NDC codes

FDA NDC Directory
Product NDC (as listed)29300-171Labeler and product segments. Claims need a package NDC.
Product NDC at billing width29300-0171Add 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
29300-171-0529300017105500 TABLET, FILM COATED in 1 BOTTLE, PLASTIC (29300-171-05)Marketed from Nov 1, 2015
29300-171-162930001711660 TABLET, FILM COATED in 1 BOTTLE, PLASTIC (29300-171-16)Marketed from Nov 1, 2015

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)
Memantine Hydrochloride
Generic name (nonproprietary)
memantine hydrochloride
Active ingredients
Memantine hydrochloride — 5 mg/1
Dosage form
Tablet, Film coated
Route
Oral
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 200022
Marketing start
Listing expires
Other FDA classes
NMDA Receptor Antagonists (Mechanism)
Identifiers
Product ID 29300-171_16cd3370-8ddc-4dbb-82b3-98e128fb3482SPL ID 16cd3370-8ddc-4dbb-82b3-98e128fb3482SPL set ID ff74edcb-d7ed-4b70-8f22-4cb5ccc58f90RxCUI 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

N429300017105 followed by a unit qualifier and the quantity

Package 29300-0171-05. 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 an N-methyl-D-asparate (NMDA) receptor antagonist indicated for the treatment of moderate to severe dementia of the Alzheimer's type. ( 1 ) Memantine hydrochloride tablets are 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 200022

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

FDA NDC Directory listings under ANDA 200022
ProductStrengthForm · routeLabelerProduct NDC
Memantine HydrochlorideMemantine hydrochloride 10 mg/1Tablet, Film coatedOralA-S Medication Solutions50090-4434
Memantine HydrochlorideMemantine hydrochloride 5 mg/1Tablet, Film coatedOralA-S Medication Solutions50090-5926
Memantine HydrochlorideMemantine hydrochloride 10 mg/1Tablet, Film coatedOralAvPAK50268-588
Memantine HydrochlorideMemantine hydrochloride 5 mg/1Tablet, Film coatedOralAvPAK50268-587
Memantine HydrochlorideMemantine hydrochloride 10 mg/1Tablet, Film coatedOralUnichem Pharmaceuticals (USA), Inc.29300-172
Memantine HydrochlorideMemantine hydrochloride 5 mg/1Tablet, Film coatedOralAphena Pharma Solutions - Tennessee, LLC71610-979

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