NDC codes

FDA NDC Directory
Product NDC (as listed)67877-655Labeler and product segments. Claims need a package NDC.
Product NDC at billing width67877-0655Add 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
67877-655-0167877065501100 TABLET in 1 BOTTLE (67877-655-01)Marketed from Jul 21, 2019
67877-655-0567877065505500 TABLET in 1 BOTTLE (67877-655-05)Marketed from Jul 21, 2019
67877-655-306787706553030 TABLET in 1 BOTTLE (67877-655-30)Marketed from Jul 21, 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)
Dexmethylphenidate Hydrochloride
Generic name (nonproprietary)
dexmethylphenidate hydrochloride
Active ingredients
Dexmethylphenidate hydrochloride — 2.5 mg/1
Dosage form
Tablet
Route
Oral
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 212631
Marketing start
Listing expires
DEA schedule
CII
Other FDA classes
Central Nervous System Stimulation (Physiologic effect)
Identifiers
Product ID 67877-655_d87ba2c9-5dd1-4038-8149-7ef46c421422SPL ID d87ba2c9-5dd1-4038-8149-7ef46c421422SPL set ID 830df993-db01-40df-beef-90af6b86f561RxCUI 899518, 899548, 899557UNII 1678OK0E08

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

N467877065501 followed by a unit qualifier and the quantity

Package 67877-0655-01. 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 . This label includes a boxed warning.

Indications (excerpt from the label)

Dexmethylphenidate hydrochloride is indicated for the treatment of Attention Deficit Hyperactivity Disorder (ADHD) [see Clinical Studies ( 14 )] . Dexmethylphenidate hydrochloride is a central nervous system (CNS) stimulant indicated for the treatment of Attention Deficit Hyperactivity Disorder (ADHD) (1).

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under ANDA 212631

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

FDA NDC Directory listings under ANDA 212631
ProductStrengthForm · routeLabelerProduct NDC
Dexmethylphenidate HydrochlorideDexmethylphenidate hydrochloride 5 mg/1TabletOralAscend Laboratories, LLC67877-656
Dexmethylphenidate HydrochlorideDexmethylphenidate hydrochloride 10 mg/1TabletOralAscend Laboratories, LLC67877-657

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