NDC codes

FDA NDC Directory
Product NDC (as listed)58151-110Labeler and product segments. Claims need a package NDC.
Product NDC at billing width58151-0110Add 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
58151-110-015815101100158151011001100 CAPSULE, EXTENDED RELEASE in 1 BOTTLE, PLASTIC (58151-110-01)Marketed from Dec 6, 2024
58151-110-1058151011010581510110101000 CAPSULE, EXTENDED RELEASE in 1 BOTTLE, PLASTIC (58151-110-10)Marketed from Apr 9, 2025
58151-110-885815101108858151011088100 BLISTER PACK in 1 CARTON (58151-110-88) / 1 CAPSULE, EXTENDED RELEASE in 1 BLISTER PACK (58151-110-32)Marketed from Dec 6, 2024

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)
Dilantin
Generic name (nonproprietary)
extended phenytoin sodium
Active ingredients
Phenytoin sodium — 100 mg/1
Dosage form
Capsule, Extended release
Route
Oral
Labeler
Viatris Specialty LLCNDC labeler code 58151
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 084349
Marketing start
Listing expires
Other FDA classes
Cytochrome P450 1A2 Inducers (Mechanism)Cytochrome P450 2B6 Inducers (Mechanism)Cytochrome P450 2C19 Inducers (Mechanism)Cytochrome P450 2C8 Inducers (Mechanism)Cytochrome P450 2C9 Inducers (Mechanism)Cytochrome P450 2D6 Inducers (Mechanism)Cytochrome P450 3A Inducers (Mechanism)Decreased Central Nervous System Disorganized Electrical Activity (Physiologic effect)
Identifiers
Product ID 58151-110_872f23a8-e6a3-4038-922d-0c26fc81d8b3SPL ID 872f23a8-e6a3-4038-922d-0c26fc81d8b3SPL set ID 86dd27d1-9cee-48ae-b55d-e2d2f7dbc593RxCUI 855671, 855673, 855869, 855871UNII 4182431BJHUPC 0358151118014, 0358151110018
Pharmacologic class
Anti-epileptic Agent

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

N458151011001 followed by a unit qualifier and the quantity

Package 58151-0110-01. 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)

DILANTIN is indicated for the treatment of tonic-clonic (grand mal) and psychomotor (temporal lobe) seizures and prevention and treatment of seizures occurring during or following neurosurgery. DILANTIN is indicated for the treatment of tonic-clonic (grand mal) and psychomotor (temporal lobe) seizures and prevention and treatment of seizures occurring during or following neurosurgery. ( 1 )

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 58151-110

What is NDC 58151-110?
58151-110 is the product NDC for Dilantin (extended phenytoin sodium), Phenytoin sodium 100 mg/1 capsule, extended release, listed with the FDA by Viatris Specialty LLC. It has 3 package NDCs, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Dilantin (Extended Phenytoin Sodium).
What is the active ingredient?
Phenytoin sodium.
Who is the labeler?
Viatris Specialty LLC, NDC labeler code 58151. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Dilantin?
2 other product NDCs are listed under this name. See all Dilantin NDCs.
Is there a related HCPCS / J-code?
Not in Med-Code's curated HCPCS directory. See Billing references above.

Other finished products listed under the same name: strengths, forms and labelers.

Other Dilantin NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
Dilantinextended phenytoin sodiumPhenytoin sodium 30 mg/1Capsule, Extended releaseOralREMEDYREPACK INC.70518-432570518-4325-00
Dilantinextended phenytoin sodiumPhenytoin sodium 30 mg/1Capsule, Extended releaseOralViatris Specialty LLC58151-11858151-0118-01

Other NDCs under ANDA 084349

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

FDA NDC Directory listings under ANDA 084349
ProductStrengthForm · routeLabelerProduct NDC
Dilantinextended phenytoin sodiumPhenytoin sodium 30 mg/1Capsule, Extended releaseOralViatris Specialty LLC58151-118
Dilantinextended phenytoin sodiumPhenytoin sodium 30 mg/1Capsule, Extended releaseOralREMEDYREPACK INC.70518-4325

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