NDC codes

FDA NDC Directory
Product NDC (as listed)0115-9929Labeler and product segments. Claims need a package NDC.
Product NDC at billing width00115-9929Add 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
0115-9929-100011599291090 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 sulfate15 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

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

N400115992910 followed by a unit qualifier and the quantity

Package 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.

Full label on DailyMed (opens in a new tab)

Other NDCs under NDA 017078

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

FDA NDC Directory listings under NDA 017078
ProductStrengthForm · routeLabelerProduct NDC
Dextroamphetamine Sulfate Extended-Releasedextroamphetamine sulfateDextroamphetamine sulfate 10 mg/1Capsule, Extended releaseOralAmneal Pharmaceuticals of New York LLC0115-9928
Dextroamphetamine Sulfate Extended-Releasedextroamphetamine sulfateDextroamphetamine sulfate 5 mg/1Capsule, Extended releaseOralAmneal Pharmaceuticals of New York LLC0115-9927
Dexedrine Spansuledextroamphetamine sulfateDextroamphetamine sulfate 5 mg/1Capsule, Extended releaseOralAmneal Pharmaceuticals LLC64896-673
Dexedrine Spansuledextroamphetamine sulfateDextroamphetamine sulfate 10 mg/1Capsule, Extended releaseOralAmneal Pharmaceuticals LLC64896-674
Dexedrine Spansuledextroamphetamine sulfateDextroamphetamine sulfate 15 mg/1Capsule, Extended releaseOralAmneal Pharmaceuticals LLC64896-675

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