NDC codes

FDA NDC Directory
Product NDC (as listed)33342-094Labeler and product segments. Claims need a package NDC.
Product NDC at billing width33342-0094Add 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
33342-094-043334200940412 TABLET, ORALLY DISINTEGRATING in 1 CONTAINER (33342-094-04)Marketed from Feb 27, 2023
33342-094-073334200940730 TABLET, ORALLY DISINTEGRATING in 1 CONTAINER (33342-094-07)Marketed from Sep 23, 2014
33342-094-123334200941210 BLISTER PACK in 1 CARTON (33342-094-12) / 10 TABLET, ORALLY DISINTEGRATING in 1 BLISTER PACKMarketed from Sep 23, 2014
33342-094-233334200942318 TABLET, ORALLY DISINTEGRATING in 1 CONTAINER (33342-094-23)Marketed from Feb 27, 2023
33342-094-41333420094413 BLISTER PACK in 1 CARTON (33342-094-41) / 6 TABLET, ORALLY DISINTEGRATING in 1 BLISTER PACKMarketed from Jun 4, 2018
33342-094-45333420094452 BLISTER PACK in 1 CARTON (33342-094-45) / 6 TABLET, ORALLY DISINTEGRATING in 1 BLISTER PACKMarketed from Dec 19, 2018
33342-094-4633342009446200 TABLET, ORALLY DISINTEGRATING in 1 CONTAINER (33342-094-46)Marketed from Sep 23, 2014
33342-094-47333420094474 POUCH in 1 CARTON (33342-094-47) / 1 BLISTER PACK in 1 POUCH / 5 TABLET, ORALLY DISINTEGRATING in 1 BLISTER PACKMarketed from Sep 23, 2014
33342-094-52333420094521 BLISTER PACK in 1 CARTON (33342-094-52) / 3 TABLET, ORALLY DISINTEGRATING in 1 BLISTER PACKMarketed from Feb 13, 2017
33342-094-72333420094726 BLISTER PACK in 1 CARTON (33342-094-72) / 3 TABLET, ORALLY DISINTEGRATING in 1 BLISTER PACKMarketed from Feb 13, 2017
33342-094-73333420094733 BLISTER PACK in 1 CARTON (33342-094-73) / 3 TABLET, ORALLY DISINTEGRATING in 1 BLISTER PACKMarketed from Feb 13, 2017

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)
rizatriptan benzoate
Generic name (nonproprietary)
rizatriptan benzoate
Active ingredients
Rizatriptan benzoate10 mg/1
Dosage form
Tablet, Orally disintegrating
Route
Oral
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 203146
Marketing start
Listing expires
Other FDA classes
Serotonin 1b Receptor Agonists (Mechanism)Serotonin 1d Receptor Agonists (Mechanism)
Identifiers
Product ID 33342-094_137f6265-8c70-4748-a0d5-3976274e4ea0SPL ID 137f6265-8c70-4748-a0d5-3976274e4ea0SPL set ID 57ed2505-28f1-4292-b3c3-a49bf0f7c683RxCUI 312837, 312839UNII WR978S7QHHUPC 0333342094452, 0333342094414, 0333342094469, 0333342094520, 0333342093455, 0333342093417
Pharmacologic class
Serotonin-1b and Serotonin-1d Receptor Agonist

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

N433342009404 followed by a unit qualifier and the quantity

Package 33342-0094-04. 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 . This label includes a boxed warning.

Indications (excerpt from the label)

Rizatriptan benzoate orally disintegrating tablets are indicated for the acute treatment of migraine with or without aura in adults and in pediatric patients 6 to 17 years old. Limitations of Use • Rizatriptan benzoate orally disintegrating tablets should only be used where a clear diagnosis of migraine has been established. If a patient has no response for the first migraine attack treated with rizatriptan benzoate orally disintegrating tablets, the diagnosis of migraine should be reconsidered before rizatriptan benzoate tablets are administered to treat any subsequent attacks. • Rizatriptan benzoate orally disintegrating tablets are not indicated for use in the management of hemiplegic or

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under ANDA 203146

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

FDA NDC Directory listings under ANDA 203146
ProductStrengthForm · routeLabelerProduct NDC
rizatriptan benzoateRizatriptan benzoate 5 mg/1Tablet, Orally disintegratingOralMacleods Pharmaceuticals Limited33342-093
Rizatriptan Benzoate ODTRizatriptan benzoate 10 mg/1Tablet, Orally disintegratingOralDirect_rx72189-609

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