NDC codes

FDA NDC Directory
Product NDC (as listed)72189-581Labeler and product segments. Claims need a package NDC.
Product NDC at billing width72189-0581Add 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
72189-581-307218905813030 TABLET in 1 BOTTLE (72189-581-30)Marketed from Sep 19, 2024

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 HCL
Generic name (nonproprietary)
amitriptyline hcl
Active ingredients
Amitriptyline hydrochloride — 100 mg/1
Dosage form
Tablet
Route
Oral
Labeler
Direct_rx
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 217411
Marketing start
Listing expires
Identifiers
Product ID 72189-581_227affe9-36ef-2423-e063-6394a90a58f6SPL ID 227affe9-36ef-2423-e063-6394a90a58f6SPL set ID 227affe9-36ee-2423-e063-6394a90a58f6RxCUI 856762UNII 26LUD4JO9K
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

N472189058130 followed by a unit qualifier and the quantity

Package 72189-0581-30. 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 . This label includes a boxed warning.

Indications (excerpt from the label)

For the relief of symptoms of depression. Endogenous depression is more likely to be alleviated than are other depressive states.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under ANDA 217411

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

FDA NDC Directory listings under ANDA 217411
ProductStrengthForm · routeLabelerProduct NDC
Amitriptyline HydrochlorideAmitriptyline hydrochloride 10 mg/1TabletOralRising Pharma Holdings, Inc.16571-105
Amitriptyline HydrochlorideAmitriptyline hydrochloride 50 mg/1TabletOralAdvanced Rx of Tennessee, LLC80425-0434
Amitriptyline HydrochlorideAmitriptyline hydrochloride 100 mg/1TabletOralAdvanced Rx of Tennessee, LLC80425-0439
Amitriptyline HydrochlorideAmitriptyline hydrochloride 75 mg/1TabletOralPreferred Pharmaceuticals Inc.68788-8788
Amitriptyline HydrochlorideAmitriptyline hydrochloride 25 mg/1TabletOralST. MARY'S MEDICAL PARK PHARMACY60760-685
Amitriptyline HydrochlorideAmitriptyline hydrochloride 50 mg/1TabletOralST. MARY'S MEDICAL PARK PHARMACY60760-686
Amitriptyline HydrochlorideAmitriptyline hydrochloride 100 mg/1TabletOralBryant Ranch Prepack71335-2374
Amitriptyline HydrochlorideAmitriptyline hydrochloride 100 mg/1TabletOralRising Pharma Holdings, Inc.16571-109
Amitriptyline HydrochlorideAmitriptyline hydrochloride 25 mg/1TabletOralBryant Ranch Prepack71335-2397
Amitriptyline HydrochlorideAmitriptyline hydrochloride 150 mg/1TabletOralRising Pharma Holdings, Inc.16571-110
Amitriptyline HydrochlorideAmitriptyline hydrochloride 75 mg/1TabletOralBryant Ranch Prepack71335-2398
Amitriptyline HydrochlorideAmitriptyline hydrochloride 100 mg/1TabletOralST. MARY'S MEDICAL PARK PHARMACY60760-732
Amitriptyline HydrochlorideAmitriptyline hydrochloride 25 mg/1TabletOralNuCare Pharmaceuticals, Inc.68071-3656
Amitriptyline HydrochlorideAmitriptyline hydrochloride 100 mg/1TabletOralPreferred Pharmaceuticals Inc.68788-4052
Amitriptyline HydrochlorideAmitriptyline hydrochloride 50 mg/1TabletOralBryant Ranch Prepack71335-2491
Amitriptyline HydrochlorideAmitriptyline hydrochloride 50 mg/1TabletOralREMEDYREPACK INC.70518-4048
Amitriptyline HydrochlorideAmitriptyline hydrochloride 75 mg/1TabletOralRising Pharma Holdings, Inc.16571-108
Amitriptyline HydrochlorideAmitriptyline hydrochloride 25 mg/1TabletOralRising Pharma Holdings, Inc.16571-106
Amitriptyline HydrochlorideAmitriptyline hydrochloride 50 mg/1TabletOralRising Pharma Holdings, Inc.16571-107
Amitriptyline HydrochlorideAmitriptyline hydrochloride 100 mg/1TabletOralREMEDYREPACK INC.70518-4054

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