NDC codes

FDA NDC Directory
Product NDC (as listed)0115-1911Labeler and product segments. Claims need a package NDC.
Product NDC at billing width00115-1911Add 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
0115-1911-0100115191101100 TABLET, FILM COATED in 1 BOTTLE (0115-1911-01)Marketed from Nov 16, 2021
0115-1911-0200115191102500 TABLET, FILM COATED in 1 BOTTLE (0115-1911-02)Marketed from Nov 16, 2021

How the 11-digit form is made: The labeler segment has 4 digits, so one leading zero is added to it (4-4-2 → 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)
Rimantadine Hydrochloride
Generic name (nonproprietary)
rimantadine hydrochloride
Active ingredients
Rimantadine hydrochloride — 100 mg/1
Dosage form
Tablet, Film coated
Route
Oral
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 076132
Marketing start
Listing expires
Other FDA classes
M2 Protein Inhibitors (Mechanism)
Identifiers
Product ID 0115-1911_b5f5cd6c-3874-4507-bbd4-72e8c5bfe17fSPL ID b5f5cd6c-3874-4507-bbd4-72e8c5bfe17fSPL set ID 49f7d69a-820b-4c75-a31d-b2104c019c12RxCUI 856605UNII JEI07OOS8Y
Pharmacologic class
Influenza A M2 Protein Inhibitor

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

N400115191101 followed by a unit qualifier and the quantity

Package 00115-1911-01. 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 Rimantadine hydrochloride tablet is indicated for the prophylaxis and treatment of illness caused by various strains of influenza A virus in adults (17 years and older). Rimantadine hydrochloride tablet is indicated for prophylaxis against influenza A virus in children (1 year to 16 years of age). Prophylaxis In controlled studies of children (1 year to 16 years of age), healthy adults (17 years and older), and elderly patients (65 years of age and older), rimantadine hydrochloride has been shown to be safe and effective in preventing signs and symptoms of infection caused by various strains of influenza A virus. Since rimantadine hydrochloride does not completely preve…

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

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