NDC codes

FDA NDC Directory
Product NDC (as listed)72865-121Labeler and product segments. Claims need a package NDC.
Product NDC at billing width72865-0121Add 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
72865-121-0172865012101100 TABLET in 1 BOTTLE (72865-121-01)Marketed from Jan 3, 2019

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)
Methadone Hydrochloride
Generic name (nonproprietary)
methadone hydrochloride
Active ingredients
Methadone hydrochloride — 10 mg/1
Dosage form
Tablet
Route
Oral
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 211228
Marketing start
Listing expires
DEA schedule
CII
Other FDA classes
Full Opioid Agonists (Mechanism)
Identifiers
Product ID 72865-121_639b24e8-927d-46ef-82f8-914a10528f21SPL ID 639b24e8-927d-46ef-82f8-914a10528f21SPL set ID 1a536622-dda3-41af-ab08-28e7c1bc9300RxCUI 864706, 864718UNII 229809935BUPC 0372865121016, 0372865120019
Pharmacologic class
Opioid 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

N472865012101 followed by a unit qualifier and the quantity

Package 72865-0121-01. 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 . This label includes a boxed warning.

Indications (excerpt from the label)

Methadone hydrochloride tablets are indicated for the: 1. Management of severe and persistent pain that requires an extended treatment period with a daily opioid analgesic and for which alternative treatment options are inadequate. Limitations of Use Because of the risks of addiction, abuse, and misuse with opioids, which can occur at any dosage or duration [see Warnings and Precautions (5.1)] , reserve methadone hydrochloride tablets for use in patients for whom alternative analgesic treatment options (e.g., non-opioid analgesics or opioid combination products) are ineffective, not tolerated, or would be otherwise inadequate to provide sufficient management of pain. Methadone hydrochloride …

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under ANDA 211228

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

FDA NDC Directory listings under ANDA 211228
ProductStrengthForm · routeLabelerProduct NDC
Methadone HydrochlorideMethadone hydrochloride 10 mg/1TabletOralAmerican Health Packaging60687-910
Methadone HydrochlorideMethadone hydrochloride 5 mg/1TabletOralXLCare Pharmaceuticals, Inc72865-120
Methadone HydrochlorideMethadone hydrochloride 5 mg/1TabletOralCamber Pharmaceuticals, Inc31722-946
Methadone HydrochlorideMethadone hydrochloride 10 mg/1TabletOralCamber Pharmaceuticals, Inc31722-947

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