NDC codes

FDA NDC Directory
Product NDC (as listed)72205-136Labeler and product segments. Claims need a package NDC.
Product NDC at billing width72205-0136Add 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
72205-136-9172205013691100 TABLET, CHEWABLE in 1 BOTTLE (72205-136-91)Marketed from Feb 17, 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)
Lisdexamfetamine dimesylate
Generic name (nonproprietary)
lisdexamfetamine dimesylate
Active ingredients
Lisdexamfetamine dimesylate — 50 mg/1
Dosage form
Tablet, Chewable
Route
Oral
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 218306
Marketing start
Listing expires
DEA schedule
CII
Other FDA classes
Central Nervous System Stimulation (Physiologic effect)
Identifiers
Product ID 72205-136_a79cb70c-0bfa-4d68-9a21-a5ef4bc3c811SPL ID a79cb70c-0bfa-4d68-9a21-a5ef4bc3c811SPL set ID a79cb70c-0bfa-4d68-9a21-a5ef4bc3c811RxCUI 1871456, 1871460, 1871462, 1871464, 1871466, 1871468UNII SJT761GEGSUPC 0372205133914, 0372205137912, 0372205135918, 0372205134911, 0372205136915, 0372205132917

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

N472205013691 followed by a unit qualifier and the quantity

Package 72205-0136-91. 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)

Lisdexamfetamine dimesylate chewable tablets are indicated for the treatment of: Attention Deficit Hyperactivity Disorder (ADHD) in adults and pediatric patients 6 years and older [ see Clinical Studies (14.1) ] Moderate to severe binge eating disorder (BED) in adults [ see Clinical Studies (14.2) ]. Limitations of Use : Pediatric patients with ADHD younger than 6 years of age experienced more long-term weight loss than patients 6 years and older [ see Use in Specific Populations (8.4) ] . Lisdexamfetamine dimesylate chewable tablets are not indicated or recommended for weight loss. Use of other sympathomimetic drugs for weight loss has been associated with serious cardiovascular adverse eve…

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under ANDA 218306

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

FDA NDC Directory listings under ANDA 218306
ProductStrengthForm · routeLabelerProduct NDC
Lisdexamfetamine dimesylateLisdexamfetamine dimesylate 10 mg/1Tablet, ChewableOralNovadoz Pharmaceuticals LLC72205-132
Lisdexamfetamine dimesylateLisdexamfetamine dimesylate 20 mg/1Tablet, ChewableOralNovadoz Pharmaceuticals LLC72205-133
Lisdexamfetamine dimesylateLisdexamfetamine dimesylate 30 mg/1Tablet, ChewableOralNovadoz Pharmaceuticals LLC72205-134
Lisdexamfetamine dimesylateLisdexamfetamine dimesylate 40 mg/1Tablet, ChewableOralNovadoz Pharmaceuticals LLC72205-135
Lisdexamfetamine dimesylateLisdexamfetamine dimesylate 60 mg/1Tablet, ChewableOralNovadoz Pharmaceuticals LLC72205-137

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