NDC codes

FDA NDC Directory
Product NDC (as listed)72789-442Labeler and product segments. Claims need a package NDC.
Product NDC at billing width72789-0442Add 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
72789-442-0172789044201100 TABLET, EXTENDED RELEASE in 1 BOTTLE, PLASTIC (72789-442-01)Marketed from Oct 16, 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)
Theophylline
Generic name (nonproprietary)
theophylline
Active ingredients
Theophylline anhydrous — 450 mg/1
Dosage form
Tablet, Extended release
Route
Oral
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 215312
Marketing start
Listing expires
Other FDA classes
Xanthines (Chemical structure)
Identifiers
Product ID 72789-442_57c5cb6d-297f-7b7c-e063-6294a90a93a9SPL ID 57c5cb6d-297f-7b7c-e063-6294a90a93a9SPL set ID 5e64036a-ee3e-42e7-9e59-881f88a4e298RxCUI 314241UNII 0I55128JYKUPC 0372789442013
Pharmacologic class
Methylxanthine

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

N472789044201 followed by a unit qualifier and the quantity

Package 72789-0442-01. 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)

INDICATIONS AND USAGE: Theophylline extended-release tablets are indicated for the treatment of the symptoms and reversible airflow obstruction associated with chronic asthma and other chronic lung diseases, e.g., emphysema and chronic bronchitis.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under ANDA 215312

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

FDA NDC Directory listings under ANDA 215312
ProductStrengthForm · routeLabelerProduct NDC
TheophyllineTheophylline anhydrous 300 mg/1Tablet, Extended releaseOralStrides Pharma Science Limited64380-243
TheophyllineTheophylline anhydrous 450 mg/1Tablet, Extended releaseOralStrides Pharma Science Limited64380-244
TheophyllineTheophylline anhydrous 300 mg/1Tablet, Extended releaseOralPD-Rx Pharmaceuticals, Inc.72789-441

Free account

Keep searching with a free account

You’ve used your 3 free searches for this session. Log in or create a free Med-Code account to keep looking up NDCs, J-codes and drugs.

Create a free accountLog in