NDC codes

FDA NDC Directory
Product NDC (as listed)50090-6400Labeler and product segments. Claims need a package NDC.
Product NDC at billing width50090-6400Add 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
50090-6400-05009064000090 TABLET in 1 BOTTLE (50090-6400-0)Marketed from Mar 16, 2023
50090-6400-15009064000160 TABLET in 1 BOTTLE (50090-6400-1)Marketed from Mar 16, 2023
50090-6400-250090640002180 TABLET in 1 BOTTLE (50090-6400-2)Marketed from Mar 16, 2023

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
Route
Oral
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 206528
Marketing start
Listing expires
Other FDA classes
NMDA Receptor Antagonists (Mechanism)
Identifiers
Product ID 50090-6400_0f1a6f0c-50ec-4e4b-a804-5385a2fd2e40SPL ID 0f1a6f0c-50ec-4e4b-a804-5385a2fd2e40SPL set ID d1c2ec99-7183-46e3-a96e-4f23e20b8b06RxCUI 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

N450090640000 followed by a unit qualifier and the quantity

Package 50090-6400-00. 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 USP is indicated for the treatment of moderate to severe dementia of the Alzheimer’s type. Memantine hydrochloride USP is an N-methyl-D-aspartate (NMDA) receptor antagonist indicated for the treatment of moderate to severe dementia of the Alzheimer’s type. ( 1 )

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under ANDA 206528

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

FDA NDC Directory listings under ANDA 206528
ProductStrengthForm · routeLabelerProduct NDC
Memantine HydrochlorideMemantine hydrochloride 10 mg/1TabletOralBryant Ranch Prepack71335-1899
Memantine HydrochlorideMemantine hydrochloride 10 mg/1TabletOralAphena Pharma Solutions - Tennessee, LLC71610-885
Memantine HydrochlorideMemantine hydrochloride 10 mg/1TabletOralPreferred Pharmaceuticals Inc.68788-8647
Memantine HCLMemantine hydrochloride 10 mg/1TabletOralDirect_Rx72189-538
Memantine HydrochlorideMemantine hydrochloride 5 mg/1TabletOralAjanta Pharma USA Inc.27241-070
Memantine HydrochlorideMemantine hydrochloride 10 mg/1TabletOralAjanta Pharma USA Inc.27241-071

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