Prescription drug · ANDA
Amitriptyline Hydrochloride NDC 70756-204
Amitriptyline hydrochloride 75 mg/1 · Tablet, Film coated · Oral · Lifestar Pharma LLC
NDC codes
FDA NDC Directory| Package NDC | 11-digit (billing) | Package | Copy |
|---|---|---|---|
| 70756-204-11 | 70756020411 | 100 TABLET, FILM COATED in 1 BOTTLE (70756-204-11)Marketed from Feb 23, 2021 |
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)
- Amitriptyline Hydrochloride
- Generic name (nonproprietary)
- amitriptyline hydrochloride
- Active ingredients
- Amitriptyline hydrochloride — 75 mg/1
- Dosage form
- Tablet, Film coated
- Route
- Oral
- Labeler
- Lifestar Pharma LLC
- Product type
- Prescription drug
- Marketing category
- ANDA — Abbreviated New Drug Application (generic)Application ANDA 213999
- Marketing start
- Listing expires
- Identifiers
- Product ID 70756-204_2595d2ab-fd5d-462c-82d4-656d20aa9415SPL ID 2595d2ab-fd5d-462c-82d4-656d20aa9415SPL set ID 67e31675-1da2-4acf-84ac-77522b02f0b9RxCUI 856762, 856773, 856783, 856834, 856845, 856853UNII 26LUD4JO9KUPC 0370756203124, 0370756206118
- 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
N470756020411followed by a unit qualifier and the quantityPackage 70756-0204-11. 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 213999
Products listed under the same FDA application: other strengths and forms, and repackagers who relabel the same product.
| Product | Strength | Form · route | Labeler | Product NDC |
|---|---|---|---|---|
| Amitriptyline Hydrochloride | Amitriptyline hydrochloride 25 mg/1 | Tablet, Film coatedOral | Northwind Health Company, LLC | 51655-969 |
| Amitriptyline Hydrochloride | Amitriptyline hydrochloride 10 mg/1 | Tablet, Film coatedOral | Northwind Health Company, LLC | 51655-084 |
| Amitriptyline Hydrochloride | Amitriptyline hydrochloride 10 mg/1 | Tablet, Film coatedOral | Lifestar Pharma LLC | 70756-201 |
| Amitriptyline Hydrochloride | Amitriptyline hydrochloride 25 mg/1 | Tablet, Film coatedOral | Lifestar Pharma LLC | 70756-202 |
| Amitriptyline Hydrochloride | Amitriptyline hydrochloride 50 mg/1 | Tablet, Film coatedOral | Lifestar Pharma LLC | 70756-203 |
| Amitriptyline Hydrochloride | Amitriptyline hydrochloride 100 mg/1 | Tablet, Film coatedOral | Lifestar Pharma LLC | 70756-205 |
| Amitriptyline Hydrochloride | Amitriptyline hydrochloride 150 mg/1 | Tablet, Film coatedOral | Lifestar Pharma LLC | 70756-206 |
| Amitriptyline Hydrochloride | Amitriptyline hydrochloride 50 mg/1 | Tablet, Film coatedOral | Northwind Health Company, LLC | 51655-334 |
| Amitriptyline HCL | Amitriptyline hydrochloride 150 mg/1 | Tablet, Film coatedOral | Direct_Rx | 72189-588 |
| Amitriptyline Hydrochloride | Amitriptyline hydrochloride 150 mg/1 | Tablet, Film coatedOral | Bryant Ranch Prepack | 71335-9710 |
| Amitriptyline Hydrochloride | Amitriptyline hydrochloride 25 mg/1 | Tablet, Film coatedOral | Coupler LLC | 67046-1669 |