NDC codes

FDA NDC Directory
Product NDC (as listed)84053-676Labeler and product segments. Claims need a package NDC.
Product NDC at billing width84053-0676Add 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
84053-676-218405306762121 TABLET in 1 BOTTLE (84053-676-21)Marketed from Feb 29, 2024
84053-676-288405306762828 TABLET in 1 BOTTLE (84053-676-28)Marketed from Feb 29, 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)
Phentermine Hydrochloride
Generic name (nonproprietary)
phentermine hydrochloride
Active ingredients
Phentermine hydrochloride — 30 mg/1
Dosage form
Tablet
Route
Oral
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 040526
Marketing start
Listing expires
DEA schedule
CIV
Other FDA classes
Appetite Suppression (Physiologic effect)Increased Sympathetic Activity (Physiologic effect)
Identifiers
Product ID 84053-676_3a9b6c60-a063-2709-e063-6394a90a6168SPL ID 3a9b6c60-a063-2709-e063-6394a90a6168SPL set ID 12699287-9ca9-07b3-e063-6294a90af21aUNII 0K2I505OTV
Pharmacologic class
Sympathomimetic Amine Anorectic

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

N484053067621 followed by a unit qualifier and the quantity

Package 84053-0676-21. 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)

Phentermine hydrochloride, USP 37.5 mg is indicated as short-term (a few weeks) adjunct in a regimen of weight reduction based on exercise, behavioral modification and caloric restriction in the management of exogenous obesity for patients with an initial body mass index greater than or equal to 30 kg/m2, or greater than or equal to 27 kg/m2 in the presence of other risk factors (e.g., controlled hypertension, diabetes, hyperlipidemia). Below is a chart of Body Mass Index (BMI) based on various heights and weights. BMI is calculated by taking the patient’s weight, in kilograms (kg), divided by the patient’s height, in meters (m), squared. Metric conversions are as follows: pounds ÷ 2.2 = kg;…

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under ANDA 040526

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

FDA NDC Directory listings under ANDA 040526
ProductStrengthForm · routeLabelerProduct NDC
Phentermine HydrochloridePhentermine hydrochloride 37.5 mg/1TabletOralA-S Medication Solutions50090-1498
Phentermine HydrochloridePhentermine hydrochloride 30 mg/1TabletOralNuCare Pharmaceuticals,Inc.68071-3816
Phentermine HydrochloridePhentermine hydrochloride 30 mg/1TabletOralBryant Ranch Prepack71335-1312
Phentermine HydrochloridePhentermine hydrochloride 30 mg/1TabletOralBryant Ranch Prepack71335-0350
Phentermine HCL C-IVPhentermine hydrochloride 37.5 mg/1TabletOralDirect_Rx72189-669
Phentermine HydrochloridePhentermine hydrochloride 30 mg/1TabletOralBryant Ranch Prepack63629-1106
Phentermine HydrochloridePhentermine hydrochloride 30 mg/1TabletOralBryant Ranch Prepack63629-1107
Phentermine HydrochloridePhentermine hydrochloride 30 mg/1TabletOralBryant Ranch Prepack63629-1108
Phentermine HydrochloridePhentermine hydrochloride 37.5 mg/1TabletOralCalvin Scott & Co., Inc.17224-901
Phentermine HydrochloridePhentermine hydrochloride 37.5 mg/1TabletOralSun Pharmaceutical Industries, Inc.53489-676
Phentermine HydrochloridePhentermine hydrochloride 37.5 mg/1TabletOralNorthwind Health Company, LLC82868-053
Phentermine HydrochloridePhentermine hydrochloride 30 mg/1TabletOralPD-Rx Pharmaceuticals, Inc.43063-596
Phentermine HydrochloridePhentermine hydrochloride 30 mg/1TabletOralProficient Rx LP71205-758
Phentermine HydrochloridePhentermine hydrochloride 30 mg/1TabletOralNuCare Pharmaceuticals,Inc.68071-4919
Phentermine HydrochloridePhentermine hydrochloride 30 mg/1TabletOralBryant Ranch Prepack72162-1628

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