NDC codes

FDA NDC Directory
Product NDC (as listed)63739-098Labeler and product segments. Claims need a package NDC.
Product NDC at billing width63739-0098Add 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
63739-098-106373900981010 BLISTER PACK in 1 BOX (63739-098-10) / 10 TABLET, FILM COATED in 1 BLISTER PACKMarketed from Nov 15, 2019

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)
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 077666
Marketing start
Marketing end
Identifiers
Product ID 63739-098_2bb25f3c-7005-6710-e063-6294a90a022cSPL ID 2bb25f3c-7005-6710-e063-6294a90a022cSPL set ID 40c95daa-bbd5-48d9-97e4-c87f2c1f0fa5RxCUI 311725, 314111UNII 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

N463739009810 followed by a unit qualifier and the quantity

Package 63739-0098-10. 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)

Mirtazapine Tablets are indicated for the treatment of major depressive disorder (MDD) in adults [see Clinical Studies (14)]. Mirtazapine Tablets is indicated for the treatment of major depressive disorder (MDD) in adults. (1)

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under ANDA 077666

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

FDA NDC Directory listings under ANDA 077666
ProductStrengthForm · routeLabelerProduct NDC
MirtazapineMirtazapine 15 mg/1Tablet, Film coatedOralProficient Rx LP63187-206
MirtazapineMirtazapine 30 mg/1Tablet, Film coatedOralAvKARE42291-952
MirtazapineMirtazapine 15 mg/1Tablet, Film coatedOralDirect_Rx61919-153
MirtazapineMirtazapine 30 mg/1Tablet, Film coatedOralAphena Pharma Solutions - Tennessee, LLC43353-378
MirtazapineMirtazapine 30 mg/1Tablet, Film coatedOralMcKesson Corporation dba SKY Packaging63739-099
MirtazapineMirtazapine 30 mg/1Tablet, Film coatedOralA-S Medication Solutions50090-1058
MirtazapineMirtazapine 15 mg/1Tablet, Film coatedOralCoupler LLC67046-1590
MirtazapineMirtazapine 45 mg/1Tablet, Film coatedOralProficient Rx LP63187-471
MirtazapineMirtazapine 15 mg/1Tablet, Film coatedOralMajor Pharmaceuticals0904-6519
MirtazapineMirtazapine 30 mg/1Tablet, Film coatedOralApotex Corp.60505-0248
MirtazapineMirtazapine 15 mg/1Tablet, Film coatedOralApotex Corp.60505-0247
MirtazapineMirtazapine 45 mg/1Tablet, Film coatedOralApotex Corp.60505-0249
MirtazapineMirtazapine 30 mg/1Tablet, Film coatedOralProficient Rx LP63187-554
MirtazapineMirtazapine 15 mg/1Tablet, Film coatedOralAphena Pharma Solutions - Tennessee, LLC71610-717
MirtazapineMirtazapine 15 mg/1Tablet, Film coatedOralCardinal Health 107, LLC55154-7297

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