NDC codes

FDA NDC Directory
Product NDC (as listed)0615-8192Labeler and product segments. Claims need a package NDC.
Product NDC at billing width00615-8192Add 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
0615-8192-390061581923930 TABLET in 1 BLISTER PACK (0615-8192-39)Marketed from Apr 6, 2018

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)
Memantine
Generic name (nonproprietary)
memantine
Active ingredients
Memantine hydrochloride — 5 mg/1
Dosage form
Tablet
Route
Oral
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 090048
Marketing start
Listing expires
Other FDA classes
NMDA Receptor Antagonists (Mechanism)
Identifiers
Product ID 0615-8192_b4ebdb70-3b13-4041-a691-3adb3dc6687bSPL ID b4ebdb70-3b13-4041-a691-3adb3dc6687bSPL set ID a5dcc0e7-761f-4294-bb48-e5ee4a1e2f67RxCUI 996561, 996571UNII JY0WD0UA60
Pharmacologic class
N-methyl-D-aspartate Receptor Antagonist

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

N400615819239 followed by a unit qualifier and the quantity

Package 00615-8192-39. 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 .

Indications (excerpt from the label)

Memantine hydrochloride tablets are indicated for the treatment of moderate to severe dementia of the Alzheimer’s type. Memantine hydrochloride is an N-methyl-D-aspartate (NMDA) receptor antagonist indicated for the treatment of moderate to severe dementia of the Alzheimer’s type.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under ANDA 090048

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

FDA NDC Directory listings under ANDA 090048
ProductStrengthForm · routeLabelerProduct NDC
Memantine HydrochlorideMemantine hydrochloride 5 mg/1Tablet, Film coatedOralCardinal Health 107, LLC55154-4151
MemantineMemantine hydrochloride 5 mg/1TabletOralAmerican Health Packaging60687-173
MemantineMemantine hydrochloride 10 mg/1TabletOralAmerican Health Packaging60687-184
MemantineMemantine hydrochloride 5 mg/1TabletOralNorthStar RxLLC72603-118
MemantineMemantine hydrochloride 10 mg/1TabletOralNorthStar RxLLC72603-119
Memantine HydrochlorideMemantine hydrochloride 5 mg/1Tablet, Film coatedOralMajor Pharmaceuticals0904-6505
Memantine HydrochlorideMemantine hydrochloride 10 mg/1Tablet, Film coatedOralMajor Pharmaceuticals0904-6506
Memantine HydrochlorideMemantine hydrochloride 10 mg/1Tablet, Film coatedOralDr. Reddys Laboratories Limited55111-597
Memantine HydrochlorideMemantine hydrochloride 5 mg/1Tablet, Film coatedOralDr. Reddys Laboratories Limited55111-596
MemantineMemantine hydrochloride 10 mg/1TabletOralNCS HealthCare of KY, LLC dba Vangard Labs0615-8319
Memantine HydrochlorideMemantine hydrochloride 10 mg/1Tablet, Film coatedOralCardinal Health 107, LLC55154-7637

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