NDC codes

FDA NDC Directory
Product NDC (as listed)63629-2514Labeler and product segments. Claims need a package NDC.
Product NDC at billing width63629-2514Add 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
63629-2514-1636292514016362925140160 TABLET in 1 BOTTLE (63629-2514-1)Marketed from May 18, 2021

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)
Memantine Hydrochloride
Generic name (nonproprietary)
memantine hydrochloride
Active ingredients
Memantine hydrochloride — 5 mg/1
Dosage form
Tablet
Route
Oral
Labeler
Bryant Ranch PrepackNDC labeler code 63629
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 090961
Marketing start
Listing expires
Other FDA classes
NMDA Receptor Antagonists (Mechanism)
Identifiers
Product ID 63629-2514_16652984-6db6-4780-9fa8-8faf436c404cSPL ID 16652984-6db6-4780-9fa8-8faf436c404cSPL set ID fac8c59b-5bf5-478e-8223-a5ecaa400625RxCUI 996571UNII JY0WD0UA60
Pharmacologic class
N-methyl-D-aspartate Receptor Antagonist

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

N463629251401 followed by a unit qualifier and the quantity

Package 63629-2514-01. 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)

Memantine hydrochloride is an N-methyl-D-aspartate (NMDA) receptor antagonist indicated for the treatment of moderate to severe dementia of the Alzheimer's type. ( 1 ) Memantine hydrochloride tablets, USP are indicated for the treatment of moderate to severe dementia of the Alzheimer's type.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 63629-2514

What is NDC 63629-2514?
63629-2514 is the product NDC for Memantine Hydrochloride, Memantine hydrochloride 5 mg/1 tablet, listed with the FDA by Bryant Ranch Prepack. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Memantine Hydrochloride.
What is the active ingredient?
Memantine hydrochloride.
Who is the labeler?
Bryant Ranch Prepack, NDC labeler code 63629. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Memantine Hydrochloride?
111 other product NDCs are listed under this name. See all Memantine Hydrochloride 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 Memantine Hydrochloride NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
Memantine hydrochlorideMemantine hydrochloride 7 mg/1Capsule, Extended releaseOralMacleods Pharmaceuticals Limited33342-21933342-0219-0733342-0219-12
Memantine hydrochlorideMemantine hydrochloride 14 mg/1Capsule, Extended releaseOralMacleods Pharmaceuticals Limited33342-22033342-0220-0733342-0220-12
Memantine hydrochlorideMemantine hydrochloride 21 mg/1Capsule, Extended releaseOralMacleods Pharmaceuticals Limited33342-22133342-0221-0733342-0221-12
Memantine hydrochlorideMemantine hydrochloride 28 mg/1Capsule, Extended releaseOralMacleods Pharmaceuticals Limited33342-22233342-0222-0733342-0222-12
Memantine HydrochlorideMemantine hydrochloride 5 mg/1Tablet, Film coatedOralCarlsbad Technology, Inc.61442-19261442-0192-0561442-0192-60
Memantine HydrochlorideMemantine hydrochloride 10 mg/1Tablet, Film coatedOralCarlsbad Technology, Inc.61442-19361442-0193-0561442-0193-60
Memantine HydrochloridememantineMemantine hydrochloride 7 mg/1Capsule, Extended releaseOralRising Pharma Holdings, Inc.16571-85216571-0852-03
Memantine HydrochloridememantineMemantine hydrochloride 14 mg/1Capsule, Extended releaseOralRising Pharma Holdings, Inc.16571-85316571-0853-0316571-0853-09
Memantine HydrochloridememantineMemantine hydrochloride 21 mg/1Capsule, Extended releaseOralRising Pharma Holdings, Inc.16571-85416571-0854-03
Memantine HydrochloridememantineMemantine hydrochloride 28 mg/1Capsule, Extended releaseOralRising Pharma Holdings, Inc.16571-85516571-0855-0316571-0855-09

All 112 Memantine Hydrochloride NDCs

Other NDCs under ANDA 090961

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

FDA NDC Directory listings under ANDA 090961
ProductStrengthForm · routeLabelerProduct NDC
Memantine HydrochlorideMemantine hydrochloride 5 mg/1TabletOralA-S Medication Solutions50090-6291
Memantine HydrochlorideMemantine hydrochloride 10 mg/1TabletOralBryant Ranch Prepack63629-2511
Memantine HydrochlorideMemantine hydrochloride 10 mg/1TabletOralBryant Ranch Prepack63629-2512
Memantine HydrochlorideMemantine hydrochloride 5 mg/1TabletOralBryant Ranch Prepack63629-2513
Memantine HydrochlorideMemantine hydrochloride 5 mg/1TabletOralCoupler LLC67046-1471
Memantine HydrochlorideMemantine hydrochloride 5 mg/1TabletOralREMEDYREPACK INC.70518-3338
Memantine HydrochlorideMemantine hydrochloride 5 mg/1Tablet, Film coatedOralZydus Lifesciences Limited70771-1119
Memantine HydrochlorideMemantine hydrochloride 10 mg/1Tablet, Film coatedOralZydus Lifesciences Limited70771-1120
Memantine HydrochlorideMemantine hydrochloride 10 mg/1TabletOralBryant Ranch Prepack71335-1603
Memantine HydrochlorideMemantine hydrochloride 5 mg/1TabletOralBryant Ranch Prepack71335-1732
Memantine HydrochlorideMemantine hydrochloride 5 mg/1TabletOralBryant Ranch Prepack71335-2013
Memantine HydrochlorideMemantine hydrochloride 5 mg/1TabletOralAphena Pharma Solutions - Tennessee, LLC71610-911
Memantine HydrochlorideMemantine hydrochloride 5 mg/1TabletOralBryant Ranch Prepack72162-2003
Memantine HydrochlorideMemantine hydrochloride 10 mg/1TabletOralBryant Ranch Prepack72162-2004
Memantine HydrochlorideMemantine hydrochloride 5 mg/1TabletOralDirectRx72189-294
Memantine HydrochlorideMemantine hydrochloride 5 mg/1TabletOralViona Pharmaceuticals Inc72578-003
Memantine HydrochlorideMemantine hydrochloride 10 mg/1TabletOralViona Pharmaceuticals Inc72578-004

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