NDC codes

FDA NDC Directory
Product NDC (as listed)0406-9912Labeler and product segments. Claims need a package NDC.
Product NDC at billing width00406-9912Add 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
0406-9912-030040699120330 CAPSULE in 1 BOTTLE (0406-9912-03)Marketed from Aug 1, 1977

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)
Pamelor
Generic name (nonproprietary)
nortriptyline hydrochloride
Active ingredients
Nortriptyline hydrochloride — 50 mg/1
Dosage form
Capsule
Route
Oral
Labeler
SpecGx LLC
Product type
Prescription drug
Marketing category
NDA — New Drug ApplicationApplication NDA 018013
Marketing start
Marketing end
Identifiers
Product ID 0406-9912_0c3b20b3-e852-4959-815a-90ed989a30e1SPL ID 0c3b20b3-e852-4959-815a-90ed989a30e1SPL set ID e17dc299-f52d-414d-ab6e-e809bd6f8acbRxCUI 198045, 198046, 198047, 209329, 209339, 209350, 209391, 317136UNII 00FN6IH15DUPC 0304069911032, 0304069910035, 0304069912039, 0304069913036
Pharmacologic class
Tricyclic Antidepressant

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

N400406991203 followed by a unit qualifier and the quantity

Package 00406-9912-03. 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 Pamelor™ (nortriptyline HCl) is indicated for the relief of symptoms of depression. Endogenous depressions are more likely to be alleviated than are other depressive states.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under NDA 018013

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

FDA NDC Directory listings under NDA 018013
ProductStrengthForm · routeLabelerProduct NDC
Pamelornortriptyline hydrochlorideNortriptyline hydrochloride 10 mg/1CapsuleOralSpecGx LLC0406-9910
Pamelornortriptyline hydrochlorideNortriptyline hydrochloride 25 mg/1CapsuleOralSpecGx LLC0406-9911
Pamelornortriptyline hydrochlorideNortriptyline hydrochloride 75 mg/1CapsuleOralSpecGx LLC0406-9913

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