NDC codes

FDA NDC Directory
Product NDC (as listed)55289-624Labeler and product segments. Claims need a package NDC.
Product NDC at billing width55289-0624Add 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
55289-624-07552890624077 CAPSULE in 1 BOTTLE, PLASTIC (55289-624-07)Marketed from Aug 31, 2012
55289-624-145528906241414 CAPSULE in 1 BOTTLE, PLASTIC (55289-624-14)Marketed from Aug 31, 2012
55289-624-285528906242828 CAPSULE in 1 BOTTLE, PLASTIC (55289-624-28)Marketed from Aug 31, 2012
55289-624-305528906243030 CAPSULE in 1 BOTTLE, PLASTIC (55289-624-30)Marketed from Aug 31, 2012
55289-624-605528906246060 CAPSULE in 1 BOTTLE, PLASTIC (55289-624-60)Marketed from Aug 31, 2012

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)
Phentermine Hydrochloride
Generic name (nonproprietary)
phentermine hydrochloride
Active ingredients
Phentermine hydrochloride — 30 mg/1
Dosage form
Capsule
Route
Oral
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 040875
Marketing start
Listing expires
DEA schedule
CIV
Other FDA classes
Appetite Suppression (Physiologic effect)Increased Sympathetic Activity (Physiologic effect)
Identifiers
Product ID 55289-624_419b1893-64bb-45c2-e063-6294a90acac8SPL ID 419b1893-64bb-45c2-e063-6294a90acac8SPL set ID 6749c074-52a1-4d74-96a2-d9302b3c49a1RxCUI 900038UNII 0K2I505OTVUPC 0355289624301
Pharmacologic class
Sympathomimetic Amine Anorectic

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

N455289062407 followed by a unit qualifier and the quantity

Package 55289-0624-07. 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)

Phentermine Hydrochloride, USP 15 mg and 30 mg is indicated as a short-term (a few weeks) adjunct in a regimen of weight reduction based on exercise, behavioral modification and caloric restriction in the management of exogenous obesity for patients with an initial body mass index greater than or equal to 30 kg/m 2 , or greater than or equal to 27 kg/m 2 in the presence of other risk factors (e.g., controlled hypertension, diabetes, hyperlipidemia). Below is a chart of Body Mass Index (BMI) based on various heights and weights. BMI is calculated by taking the patient’s weight, in kilograms (kg), divided by the patient’s height, in meters (m), squared. Metric conversions are as follows: pound…

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under ANDA 040875

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

FDA NDC Directory listings under ANDA 040875
ProductStrengthForm · routeLabelerProduct NDC
Phentermine HydrochloridePhentermine hydrochloride 30 mg/1CapsuleOralProficient Rx LP63187-987
Phentermine HydrochloridePhentermine hydrochloride 30 mg/1CapsuleOralCalvin Scott & Co., Inc.17224-877
Phentermine HydrochloridePhentermine hydrochloride 30 mg/1CapsuleOralKVK-Tech, Inc.10702-028
Phentermine HydrochloridePhentermine hydrochloride 30 mg/1CapsuleOralA-S Medication Solutions50090-5493
Phentermine HydrochloridePhentermine hydrochloride 30 mg/1CapsuleOralBryant Ranch Prepack71335-0564
Phentermine HydrochloridePhentermine hydrochloride 30 mg/1CapsuleOralA-S Medication Solutions50090-0416

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