NDC codes

FDA NDC Directory
Product NDC (as listed)31722-683Labeler and product segments. Claims need a package NDC.
Product NDC at billing width31722-0683Add 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
31722-683-01317220683011 BOTTLE in 1 CARTON (31722-683-01) / 100 CAPSULE in 1 BOTTLEMarketed from Jun 23, 2022

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)
Trientine Hydrochloride
Generic name (nonproprietary)
trientine hydrochloride
Active ingredients
Trientine hydrochloride250 mg/1
Dosage form
Capsule
Route
Oral
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 216356
Marketing start
Listing expires
Other FDA classes
Metal Chelating Activity (Mechanism)
Identifiers
Product ID 31722-683_e53ee9ec-7121-2b81-e053-2a95a90afe9fSPL ID e53ee9ec-7121-2b81-e053-2a95a90afe9fSPL set ID 5240e3de-54b6-4f22-9142-776f0e9ea1d9RxCUI 313472UNII HC3NX54582UPC 0331722683012
Pharmacologic class
Metal Chelator

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

N431722068301 followed by a unit qualifier and the quantity

Package 31722-0683-01. 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 .

Indications (excerpt from the label)

INDICATIONS & USAGE Trientine hydrochloride capsules are indicated in the treatment of patients with Wilson’s disease who are intolerant of penicillamine. Clinical experience with trientine hydrochloride capsules are limited and alternate dosing regimens have not been well-characterized; all endpoints in determining an individual patient’s dose have not been well defined. Trientine hydrochloride capsules and penicillamine cannot be considered interchangeable. Trientine hydrochloride capsules should be used when continued treatment with penicillamine is no longer possible because of intolerable or life endangering side effects. Unlike penicillamine, trientine hydrochloride capsules are not re

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

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