NDC codes

FDA NDC Directory
Product NDC (as listed)63629-3204Labeler and product segments. Claims need a package NDC.
Product NDC at billing width63629-3204Add 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
63629-3204-16362932040130 CAPSULE in 1 BOTTLE (63629-3204-1)Marketed from Aug 16, 2006
63629-3204-26362932040260 CAPSULE in 1 BOTTLE (63629-3204-2)Marketed from Oct 13, 2008
63629-3204-36362932040390 CAPSULE in 1 BOTTLE (63629-3204-3)Marketed from Nov 18, 2013
63629-3204-463629320404100 CAPSULE in 1 BOTTLE (63629-3204-4)Marketed from Dec 22, 2021
63629-3204-563629320405120 CAPSULE in 1 BOTTLE (63629-3204-5)Marketed from May 10, 2011
63629-3204-66362932040615 CAPSULE in 1 BOTTLE (63629-3204-6)Marketed from Jun 13, 2014

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)
Nortriptyline Hydrochloride
Generic name (nonproprietary)
nortriptyline hydrochloride
Active ingredients
Nortriptyline hydrochloride — 10 mg/1
Dosage form
Capsule
Route
Oral
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 074132
Marketing start
Listing expires
Identifiers
Product ID 63629-3204_7d1dd83e-d7a4-4349-bcc8-a3e05aad53afSPL ID 7d1dd83e-d7a4-4349-bcc8-a3e05aad53afSPL set ID 43a81887-42b8-43b5-b58a-3f3df2e9949bRxCUI 198045UNII 00FN6IH15D
Pharmacologic class
Tricyclic Antidepressant

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

N463629320401 followed by a unit qualifier and the quantity

Package 63629-3204-01. 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

Label details couldn’t be retrieved right now. Open the label on DailyMed.

Other NDCs under ANDA 074132

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

FDA NDC Directory listings under ANDA 074132
ProductStrengthForm · routeLabelerProduct NDC
Nortriptyline HydrochlorideNortriptyline hydrochloride 25 mg/1CapsuleOralAphena Pharma Solutions - Tennessee, LLC71610-785
Nortriptyline HydrochlorideNortriptyline hydrochloride 10 mg/1CapsuleOralAmerican Health Packaging60687-900
Nortriptyline HydrochlorideNortriptyline hydrochloride 25 mg/1CapsuleOralAmerican Health Packaging60687-911
Nortriptyline HydrochlorideNortriptyline hydrochloride 25 mg/1CapsuleOralDirect Rx61919-171
Nortriptyline HydrochlorideNortriptyline hydrochloride 50 mg/1CapsuleOralProficient Rx LP63187-759
Nortriptyline HydrochlorideNortriptyline hydrochloride 25 mg/1CapsuleOralREMEDYREPACK INC.70518-3920
Nortriptyline HydrochlorideNortriptyline hydrochloride 10 mg/1CapsuleOralA-S Medication Solutions50090-7174
Nortriptyline HydrochlorideNortriptyline hydrochloride 10 mg/1CapsuleOralDirect Rx61919-435
Nortriptyline HydrochlorideNortriptyline hydrochloride 75 mg/1CapsuleOralProficient Rx LP63187-809
Nortriptyline HydrochlorideNortriptyline hydrochloride 10 mg/1CapsuleOralREMEDYREPACK INC.70518-4017
Nortriptyline HydrochlorideNortriptyline hydrochloride 75 mg/1CapsuleOralBryant Ranch Prepack71335-0065
Nortriptyline HydrochlorideNortriptyline hydrochloride 50 mg/1CapsuleOralBryant Ranch Prepack63629-4276
Nortriptyline HydrochlorideNortriptyline hydrochloride 50 mg/1CapsuleOralA-S Medication Solutions50090-1322
Nortriptyline HydrochlorideNortriptyline hydrochloride 10 mg/1CapsuleOralProficient Rx LP71205-770
Nortriptyline HydrochlorideNortriptyline hydrochloride 10 mg/1CapsuleOralTeva Pharmaceuticals USA, Inc.0093-0810
Nortriptyline HydrochlorideNortriptyline hydrochloride 25 mg/1CapsuleOralTeva Pharmaceuticals USA, Inc.0093-0811
Nortriptyline HydrochlorideNortriptyline hydrochloride 25 mg/1CapsuleOralProficient Rx LP71205-254
Nortriptyline HydrochlorideNortriptyline hydrochloride 25 mg/1CapsuleOralCoupler LLC67046-1661
Nortriptyline HydrochlorideNortriptyline hydrochloride 50 mg/1CapsuleOralTeva Pharmaceuticals USA, Inc.0093-0812
Nortriptyline HydrochlorideNortriptyline hydrochloride 75 mg/1CapsuleOralTeva Pharmaceuticals USA, Inc.0093-0813

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