NDC codes

FDA NDC Directory
Product NDC (as listed)69367-415Labeler and product segments. Claims need a package NDC.
Product NDC at billing width69367-0415Add 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
69367-415-0169367041501100 TABLET, EXTENDED RELEASE in 1 BOTTLE (69367-415-01)Marketed from Nov 25, 2025

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)
Theophylline (Anhydrous)Suffix: (Anhydrous)
Generic name (nonproprietary)
theophylline anhydrous
Active ingredients
Theophylline anhydrous — 600 mg/1
Dosage form
Tablet, Extended release
Route
Oral
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 040560
Marketing start
Listing expires
Other FDA classes
Xanthines (Chemical structure)
Identifiers
Product ID 69367-415_46766222-63b4-478f-aa8b-a23b20476317SPL ID 46766222-63b4-478f-aa8b-a23b20476317SPL set ID 04f1d1da-ce61-45b3-acf4-903cc81d16daRxCUI 313291, 348472UNII 0I55128JYKUPC 0369367414012, 0369367415019
Pharmacologic class
Methylxanthine

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

N469367041501 followed by a unit qualifier and the quantity

Package 69367-0415-01. 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

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