NDC codes

FDA NDC Directory
Product NDC (as listed)65038-429Labeler and product segments. Claims need a package NDC.
Product NDC at billing width65038-0429Add 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
65038-429-9965038042999100 CAPSULE in 1 BOTTLE, PLASTIC (65038-429-99)Marketed from Jul 16, 2021

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)
Azstarys
Generic name (nonproprietary)
serdexmethylphenidate and dexmethylphenidate
Active ingredients
Serdexmethylphenidate chloride39.2 mg/1Dexmethylphenidate hydrochloride7.8 mg/1
Dosage form
Capsule
Route
Oral
Product type
Prescription drug
Marketing category
NDA — New Drug ApplicationApplication NDA 212994
Marketing start
Listing expires
DEA schedule
CII
Other FDA classes
Central Nervous System Stimulation (Physiologic effect)Central Nervous System Stimulation (Physiologic effect)
Identifiers
Product ID 65038-429_515506d2-5c3d-92d2-e063-6394a90a0603SPL ID 515506d2-5c3d-92d2-e063-6394a90a0603SPL set ID 00b5e716-5564-4bbd-acaf-df2bc45a5663RxCUI 2562186, 2562187, 2562191, 2562194, 2562199, 2562204UNII FN54BT298Y, 1678OK0E08UPC 0365038561993, 0365038429996, 0365038286995

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

N465038042999 followed by a unit qualifier and the quantity

Package 65038-0429-99. 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)

AZSTARYS is indicated for the treatment of Attention Deficit Hyperactivity Disorder (ADHD) in patients 6 years of age and older. Limitations of Use The use of AZSTARYS is not recommended in pediatric patients younger than 6 years of age because they had higher plasma exposure and a higher incidence of adverse reactions (e.g., weight loss) than patients 6 years and older at the same dosage [see Warnings and Precautions ( 5.7 ), Use in Specific Populations ( 8.4 )]. AZSTARYS is a central nervous system (CNS) stimulant indicated for the treatment of Attention Deficit Hyperactivity Disorder (ADHD) in patients 6 years of age and older. ( 1 ) Limitations of Use The use of AZSTARYS is not recommend

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under NDA 212994

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

FDA NDC Directory listings under NDA 212994
ProductStrengthForm · routeLabelerProduct NDC
Azstarysserdexmethylphenidate and dexmethylphenidateSerdexmethylphenidate chloride 26.1 mg/1; Dexmethylphenidate hydrochloride 5.2 mg/1CapsuleOralCommave Sub, LLC65038-286
Azstarysserdexmethylphenidate and dexmethylphenidateSerdexmethylphenidate chloride 52.3 mg/1; Dexmethylphenidate hydrochloride 10.4 mg/1CapsuleOralCommave Sub, LLC65038-561

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Azstarys NDC 65038-429 | Med-Code