NDC codes

FDA NDC Directory
Product NDC (as listed)55154-1398Labeler and product segments. Claims need a package NDC.
Product NDC at billing width55154-1398Add 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
55154-1398-05515413980010 BLISTER PACK in 1 BAG (55154-1398-0) / 1 TABLET in 1 BLISTER PACKMarketed from Sep 5, 2007

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)
Zolpidem Tartrate
Generic name (nonproprietary)
zolpidem tartrate
Active ingredients
Zolpidem tartrate5 mg/1
Dosage form
Tablet
Route
Oral
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 077903
Marketing start
Listing expires
DEA schedule
CIV
Other FDA classes
Central Nervous System Depression (Physiologic effect)GABA A Receptor Positive Modulators (Mechanism)
Identifiers
Product ID 55154-1398_02687019-6136-4c80-9030-32e20d6669d7SPL ID 02687019-6136-4c80-9030-32e20d6669d7SPL set ID 83510333-f07d-4b81-a3ae-2801d114bd31RxCUI 854876UNII WY6W63843KUPC 0055154139809
Pharmacologic class
gamma-Aminobutyric Acid A Receptor Positive Modulator

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

N455154139800 followed by a unit qualifier and the quantity

Package 55154-1398-00. 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 . This label includes a boxed warning.

Indications (excerpt from the label)

Zolpidem tartrate tablets, USP a gamma-amino butyric acid (GABA) A receptor positive modulator, is indicated for the short-term treatment of insomnia characterized by difficulties with sleep initiation. Zolpidem tartrate tablets, USP are indicated for the short-term treatment of insomnia characterized by difficulties with sleep initiation. Zolpidem tartrate tablets, USP have been shown to decrease sleep latency for up to 35 days in controlled clinical studies [ see Clinical Studies (14) ] . The clinical trials performed in support of efficacy were 4 to 5 weeks in duration with the final formal assessments of sleep latency performed at the end of treatment.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under ANDA 077903

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

FDA NDC Directory listings under ANDA 077903
ProductStrengthForm · routeLabelerProduct NDC
Zolpidem TartrateZolpidem tartrate 10 mg/1TabletOralNuCare Pharmaceuticals, Inc68071-1887
Zolpidem TartrateZolpidem tartrate 5 mg/1TabletOralAsclemed USA, Inc.76420-233
Zolpidem TartrateZolpidem tartrate 10 mg/1TabletOralNuCare Pharmaceuticals,Inc.68071-5093
Zolpidem TartrateZolpidem tartrate 5 mg/1TabletOralBryant Ranch Prepack63629-3549
Zolpidem TartrateZolpidem tartrate 10 mg/1TabletOralNuCare Pharmaceuticals,Inc.68071-5120
Zolpidem TartrateZolpidem tartrate 10 mg/1TabletOralAsclemed USA, Inc.76420-263
Zolpidem TartrateZolpidem tartrate 5 mg/1TabletOralNuCare Pharmaceuticals,Inc.68071-4598
Zolpidem TartrateZolpidem tartrate 5 mg/1TabletOralNuCare Pharmaceuticals,Inc.68071-2232
Zolpidem TartrateZolpidem tartrate 5 mg/1TabletOralMajor Pharmaceuticals0904-6082
Zolpidem TartrateZolpidem tartrate 10 mg/1TabletOralA-S Medication Solutions50090-1023
Zolpidem TartrateZolpidem tartrate 5 mg/1TabletOralA-S Medication Solutions50090-1022
Zolpidem TartrateZolpidem tartrate 10 mg/1TabletOralNorthwind Health Company, LLC82868-064
Zolpidem TartrateZolpidem tartrate 10 mg/1TabletOralAdvanced Rx Pharmacy of Tennessee, LLC80425-0301
Zolpidem TartrateZolpidem tartrate 10 mg/1TabletOralDirectRX61919-663
Zolpidem TartrateZolpidem tartrate 5 mg/1TabletOralDirect_Rx61919-751
Zolpidem TartrateZolpidem tartrate 5 mg/1TabletOralPreferred Pharmaceuticals, Inc.68788-9126
Zolpidem TartrateZolpidem tartrate 5 mg/1TabletOralAdvanced Rx Pharmacy of Tennessee, LLC80425-0322
Zolpidem TartrateZolpidem tartrate 10 mg/1TabletOralPreferred Pharmaceuticals, Inc.68788-9127
Zolpidem TartrateZolpidem tartrate 10 mg/1TabletOralAdvanced Rx of Tennessee, LLC80425-0059
Zolpidem TartrateZolpidem tartrate 10 mg/1TabletOralCalvin Scott & Co., Inc.17224-970

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