NDC codes

FDA NDC Directory
Product NDC (as listed)69315-167Labeler and product segments. Claims need a package NDC.
Product NDC at billing width69315-0167Add 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
69315-167-0169315016701100 CAPSULE in 1 BOTTLE (69315-167-01)Marketed from Mar 10, 2020
69315-167-036931501670330 CAPSULE in 1 BOTTLE (69315-167-03)Marketed from Mar 10, 2020
69315-167-096931501670990 CAPSULE in 1 BOTTLE (69315-167-09)Marketed from Mar 10, 2020

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)
Clomipramine Hydrochloride
Generic name (nonproprietary)
clomipramine hydrochloride
Active ingredients
Clomipramine hydrochloride — 25 mg/1
Dosage form
Capsule
Route
Oral
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 211364
Marketing start
Listing expires
Identifiers
Product ID 69315-167_48996a58-a312-4a01-ba38-0261a18bec65SPL ID 48996a58-a312-4a01-ba38-0261a18bec65SPL set ID fa0d4de8-c96e-429d-a65c-928afbf46863RxCUI 857297, 857301, 857305UNII 2LXW0L6GWJUPC 0369315167014, 0369315167038, 0369315165034, 0369315167090
Pharmacologic class
Tricyclic Antidepressant

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

N469315016701 followed by a unit qualifier and the quantity

Package 69315-0167-01. 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

Label details couldn’t be retrieved right now. Open the label on DailyMed.

Other NDCs under ANDA 211364

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

FDA NDC Directory listings under ANDA 211364
ProductStrengthForm · routeLabelerProduct NDC
Clomipramine HydrochlorideClomipramine hydrochloride 75 mg/1CapsuleOralLeading Pharma, LLC69315-165
Clomipramine HydrochlorideClomipramine hydrochloride 50 mg/1CapsuleOralLeading Pharma, LLC69315-166
Clomipramine HydrochlorideClomipramine hydrochloride 50 mg/1CapsuleOralProficient Rx LP71205-911
Clomipramine HydrochlorideClomipramine hydrochloride 25 mg/1CapsuleOralProficient Rx LP71205-910
Clomipramine HydrochlorideClomipramine hydrochloride 75 mg/1CapsuleOralProficient Rx LP71205-912

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