Zolmitriptan NDC 65841-767

NDC codes

FDA NDC Directory

Product NDC (as listed)65841-767Labeler and product segments. Claims need a package NDC.

Product NDC at billing width65841-0767Add 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
65841-767-01	65841076701	100 TABLET, ORALLY DISINTEGRATING in 1 BOTTLE (65841-767-01)Marketed from May 16, 2013
65841-767-06	65841076706	30 TABLET, ORALLY DISINTEGRATING in 1 BOTTLE (65841-767-06)Marketed from May 16, 2013
65841-767-10	65841076710	1000 TABLET, ORALLY DISINTEGRATING in 1 BOTTLE (65841-767-10)Marketed from May 16, 2013
65841-767-16	65841076716	90 TABLET, ORALLY DISINTEGRATING in 1 BOTTLE (65841-767-16)Marketed from May 16, 2013
65841-767-77	65841076777	10 BLISTER PACK in 1 CARTON (65841-767-77) / 10 TABLET, ORALLY DISINTEGRATING in 1 BLISTER PACK (65841-767-30)Marketed from May 16, 2013
65841-767-86	65841076786	1 BLISTER PACK in 1 CARTON (65841-767-86) / 6 TABLET, ORALLY DISINTEGRATING in 1 BLISTER PACK (65841-767-69)Marketed from May 16, 2013

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): Zolmitriptan
Generic name (nonproprietary): zolmitriptan
Active ingredients: Zolmitriptan — 2.5 mg/1
Dosage form: Tablet, Orally disintegrating
Route: Oral
Labeler: Zydus Lifesciences Limited
Product type: Prescription drug
Marketing category: ANDA — Abbreviated New Drug Application (generic)Application ANDA 202890
Marketing start: May 16, 2013
Listing expires: Dec 31, 2026
Other FDA classes: Serotonin 1b Receptor Agonists (Mechanism)Serotonin 1d Receptor Agonists (Mechanism)
Identifiers: Product ID 65841-767_31419037-52ae-41bb-a03e-8965205ab347SPL ID 31419037-52ae-41bb-a03e-8965205ab347SPL set ID aae2d9cb-9938-4032-961f-f0afd1958b5dRxCUI 284201, 351134UNII 2FS66TH3YWUPC 0365841768060
Pharmacologic class: Serotonin-1b and Serotonin-1d Receptor 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

N465841076701 followed by a unit qualifier and the quantity

Package 65841-0767-01. 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 Aug 14, 2024.

Full label on DailyMed (opens in a new tab)

Other NDCs under ANDA 202890

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

FDA NDC Directory listings under ANDA 202890
Product	Strength	Form · route	Labeler	Product NDC
Zolmitriptan	Zolmitriptan 5 mg/1	Tablet, Orally disintegratingOral	Zydus Lifesciences Limited	65841-768
Zolmitriptan	Zolmitriptan 2.5 mg/1	Tablet, Orally disintegratingOral	Zydus Pharmaceuticals USA Inc.	68382-715
Zolmitriptan	Zolmitriptan 5 mg/1	Tablet, Orally disintegratingOral	Zydus Pharmaceuticals USA Inc.	68382-717