Dextroamphetamine Sulfate NDC 13107-036

NDC codes

FDA NDC Directory

Product NDC (as listed)13107-036Labeler and product segments. Claims need a package NDC.

Product NDC at billing width13107-0036Add 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 NDC	11-digit (billing)	Package
13107-036-01	13107003601	100 TABLET in 1 BOTTLE (13107-036-01)Marketed from Jul 31, 2013
13107-036-50	13107003650	50 TABLET in 1 BOTTLE (13107-036-50)Marketed from Jul 31, 2013
13107-036-99	13107003699	1000 TABLET in 1 BOTTLE (13107-036-99)Marketed from Jul 31, 2013

How the 11-digit form is made: The product segment has 3 digits, so one leading zero is added to it (5-3-2 → 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
Generic name (nonproprietary): dextroamphetamine sulfate
Active ingredients: Dextroamphetamine sulfate — 10 mg/1
Dosage form: Tablet
Route: Oral
Labeler: Aurolife Pharma, LLC
Product type: Prescription drug
Marketing category: ANDA — Abbreviated New Drug Application (generic)Application ANDA 202893
Marketing start: Jul 31, 2013
Listing expires: Dec 31, 2027
DEA schedule: CII
Other FDA classes: Central Nervous System Stimulation (Physiologic effect)
Identifiers: Product ID 13107-036_9f989dfd-e290-448a-a66f-b22eaf61c9fdSPL ID 9f989dfd-e290-448a-a66f-b22eaf61c9fdSPL set ID 24163442-dd03-4066-a6ed-eb7e292b700bRxCUI 884385, 884386UNII JJ768O327N
Pharmacologic class: Central Nervous System Stimulant

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

N413107003601 followed by a unit qualifier and the quantity

Package 13107-0036-01. 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 Aug 21, 2026. This label includes a boxed warning.

Full label on DailyMed (opens in a new tab)

Other NDCs under ANDA 202893

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

FDA NDC Directory listings under ANDA 202893
Product	Strength	Form · route	Labeler	Product NDC
Dextroamphetamine Sulfate	Dextroamphetamine sulfate 5 mg/1	TabletOral	Aurolife Pharma, LLC	13107-035