Inc.57664-500
MirtazapineMirtazapine 45 mg/1TabletOralSun Pharmaceutical Industries, Inc.57664-501
MirtazapineMirtazapine 7.5 mg/1TabletOralSun Pharmaceutical Industries, Inc.57664-510
MirtazapineMirtazapine 30 mg/1TabletOralBryant Ranch Prepack71335-0441
MirtazapineMirtazapine 15 mg/1TabletOralBryant Ranch Prepack71335-0286
MirtazapineMirtazapine 30 mg/1TabletOralREMEDYREPACK INC.70518-4548
MirtazapineMirtazapine 30 mg/1TabletOralBryant Ranch Prepack71335-2963
MirtazapineMirtazapine 15 mg/1TabletOralBryant Ranch Prepack63629-2366
MirtazapineMirtazapine 7.5 mg/1TabletOralAvKARE42291-494
MirtazapineMirtazapine 15 mg/1TabletOralBryant Ranch Prepack63629-2367
MirtazapineMirtazapine 15 mg/1TabletOralBryant Ranch Prepack72162-1639
MirtazapineMirtazapine 30 mg/1TabletOralBryant Ranch Prepack72162-1640

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