NDC codes

FDA NDC Directory
Product NDC (as listed)50090-4434Labeler and product segments. Claims need a package NDC.
Product NDC at billing width50090-4434Add 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
50090-4434-05009044340090 TABLET, FILM COATED in 1 BOTTLE (50090-4434-0)Marketed from Jul 22, 2019
50090-4434-15009044340160 TABLET, FILM COATED in 1 BOTTLE (50090-4434-1)Marketed from Oct 20, 2022
50090-4434-250090443402180 TABLET, FILM COATED in 1 BOTTLE (50090-4434-2)Marketed from Oct 20, 2022

How the 11-digit form is made: The package segment has 1 digit, so one leading zero is added to it (5-4-1 → 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 — 10 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 50090-4434_94798fba-7e49-4943-b971-0362b5155219SPL ID 94798fba-7e49-4943-b971-0362b5155219SPL set ID ca619439-f4ca-43f1-9261-9aa2b6dc7450RxCUI 996561UNII 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

N450090443400 followed by a unit qualifier and the quantity

Package 50090-4434-00. 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 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 5 mg/1Tablet, Film coatedOralUnichem Pharmaceuticals (USA), Inc.29300-171
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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