NDC codes

FDA NDC Directory
Product NDC (as listed)63629-5042Labeler and product segments. Claims need a package NDC.
Product NDC at billing width63629-5042Add 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
63629-5042-16362950420130 TABLET in 1 BOTTLE (63629-5042-1)Marketed from Jul 16, 2013
63629-5042-26362950420260 TABLET in 1 BOTTLE (63629-5042-2)Marketed from Sep 10, 2013

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)
Pramipexole Dihydrochloride
Generic name (nonproprietary)
pramipexole dihydrochloride
Active ingredients
Pramipexole dihydrochloride — .125 mg/1
Dosage form
Tablet
Route
Oral
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 090865
Marketing start
Listing expires
Other FDA classes
Dopamine Agonists (Mechanism)
Identifiers
Product ID 63629-5042_c2a84c54-b4d7-4989-9bb9-21a523d0a938SPL ID c2a84c54-b4d7-4989-9bb9-21a523d0a938SPL set ID bd0f7ae1-11ef-4fab-894f-c4c59f75aa99RxCUI 859033UNII 3D867NP06J
Pharmacologic class
Nonergot Dopamine Agonist

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

N463629504201 followed by a unit qualifier and the quantity

Package 63629-5042-01. 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 .

Indications (excerpt from the label)

Pramipexole dihydrochloride tablets are non-ergot dopamine agonist indicated for the treatment of: Parkinson's disease (PD) ( 1.1 ) Moderate-to-severe primary Restless Legs Syndrome (RLS) ( 1.2 ) 1.1 Parkinson’s Disease Pramipexole dihydrochloride tablets are indicated for the treatment of Parkinson's disease. 1.2 Restless Legs Syndrome Pramipexole dihydrochloride tablets are indicated for the treatment of moderate-to-severe primary Restless Legs Syndrome (RLS).

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under ANDA 090865

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

FDA NDC Directory listings under ANDA 090865
ProductStrengthForm · routeLabelerProduct NDC
Pramipexole DihydrochloridePramipexole dihydrochloride .75 mg/1TabletOralTorrent Pharmaceuticals Limited13668-184
Pramipexole DihydrochloridePramipexole dihydrochloride .25 mg/1TabletOralAmerican Health Packaging60687-570
Pramipexole DihydrochloridePramipexole dihydrochloride .5 mg/1TabletOralAmerican Health Packaging60687-581
Pramipexole DihydrochloridePramipexole dihydrochloride 1 mg/1TabletOralAmerican Health Packaging60687-592
Pramipexole DihydrochloridePramipexole dihydrochloride 1 mg/1TabletOralBryant Ranch Prepack71335-2167
Pramipexole DihydrochloridePramipexole dihydrochloride .25 mg/1TabletOralBryant Ranch Prepack63629-5013
Pramipexole DihydrochloridePramipexole dihydrochloride .5 mg/1TabletOralBryant Ranch Prepack71335-0584
Pramipexole DihydrochloridePramipexole dihydrochloride .75 mg/1TabletOralBryant Ranch Prepack72162-2569
Pramipexole DihydrochloridePramipexole dihydrochloride 1.5 mg/1TabletOralA-S Medication Solutions50090-7816
Pramipexole DihydrochloridePramipexole dihydrochloride .25 mg/1TabletOralMajor Pharmaceuticals0904-6704
Pramipexole DihydrochloridePramipexole dihydrochloride .25 mg/1TabletOralTorrent Pharmaceuticals Limited13668-092
Pramipexole DihydrochloridePramipexole dihydrochloride .125 mg/1TabletOralTorrent Pharmaceuticals Limited13668-091
Pramipexole DihydrochloridePramipexole dihydrochloride .5 mg/1TabletOralTorrent Pharmaceuticals Limited13668-093
Pramipexole DihydrochloridePramipexole dihydrochloride 1 mg/1TabletOralTorrent Pharmaceuticals Limited13668-094
Pramipexole DihydrochloridePramipexole dihydrochloride 1.5 mg/1TabletOralTorrent Pharmaceuticals Limited13668-095

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