NDC codes

FDA NDC Directory
Product NDC (as listed)55154-0280Labeler and product segments. Claims need a package NDC.
Product NDC at billing width55154-0280Add 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
55154-0280-05515402800010 BLISTER PACK in 1 BAG (55154-0280-0) / 1 TABLET, FILM COATED in 1 BLISTER PACKMarketed from Jul 10, 2026

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)
Mirtazapine
Generic name (nonproprietary)
mirtazapine
Active ingredients
Mirtazapine — 15 mg/1
Dosage form
Tablet, Film coated
Route
Oral
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 076122
Marketing start
Listing expires
Identifiers
Product ID 55154-0280_7a5545a0-4dbb-48ac-b0d2-477a8dd4b87eSPL ID 7a5545a0-4dbb-48ac-b0d2-477a8dd4b87eSPL set ID 7a5545a0-4dbb-48ac-b0d2-477a8dd4b87eRxCUI 311725UNII A051Q2099Q

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

N455154028000 followed by a unit qualifier and the quantity

Package 55154-0280-00. 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

Label details couldn’t be retrieved right now. Open the label on DailyMed.

Other NDCs under ANDA 076122

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

FDA NDC Directory listings under ANDA 076122
ProductStrengthForm · routeLabelerProduct NDC
MirtazapineMirtazapine 30 mg/1Tablet, Film coatedOralAphena Pharma Solutions - Tennessee, LLC71610-523
MirtazapineMirtazapine 15 mg/1Tablet, Film coatedOralREMEDYREPACK INC.70518-4322
MirtazapineMirtazapine 15 mg/1Tablet, Film coatedOralMylan Pharmaceuticals Inc.0378-3515
MirtazapineMirtazapine 30 mg/1Tablet, Film coatedOralGolden State Medical Supply, Inc.51407-351
MirtazapineMirtazapine 15 mg/1Tablet, Film coatedOralGolden State Medical Supply, Inc.51407-350
MirtazapineMirtazapine 45 mg/1Tablet, Film coatedOralGolden State Medical Supply, Inc.51407-352
MirtazapineMirtazapine 30 mg/1Tablet, Film coatedOralMylan Pharmaceuticals Inc.0378-3530
MirtazapineMirtazapine 45 mg/1Tablet, Film coatedOralMylan Pharmaceuticals Inc.0378-3545
MirtazapineMirtazapine 15 mg/1Tablet, Film coatedOralCardinal Health 107, LLC55154-5355
MirtazapineMirtazapine 15 mg/1Tablet, Film coatedOralMylan Institutional Inc.51079-086
MirtazapineMirtazapine 30 mg/1Tablet, Film coatedOralMylan Institutional Inc.51079-087
MirtazapineMirtazapine 45 mg/1Tablet, Film coatedOralMylan Institutional Inc.51079-088
MirtazapineMirtazapine 15 mg/1Tablet, Film coatedOralSafecor Health LLC48433-076
MirtazapineMirtazapine 30 mg/1Tablet, Film coatedOralSafecor Health LLC48433-077
MirtazapineMirtazapine 45 mg/1Tablet, Film coatedOralSafecor Health LLC48433-078
MirtazapineMirtazapine 15 mg/1Tablet, Film coatedOralAphena Pharma Solutions - Tennessee, LLC71610-475

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