Prescription drug · ANDA
Rizatriptan Benzoate NDC 51407-681
Rizatriptan benzoate 5 mg/1 · Tablet · Oral · Golden State Medical Supply, Inc.
NDC codes
FDA NDC Directory| Package NDC | 11-digit (billing) | Package | Copy |
|---|---|---|---|
| 51407-681-12 | 51407068112 | 4 BLISTER PACK in 1 CARTON (51407-681-12) / 3 TABLET in 1 BLISTER PACK (51407-681-03)Marketed from Sep 28, 2023 | |
| 51407-681-18 | 51407068118 | 3 BLISTER PACK in 1 CARTON (51407-681-18) / 6 TABLET in 1 BLISTER PACK (51407-681-06)Marketed from Sep 28, 2023 |
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 benzoate — 5 mg/1
- Dosage form
- Tablet
- Route
- Oral
- Product type
- Prescription drug
- Marketing category
- ANDA — Abbreviated New Drug Application (generic)Application ANDA 202490
- Marketing start
- Listing expires
- Other FDA classes
- Serotonin 1b Receptor Agonists (Mechanism)Serotonin 1d Receptor Agonists (Mechanism)
- Identifiers
- Product ID 51407-681_14817bf1-f9e8-c98c-e063-6294a90afc13SPL ID 14817bf1-f9e8-c98c-e063-6294a90afc13SPL set ID 075f47ee-88d1-102b-e063-6394a90acbf8RxCUI 312840, 314209UNII WR978S7QHHUPC 0351407682123, 0351407681126
- 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
N451407068112followed by a unit qualifier and the quantityPackage 51407-0681-12. 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)
Rizatriptan benzoate 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 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 tablets, the diagnosis of migraine should be reconsidered before rizatriptan benzoate tablets are administered to treat any subsequent attacks. Rizatriptan benzoate tablets are not indicated for use in the management of hemiplegic or basilar migraine [see Contraindications (4) ] . Rizatriptan benzoate tablets are not indicat…
Excerpt only. Read the full label for complete information.
Other NDCs under ANDA 202490
Products listed under the same FDA application: other strengths and forms, and repackagers who relabel the same product.
| Product | Strength | Form · route | Labeler | Product NDC |
|---|---|---|---|---|
| Rizatriptan Benzoate | Rizatriptan benzoate 10 mg/1 | TabletOral | Proficient Rx LP | 71205-644 |
| Rizatriptan Benzoate | Rizatriptan benzoate 10 mg/1 | TabletOral | Golden State Medical Supply, Inc. | 51407-682 |
| Rizatriptan Benzoate | Rizatriptan benzoate 10 mg/1 | TabletOral | A-S Medication Solutions | 50090-3367 |
| Rizatriptan Benzoate | Rizatriptan benzoate 10 mg/1 | TabletOral | Proficient Rx LP | 82804-202 |
| Rizatriptan Benzoate | Rizatriptan benzoate 10 mg/1 | TabletOral | Bryant Ranch Prepack | 71335-1912 |
| Rizatriptan Benzoate | Rizatriptan benzoate 5 mg/1 | TabletOral | Direct_Rx | 72189-512 |
| Rizatriptan Benzoate | Rizatriptan benzoate 10 mg/1 | TabletOral | DIRECT RX | 61919-656 |
| Rizatriptan Benzoate | Rizatriptan benzoate 5 mg/1 | TabletOral | Bryant Ranch Prepack | 71335-1149 |
| Rizatriptan Benzoate | Rizatriptan benzoate 10 mg/1 | TabletOral | direct rx | 72189-258 |
| Rizatriptan Benzoate | Rizatriptan benzoate 5 mg/1 | TabletOral | Rising Pharma Holdings, Inc. | 57237-087 |
| Rizatriptan Benzoate | Rizatriptan benzoate 10 mg/1 | TabletOral | Rising Pharma Holdings, Inc. | 57237-088 |
| Rizatriptan Benzoate | Rizatriptan benzoate 5 mg/1 | TabletOral | Bryant Ranch Prepack | 71335-2536 |
| Rizatriptan Benzoate | Rizatriptan benzoate 5 mg/1 | TabletOral | Aurobindo Pharma Limited | 65862-599 |
| Rizatriptan Benzoate | Rizatriptan benzoate 10 mg/1 | TabletOral | Aurobindo Pharma Limited | 65862-600 |