NDC codes

FDA NDC Directory
Product NDC (as listed)69238-1247Labeler and product segments. Claims need a package NDC.
Product NDC at billing width69238-1247Add 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
69238-1247-3692381247036923812470330 CAPSULE, EXTENDED RELEASE in 1 BOTTLE (69238-1247-3)Marketed from Feb 1, 2017
69238-1247-9692381247096923812470990 CAPSULE, EXTENDED RELEASE in 1 BOTTLE (69238-1247-9)Marketed from Feb 1, 2017

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

Generic name (nonproprietary)
memantine and donepezil
Active ingredients
Memantine hydrochloride — 28 mg/1Donepezil hydrochloride — 10 mg/1
Dosage form
Capsule, Extended release
Route
Oral
Labeler
Amneal Pharmaceuticals NY LLCNDC labeler code 69238
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 208328
Marketing start
Listing expires
Other FDA classes
Cholinesterase Inhibitors (Mechanism)NMDA Receptor Antagonists (Mechanism)
Identifiers
Product ID 69238-1247_acd577e1-312c-4d5a-85b5-bc50ef9de545SPL ID acd577e1-312c-4d5a-85b5-bc50ef9de545SPL set ID 2335950c-be3b-4248-ad04-e9763aee47d2RxCUI 1599803, 1599805, 1805420, 1805425UNII 3O2T2PJ89D, JY0WD0UA60UPC 0369238124897, 0369238155396, 0369238124798, 0369238155297
Pharmacologic class
Cholinesterase Inhibitor; 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

N469238124703 followed by a unit qualifier and the quantity

Package 69238-1247-03. 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 and donepezil hydrochlorides extended-release capsules are indicated for the treatment of moderate to severe dementia of the Alzheimer’s type in patients stabilized on 10 mg of donepezil hydrochloride once daily. Memantine and donepezil hydrochlorides extended-release capsules are a combination of memantine hydrochloride, an NMDA receptor antagonist, and donepezil hydrochloride, an acetylcholinesterase inhibitor, indicated for the treatment of moderate to severe dementia of the Alzheimer’s type in patients stabilized on 10 mg of donepezil hydrochloride once daily. (1)

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 69238-1247

What is NDC 69238-1247?
69238-1247 is the product NDC for Memantine and Donepezil Hydrochlorides Extended-release, Memantine hydrochloride 28 mg/1; Donepezil hydrochloride 10 mg/1 capsule, extended release, listed with the FDA by Amneal Pharmaceuticals NY LLC. It has 2 package NDCs, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Memantine and Donepezil Hydrochlorides Extended-release (Memantine and Donepezil).
What is the active ingredient?
Memantine hydrochloride, Donepezil hydrochloride.
Who is the labeler?
Amneal Pharmaceuticals NY LLC, NDC labeler code 69238. 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 and Donepezil Hydrochlorides Extended-release?
4 other product NDCs are listed under this name. See all Memantine and Donepezil Hydrochlorides Extended-release 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 and Donepezil Hydrochlorides Extended-release NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
Memantine and Donepezil Hydrochlorides Extended-releasememantine and donepezilMemantine hydrochloride 28 mg/1; Donepezil hydrochloride 10 mg/1Capsule, Extended releaseOralAvKARE73190-00473190-0004-30
Memantine and Donepezil Hydrochlorides Extended-releasememantine and donepezilMemantine hydrochloride 14 mg/1; Donepezil hydrochloride 10 mg/1Capsule, Extended releaseOralAmneal Pharmaceuticals NY LLC69238-124869238-1248-0369238-1248-09
Memantine and Donepezil Hydrochlorides Extended-releasememantine and donepezilMemantine hydrochloride 7 mg/1; Donepezil hydrochloride 10 mg/1Capsule, Extended releaseOralAmneal Pharmaceuticals NY LLC69238-155269238-1552-0369238-1552-09
Memantine and Donepezil Hydrochlorides Extended-releasememantine and donepezilMemantine hydrochloride 21 mg/1; Donepezil hydrochloride 10 mg/1Capsule, Extended releaseOralAmneal Pharmaceuticals NY LLC69238-155369238-1553-0369238-1553-09

Other NDCs under ANDA 208328

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

FDA NDC Directory listings under ANDA 208328
ProductStrengthForm · routeLabelerProduct NDC
Memantine and Donepezil Hydrochlorides Extended-releasememantine and donepezilMemantine hydrochloride 14 mg/1; Donepezil hydrochloride 10 mg/1Capsule, Extended releaseOralAmneal Pharmaceuticals NY LLC69238-1248
Memantine and Donepezil Hydrochlorides Extended-releasememantine and donepezilMemantine hydrochloride 7 mg/1; Donepezil hydrochloride 10 mg/1Capsule, Extended releaseOralAmneal Pharmaceuticals NY LLC69238-1552
Memantine and Donepezil Hydrochlorides Extended-releasememantine and donepezilMemantine hydrochloride 21 mg/1; Donepezil hydrochloride 10 mg/1Capsule, Extended releaseOralAmneal Pharmaceuticals NY LLC69238-1553
Memantine and Donepezil Hydrochlorides Extended-releasememantine and donepezilMemantine hydrochloride 28 mg/1; Donepezil hydrochloride 10 mg/1Capsule, Extended releaseOralAvKARE73190-004

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