NDC codes

FDA NDC Directory
Product NDC (as listed)72189-316Labeler and product segments. Claims need a package NDC.
Product NDC at billing width72189-0316Add 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
72189-316-187218903161818 TABLET in 1 BOTTLE (72189-316-18)Marketed from Jan 20, 2022

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)
Rizatriptan Benzoate
Generic name (nonproprietary)
rizatriptan benzoate
Active ingredients
Rizatriptan benzoate — 5 mg/1
Dosage form
Tablet
Route
Oral
Labeler
Direct Rx
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 203269
Marketing start
Listing expires
Other FDA classes
Serotonin 1b Receptor Agonists (Mechanism)Serotonin 1d Receptor Agonists (Mechanism)
Identifiers
Product ID 72189-316_2c3d1d1c-309d-23dd-e063-6294a90ac2efSPL ID 2c3d1d1c-309d-23dd-e063-6294a90ac2efSPL set ID d60560d5-8e52-099d-e053-2a95a90a20afRxCUI 312840UNII WR978S7QHH
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

N472189031618 followed by a unit qualifier and the quantity

Package 72189-0316-18. 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

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