NDC codes

FDA NDC Directory
Product NDC (as listed)71610-011Labeler and product segments. Claims need a package NDC.
Product NDC at billing width71610-0011Add 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
71610-011-18716100011183000 TABLET in 1 BOTTLE (71610-011-18)Marketed from Nov 15, 2017

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)
memantine hydrochloride
Generic name (nonproprietary)
memantine hydrochloride
Active ingredients
Memantine hydrochloride — 10 mg/1
Dosage form
Tablet
Route
Oral
Product type
Prescription drug
Marketing category
NDA — New Drug ApplicationApplication NDA 021487
Marketing start
Listing expires
Other FDA classes
NMDA Receptor Antagonists (Mechanism)
Identifiers
Product ID 71610-011_f384e3d8-d9fd-481c-b924-4bf98dfb5bdfSPL ID f384e3d8-d9fd-481c-b924-4bf98dfb5bdfSPL set ID c8f5c20b-4573-44c5-89fc-4da11b2e1fe1RxCUI 996561UNII JY0WD0UA60
Pharmacologic class
N-methyl-D-aspartate Receptor Antagonist

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

N471610001118 followed by a unit qualifier and the quantity

Package 71610-0011-18. 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)

Memantine hydrochloride is indicated for the treatment of moderate to severe dementia of the Alzheimer's type. Memantine HCl is an N-methyl-D-aspartate (NMDA) receptor antagonist indicated for the treatment of moderate to severe dementia of the Alzheimer's type. ( 1 )

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under NDA 021487

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

FDA NDC Directory listings under NDA 021487
ProductStrengthForm · routeLabelerProduct NDC
memantine hydrochlorideMemantine hydrochloride 10 mg/1TabletOralActavis Pharma, Inc.0591-3875
memantine hydrochloride—KitOralActavis Pharma, Inc.0591-3900
memantine hydrochlorideMemantine hydrochloride 5 mg/1TabletOralCardinal Health 107, LLC55154-2666
memantine hydrochlorideMemantine hydrochloride 10 mg/1TabletOralCardinal Health 107, LLC55154-2667
memantine hydrochlorideMemantine hydrochloride 5 mg/1TabletOralActavis Pharma, Inc.0591-3870

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