NDC codes

FDA NDC Directory
Product NDC (as listed)0406-8884Labeler and product segments. Claims need a package NDC.
Product NDC at billing width00406-8884Add 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
0406-8884-0100406888401100 TABLET in 1 BOTTLE (0406-8884-01)Marketed from Oct 7, 2003

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 Saccharate and Amphetamine Aspartate and Dextroamphetamine Sulfate and Amphetamine Sulfate
Generic name (nonproprietary)
dextroamphetamine saccharate and amphetamine aspartate and dextroamphetamine sulfate and amphetamine sulfate
Active ingredients
Dextroamphetamine saccharate — 1.875 mg/1Amphetamine aspartate monohydrate — 1.875 mg/1Dextroamphetamine sulfate — 1.875 mg/1Amphetamine sulfate — 1.875 mg/1
Dosage form
Tablet
Route
Oral
Labeler
SpecGx LLC
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 040440
Marketing start
Listing expires
DEA schedule
CII
Other FDA classes
Central Nervous System Stimulation (Physiologic effect)Central Nervous System Stimulation (Physiologic effect)Central Nervous System Stimulation (Physiologic effect)Central Nervous System Stimulation (Physiologic effect)
Identifiers
Product ID 0406-8884_0d3fb5ba-ff79-4862-bc1d-45b8343e115bSPL ID 0d3fb5ba-ff79-4862-bc1d-45b8343e115bSPL set ID 72ddd1c9-ddbd-4c95-acd9-003189a353a3RxCUI 541363, 541878, 541892, 577957, 577961, 1009145UNII JJ768O327N, O1ZPV620O4, 6DPV8NK46S, G83415V073UPC 0304068885013, 0304068892011, 0304068893018, 0304068891014, 0304068884016, 0304068894015

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

N400406888401 followed by a unit qualifier and the quantity

Package 00406-8884-01. 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)

INDICATIONS AND USAGE Mixed Salts of a Single Entity Amphetamine Product are indicated for the treatment of Attention Deficit Hyperactivity Disorder (ADHD) and Narcolepsy. Attention Deficit Hyperactivity Disorder (ADHD) 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 two or more settings, e.g., school (or work) and at home. The symptoms must not be better accounted for by another mental disorder. For the Ina…

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under ANDA 040440

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

FDA NDC Directory listings under ANDA 040440
ProductStrengthForm · routeLabelerProduct NDC
Dextroamphetamine Saccharate and Amphetamine Aspartate and Dextroamphetamine Sulfate and Amphetamine SulfateDextroamphetamine saccharate 3.75 mg/1 + 3 more ingredientsTabletOralSpecGx LLC0406-8885
Dextroamphetamine Saccharate and Amphetamine Aspartate and Dextroamphetamine Sulfate and Amphetamine SulfateDextroamphetamine saccharate 1.25 mg/1 + 3 more ingredientsTabletOralSpecGx LLC0406-8891
Dextroamphetamine Saccharate and Amphetamine Aspartate and Dextroamphetamine Sulfate and Amphetamine SulfateDextroamphetamine saccharate 2.5 mg/1 + 3 more ingredientsTabletOralSpecGx LLC0406-8892
Dextroamphetamine Saccharate and Amphetamine Aspartate and Dextroamphetamine Sulfate and Amphetamine SulfateDextroamphetamine saccharate 5 mg/1 + 3 more ingredientsTabletOralSpecGx LLC0406-8893
Dextroamphetamine Saccharate and Amphetamine Aspartate and Dextroamphetamine Sulfate and Amphetamine SulfateDextroamphetamine saccharate 7.5 mg/1 + 3 more ingredientsTabletOralSpecGx LLC0406-8894

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