NDC codes

FDA NDC Directory
Product NDC (as listed)0904-6370Labeler and product segments. Claims need a package NDC.
Product NDC at billing width00904-6370Add 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
0904-6370-6100904637061100 BLISTER PACK in 1 CARTON (0904-6370-61) / 1 TABLET in 1 BLISTER PACKMarketed from Jan 20, 2013

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)
Amlodipine Besylate
Generic name (nonproprietary)
amlodipine besylate
Active ingredients
Amlodipine besylate5 mg/1
Dosage form
Tablet
Route
Oral
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 078226
Marketing start
Listing expires
Other FDA classes
Calcium Channel Antagonists (Mechanism)Cytochrome P450 3A Inhibitors (Mechanism)Dihydropyridines (Chemical structure)
Identifiers
Product ID 0904-6370_77bde698-3ec9-4c6d-8e77-1bc3e950778bSPL ID 77bde698-3ec9-4c6d-8e77-1bc3e950778bSPL set ID edf9b22c-e37e-4b4e-8a64-20bb036c7d2dRxCUI 197361, 308135, 308136UNII 864V2Q084H
Pharmacologic class
Calcium Channel Blocker; Dihydropyridine Calcium Channel Blocker

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

N400904637061 followed by a unit qualifier and the quantity

Package 00904-6370-61. 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)

Amlodipine besylate tablets, USP are calcium channel blocker and may be used alone or in combination with other antihypertensive and antianginal agents for the treatment of: • Hypertension ( 1.1 ) o Amlodipine besylate tablets, USP are indicated for the treatment of hypertension, to lower blood pressure. Lowering blood pressure reduces the risk of fatal and nonfatal cardiovascular events, primarily strokes and myocardial infarctions. • Coronary Artery Disease ( 1.2 ) o Chronic Stable Angina o Vasospastic Angina (Prinzmetal's or Variant Angina) o Angiographically Documented Coronary Artery Disease in patients without heart failure or an ejection fraction < 40% 1.1 Hypertension Amlodipine besy

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under ANDA 078226

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

FDA NDC Directory listings under ANDA 078226
ProductStrengthForm · routeLabelerProduct NDC
Amlodipine BesylateAmlodipine besylate 2.5 mg/1TabletOralCardinal Health 107, LLC55154-8093
Amlodipine BesylateAmlodipine besylate 2.5 mg/1TabletOralMajor Pharmaceuticals0904-6369
Amlodipine BesylateAmlodipine besylate 10 mg/1TabletOralMajor Pharmaceuticals0904-6371
Amlodipine BesylateAmlodipine besylate 5 mg/1TabletOralZydus Pharmaceuticals USA Inc.68382-122
Amlodipine BesylateAmlodipine besylate 2.5 mg/1TabletOralZydus Pharmaceuticals USA Inc.68382-121
Amlodipine BesylateAmlodipine besylate 10 mg/1TabletOralZydus Pharmaceuticals USA Inc.68382-123
Amlodipine BesylateAmlodipine besylate 10 mg/1TabletOralCardinal Health 107, LLC55154-6875
Amlodipine BesylateAmlodipine besylate 5 mg/1TabletOralCardinal Health 107, LLC55154-6892
Amlodipine BesylateAmlodipine besylate 5 mg/1TabletOralZydus Lifesciences Limited65841-621
Amlodipine BesylateAmlodipine besylate 2.5 mg/1TabletOralZydus Lifesciences Limited65841-620
Amlodipine BesylateAmlodipine besylate 10 mg/1TabletOralZydus Lifesciences Limited65841-622
Amlodipine BesylateAmlodipine besylate 5 mg/1TabletOralSafecor Health LLC48433-156
Amlodipine BesylateAmlodipine besylate 2.5 mg/1TabletOralSafecor Health LLC48433-155
Amlodipine BesylateAmlodipine besylate 10 mg/1TabletOralSafecor Health LLC48433-157

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