NDC codes

FDA NDC Directory
Product NDC (as listed)0115-9921Labeler and product segments. Claims need a package NDC.
Product NDC at billing width00115-9921Add 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
0115-9921-0100115992101100 CAPSULE, EXTENDED RELEASE in 1 BOTTLE, PLASTIC (0115-9921-01)Marketed from Dec 21, 2015

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)
Dexmethylphenidate hydrochloride
Generic name (nonproprietary)
dexmethylphenidate hydrochloride
Active ingredients
Dexmethylphenidate hydrochloride — 20 mg/1
Dosage form
Capsule, Extended release
Route
Oral
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 079108
Marketing start
Listing expires
DEA schedule
CII
Other FDA classes
Central Nervous System Stimulation (Physiologic effect)
Identifiers
Product ID 0115-9921_4fcd36f9-1e85-437f-9f27-0e2942480c7fSPL ID 4fcd36f9-1e85-437f-9f27-0e2942480c7fSPL set ID 93e56455-0f15-4ed9-a63a-7fbd0697d520RxCUI 899439, 899461, 899485, 899495, 899511UNII 1678OK0E08UPC 0301159919015, 0301159918018, 0301159921018, 0301159922015, 0301159920011

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

N400115992101 followed by a unit qualifier and the quantity

Package 00115-9921-01. 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)

Dexmethylphenidate hydrochloride extended-release capsules are indicated for the treatment of Attention Deficit Hyperactivity Disorder (ADHD) [see Clinical Studies (14) ] . Limitations of Use The use of dexmethylphenidate hydrochloride extended-release capsules is not recommended in pediatric patients younger than 6 years of age because they had higher plasma exposure and a higher incidence of adverse reactions (e.g., weight loss) than patients 6 years and older at the same dosage [see Warnings and Precautions (5.7) , Use in Specific Populations (8.4) ]. Dexmethylphenidate hydrochloride extended-release capsules are a central nervous system (CNS) stimulant indicated for the treatment of Atte…

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under ANDA 079108

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

FDA NDC Directory listings under ANDA 079108
ProductStrengthForm · routeLabelerProduct NDC
Dexmethylphenidate hydrochlorideDexmethylphenidate hydrochloride 5 mg/1Capsule, Extended releaseOralAmneal Pharmaceuticals of New York LLC0115-9918
Dexmethylphenidate hydrochlorideDexmethylphenidate hydrochloride 10 mg/1Capsule, Extended releaseOralAmneal Pharmaceuticals of New York LLC0115-9919
Dexmethylphenidate hydrochlorideDexmethylphenidate hydrochloride 15 mg/1Capsule, Extended releaseOralAmneal Pharmaceuticals of New York LLC0115-9920
Dexmethylphenidate hydrochlorideDexmethylphenidate hydrochloride 30 mg/1Capsule, Extended releaseOralAmneal Pharmaceuticals of New York LLC0115-9922

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