Prescription drug · ANDA

Nortriptyline Hydrochloride NDC 76420-913

Nortriptyline hydrochloride 75 mg/1 · Capsule · Oral · Asclemed USA, Inc.

NDC codes

FDA NDC Directory
Product NDC (as listed)76420-913Labeler and product segments. Claims need a package NDC.
Product NDC at billing width76420-0913Add 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
76420-913-0176420091301100 CAPSULE in 1 BOTTLE, PLASTIC (76420-913-01)Marketed from Jan 28, 2025
76420-913-307642009133030 CAPSULE in 1 BOTTLE, PLASTIC (76420-913-30)Marketed from Jan 28, 2025
76420-913-607642009136060 CAPSULE in 1 BOTTLE, PLASTIC (76420-913-60)Marketed from Jan 28, 2025
76420-913-907642009139090 CAPSULE in 1 BOTTLE, PLASTIC (76420-913-90)Marketed from Jan 28, 2025

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)
Nortriptyline Hydrochloride
Generic name (nonproprietary)
nortriptyline hydrochloride
Active ingredients
Nortriptyline hydrochloride — 75 mg/1
Dosage form
Capsule
Route
Oral
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 073556
Marketing start
Listing expires
Identifiers
Product ID 76420-913_2cbda9e6-b8cc-1364-e063-6294a90ace66SPL ID 2cbda9e6-b8cc-1364-e063-6294a90ace66SPL set ID b02eb04a-83ee-45b0-b755-187fde2698c3RxCUI 198045, 198046, 198047, 317136UNII 00FN6IH15D
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

N476420091301 followed by a unit qualifier and the quantity

Package 76420-0913-01. 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)

INDICATIONS AND USAGE Nortriptyline hydrochloride, USP is indicated for the relief of symptoms of depression. Endogenous depressions are 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 073556

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

FDA NDC Directory listings under ANDA 073556
ProductStrengthForm · routeLabelerProduct NDC
Nortriptyline HydrochlorideNortriptyline hydrochloride 10 mg/1CapsuleOralAsclemed USA, Inc.76420-910
Nortriptyline HydrochlorideNortriptyline hydrochloride 25 mg/1CapsuleOralBryant Ranch Prepack71335-2350
Nortriptyline HydrochlorideNortriptyline hydrochloride 25 mg/1CapsuleOralAsclemed USA, Inc.76420-911
Nortriptyline HydrochlorideNortriptyline hydrochloride 50 mg/1CapsuleOralBryant Ranch Prepack71335-2351
Nortriptyline HydrochlorideNortriptyline hydrochloride 50 mg/1CapsuleOralAsclemed USA, Inc.76420-912
Nortriptyline HydrochlorideNortriptyline hydrochloride 25 mg/1CapsuleOralProficient Rx LP82804-139
Nortriptyline HydrochlorideNortriptyline hydrochloride 10 mg/1CapsuleOralCoupler LLC67046-1500
Nortriptyline HydrochlorideNortriptyline hydrochloride 75 mg/1CapsuleOralREMEDYREPACK INC.70518-4281
Nortriptyline HydrochlorideNortriptyline hydrochloride 50 mg/1CapsuleOralCoupler LLC67046-1530
Nortriptyline HydrochlorideNortriptyline hydrochloride 75 mg/1CapsuleOralBryant Ranch Prepack71335-2459
Nortriptyline HydrochlorideNortriptyline hydrochloride 25 mg/1CapsuleOralAdvanced Rx of Tennessee, LLC80425-0534
Nortriptyline HydrochlorideNortriptyline hydrochloride 25 mg/1CapsuleOralA-S Medication Solutions50090-7191
Nortriptyline HydrochlorideNortriptyline hydrochloride 50 mg/1CapsuleOralDr. Reddy's Laboratories Inc.75907-071
Nortriptyline HydrochlorideNortriptyline hydrochloride 10 mg/1CapsuleOralPreferred Pharmaceuticals Inc.68788-8900
Nortriptyline HydrochlorideNortriptyline hydrochloride 10 mg/1CapsuleOralDr. Reddy's Laboratories Inc.75907-069
Nortriptyline HydrochlorideNortriptyline hydrochloride 25 mg/1CapsuleOralDr. Reddy's Laboratories Inc.75907-070
Nortriptyline HydrochlorideNortriptyline hydrochloride 75 mg/1CapsuleOralDr. Reddy's Laboratories Inc.75907-072
Nortriptyline HydrochlorideNortriptyline hydrochloride 25 mg/1CapsuleOralMayne Pharma Inc.51862-016
Nortriptyline HydrochlorideNortriptyline hydrochloride 10 mg/1CapsuleOralST. MARY'S MEDICAL PARK PHARMACY60760-908
Nortriptyline HydrochlorideNortriptyline hydrochloride 25 mg/1CapsuleOralSt. Mary's Medical Park Pharmacy60760-909

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Nortriptyline Hydrochloride NDC 76420-913 | Med-Code