NDC codes

FDA NDC Directory
Product NDC (as listed)50090-5926Labeler and product segments. Claims need a package NDC.
Product NDC at billing width50090-5926Add 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
50090-5926-0500905926005009059260060 TABLET, FILM COATED in 1 BOTTLE (50090-5926-0)Marketed from Mar 1, 2022
50090-5926-1500905926015009059260190 TABLET, FILM COATED in 1 BOTTLE (50090-5926-1)Marketed from Jul 2, 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 — 5 mg/1
Dosage form
Tablet, Film coated
Route
Oral
Labeler
A-S Medication SolutionsNDC labeler code 50090
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 50090-5926_99e7c450-2c83-487e-a326-76c1653723b8SPL ID 99e7c450-2c83-487e-a326-76c1653723b8SPL set ID 2fdf0b2b-0337-472d-83ec-075c17c9b0d0RxCUI 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

N450090592600 followed by a unit qualifier and the quantity

Package 50090-5926-00. 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)

About NDC 50090-5926

What is NDC 50090-5926?
50090-5926 is the product NDC for Memantine Hydrochloride, Memantine hydrochloride 5 mg/1 tablet, film coated, listed with the FDA by A-S Medication Solutions. It has 2 package NDCs, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Memantine Hydrochloride.
What is the active ingredient?
Memantine hydrochloride.
Who is the labeler?
A-S Medication Solutions, NDC labeler code 50090. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Memantine Hydrochloride?
111 other product NDCs are listed under this name. See all Memantine Hydrochloride NDCs.
Is there a related HCPCS / J-code?
Not in Med-Code's curated HCPCS directory. See Billing references above.

Other finished products listed under the same name: strengths, forms and labelers.

Other Memantine Hydrochloride NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
Memantine hydrochlorideMemantine hydrochloride 7 mg/1Capsule, Extended releaseOralMacleods Pharmaceuticals Limited33342-21933342-0219-0733342-0219-12
Memantine hydrochlorideMemantine hydrochloride 14 mg/1Capsule, Extended releaseOralMacleods Pharmaceuticals Limited33342-22033342-0220-0733342-0220-12
Memantine hydrochlorideMemantine hydrochloride 21 mg/1Capsule, Extended releaseOralMacleods Pharmaceuticals Limited33342-22133342-0221-0733342-0221-12
Memantine hydrochlorideMemantine hydrochloride 28 mg/1Capsule, Extended releaseOralMacleods Pharmaceuticals Limited33342-22233342-0222-0733342-0222-12
Memantine HydrochlorideMemantine hydrochloride 5 mg/1Tablet, Film coatedOralCarlsbad Technology, Inc.61442-19261442-0192-0561442-0192-60
Memantine HydrochlorideMemantine hydrochloride 10 mg/1Tablet, Film coatedOralCarlsbad Technology, Inc.61442-19361442-0193-0561442-0193-60
Memantine HydrochloridememantineMemantine hydrochloride 7 mg/1Capsule, Extended releaseOralRising Pharma Holdings, Inc.16571-85216571-0852-03
Memantine HydrochloridememantineMemantine hydrochloride 14 mg/1Capsule, Extended releaseOralRising Pharma Holdings, Inc.16571-85316571-0853-0316571-0853-09
Memantine HydrochloridememantineMemantine hydrochloride 21 mg/1Capsule, Extended releaseOralRising Pharma Holdings, Inc.16571-85416571-0854-03
Memantine HydrochloridememantineMemantine hydrochloride 28 mg/1Capsule, Extended releaseOralRising Pharma Holdings, Inc.16571-85516571-0855-0316571-0855-09

All 112 Memantine Hydrochloride NDCs

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 coatedOralUnichem Pharmaceuticals (USA), Inc.29300-171
Memantine HydrochlorideMemantine hydrochloride 10 mg/1Tablet, Film coatedOralUnichem Pharmaceuticals (USA), Inc.29300-172
Memantine HydrochlorideMemantine hydrochloride 10 mg/1Tablet, Film coatedOralA-S Medication Solutions50090-4434
Memantine HydrochlorideMemantine hydrochloride 5 mg/1Tablet, Film coatedOralAvPAK50268-587
Memantine HydrochlorideMemantine hydrochloride 10 mg/1Tablet, Film coatedOralAvPAK50268-588
Memantine HydrochlorideMemantine hydrochloride 5 mg/1Tablet, Film coatedOralAphena Pharma Solutions - Tennessee, LLC71610-979

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