NDC codes

FDA NDC Directory
Product NDC (as listed)69367-414Labeler and product segments. Claims need a package NDC.
Product NDC at billing width69367-0414Add 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
69367-414-016936704140169367041401100 TABLET, EXTENDED RELEASE in 1 BOTTLE (69367-414-01)Marketed from Nov 25, 2025

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)
Theophylline (Anhydrous)Suffix: (Anhydrous)
Generic name (nonproprietary)
theophylline anhydrous
Active ingredients
Theophylline anhydrous — 400 mg/1
Dosage form
Tablet, Extended release
Route
Oral
Labeler
Westminster Pharmaceuticals, LLCNDC labeler code 69367
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 040560
Marketing start
Listing expires
Other FDA classes
Xanthines (Chemical structure)
Identifiers
Product ID 69367-414_46766222-63b4-478f-aa8b-a23b20476317SPL ID 46766222-63b4-478f-aa8b-a23b20476317SPL set ID 04f1d1da-ce61-45b3-acf4-903cc81d16daRxCUI 313291, 348472UNII 0I55128JYKUPC 0369367414012, 0369367415019
Pharmacologic class
Methylxanthine

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

N469367041401 followed by a unit qualifier and the quantity

Package 69367-0414-01. 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 .

Indications (excerpt from the label)

INDICATIONS AND USAGE Theophylline is indicated for the treatment of the symptoms and reversible airflow obstruction associated with chronic asthma and other chronic lung diseases, e.g., emphysema and chronic bronchitis.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 69367-414

What is NDC 69367-414?
69367-414 is the product NDC for Theophylline (Anhydrous) (theophylline anhydrous), Theophylline anhydrous 400 mg/1 tablet, extended release, listed with the FDA by Westminster Pharmaceuticals, LLC. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Theophylline (Anhydrous) (Theophylline Anhydrous).
What is the active ingredient?
Theophylline anhydrous.
Who is the labeler?
Westminster Pharmaceuticals, LLC, NDC labeler code 69367. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Theophylline (Anhydrous)?
5 other product NDCs are listed under this name. See all Theophylline (Anhydrous) 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 Theophylline (Anhydrous) NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
Theophylline (Anhydrous)theophylline anhydrousTheophylline anhydrous 600 mg/1Tablet, Extended releaseOralWestminster Pharmaceuticals, LLC69367-41569367-0415-01
Theophylline (Anhydrous)theophylline anhydrousTheophylline anhydrous 400 mg/1Tablet, Extended releaseOralProficient Rx LP82804-94182804-0941-0082804-0941-3082804-0941-60+2 more
Theophylline (Anhydrous)theophylline anhydrousTheophylline anhydrous 600 mg/1Tablet, Extended releaseOralProficient Rx LP82804-94282804-0942-0082804-0942-3082804-0942-60+2 more
Theophylline (Anhydrous)theophyllineTheophylline anhydrous 400 mg/1Tablet, Extended releaseOralGolden State Medical Supply, Inc.51407-31851407-0318-01
Theophylline (Anhydrous)theophyllineTheophylline anhydrous 600 mg/1Tablet, Extended releaseOralGolden State Medical Supply, Inc.51407-31951407-0319-01

Other NDCs under ANDA 040560

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

FDA NDC Directory listings under ANDA 040560
ProductStrengthForm · routeLabelerProduct NDC
Theophylline (Anhydrous)theophyllineTheophylline anhydrous 400 mg/1Tablet, Extended releaseOralGolden State Medical Supply, Inc.51407-318
Theophylline (Anhydrous)theophyllineTheophylline anhydrous 600 mg/1Tablet, Extended releaseOralGolden State Medical Supply, Inc.51407-319
Theophylline (Anhydrous)theophylline anhydrousTheophylline anhydrous 600 mg/1Tablet, Extended releaseOralWestminster Pharmaceuticals, LLC69367-415
Theophylline (Anhydrous)theophylline anhydrousTheophylline anhydrous 400 mg/1Tablet, Extended releaseOralProficient Rx LP82804-941
Theophylline (Anhydrous)theophylline anhydrousTheophylline anhydrous 600 mg/1Tablet, Extended releaseOralProficient Rx LP82804-942

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