Prescription drug · NDA AUTHORIZED GENERIC
Dextroamphetamine Sulfate Extended-Release NDC 0115-9929
dextroamphetamine sulfate · Dextroamphetamine sulfate 15 mg/1 · Capsule, Extended release · Oral · Amneal Pharmaceuticals of New York LLC
NDC codes
FDA NDC Directory| Package NDC | 11-digit (billing) | Package | Copy |
|---|---|---|---|
| 0115-9929-10 | 00115992910 | 90 CAPSULE, EXTENDED RELEASE in 1 BOTTLE (0115-9929-10)Marketed from Aug 2, 1976 |
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)
- Dextroamphetamine Sulfate Extended-ReleaseSuffix: Extended-Release
- Generic name (nonproprietary)
- dextroamphetamine sulfate
- Active ingredients
- Dextroamphetamine sulfate — 15 mg/1
- Dosage form
- Capsule, Extended release
- Route
- Oral
- Product type
- Prescription drug
- Marketing category
- NDA authorized genericApplication NDA 017078
- Marketing start
- Listing expires
- DEA schedule
- CII
- Other FDA classes
- Central Nervous System Stimulation (Physiologic effect)
- Identifiers
- Product ID 0115-9929_42b19d09-cffd-4772-bc84-76c2066d6f00SPL ID 42b19d09-cffd-4772-bc84-76c2066d6f00SPL set ID 2ec5c30f-4eb8-48a5-83c4-236450413464RxCUI 884520, 884532, 884535UNII JJ768O327N
- Pharmacologic class
- Central Nervous System Stimulant
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
N400115992910followed by a unit qualifier and the quantityPackage 00115-9929-10. 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 Dextroamphetamine sulfate is indicated in: Narcolepsy Attention Deficit Disorder with Hyperactivity As an integral part of a total treatment program that typically includes other measures (psychological, educational, social) for patients (ages 6 years to 16 years) with this syndrome. A diagnosis of Attention Deficit Hyperactivity Disorder (ADHD; DSM-IV) implies the presence of hyperactive-impulsive or inattentive symptoms that caused impairment and were present before age 7 years. The symptoms must cause clinically significant impairment, e.g., in social, academic, or occupational functioning, and be present in 2 or more settings, e.g., school (or work) and at home. The…
Excerpt only. Read the full label for complete information.
Other NDCs under NDA 017078
Products listed under the same FDA application: other strengths and forms, and repackagers who relabel the same product.
| Product | Strength | Form · route | Labeler | Product NDC |
|---|---|---|---|---|
| Dextroamphetamine Sulfate Extended-Releasedextroamphetamine sulfate | Dextroamphetamine sulfate 10 mg/1 | Capsule, Extended releaseOral | Amneal Pharmaceuticals of New York LLC | 0115-9928 |
| Dextroamphetamine Sulfate Extended-Releasedextroamphetamine sulfate | Dextroamphetamine sulfate 5 mg/1 | Capsule, Extended releaseOral | Amneal Pharmaceuticals of New York LLC | 0115-9927 |
| Dexedrine Spansuledextroamphetamine sulfate | Dextroamphetamine sulfate 5 mg/1 | Capsule, Extended releaseOral | Amneal Pharmaceuticals LLC | 64896-673 |
| Dexedrine Spansuledextroamphetamine sulfate | Dextroamphetamine sulfate 10 mg/1 | Capsule, Extended releaseOral | Amneal Pharmaceuticals LLC | 64896-674 |
| Dexedrine Spansuledextroamphetamine sulfate | Dextroamphetamine sulfate 15 mg/1 | Capsule, Extended releaseOral | Amneal Pharmaceuticals LLC | 64896-675 |
- openFDA data updated
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Reference information only. Verify codes and billing rules against the applicable payer and official source before submitting a claim. How Med-Code handles data.