Firdapse (amifampridine phosphate) NDC 69616-211

NDC codes

FDA NDC Directory

Product NDC (as listed)69616-211Labeler and product segments. Claims need a package NDC.

Product NDC at billing width69616-0211Add 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 NDC	11-digit (billing)	Package
69616-211-03	69616021103	240 TABLET in 1 BOTTLE, PLASTIC (69616-211-03)Marketed from Jan 7, 2019
69616-211-06	69616021106	12 BLISTER PACK in 1 CARTON (69616-211-06) / 10 TABLET in 1 BLISTER PACK (69616-211-04)Marketed from Jan 7, 2019
69616-211-08	69616021108	60 TABLET in 1 BOTTLE, PLASTIC (69616-211-08)Marketed from Jan 7, 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): Firdapse
Generic name (nonproprietary): amifampridine phosphate
Active ingredients: Amifampridine phosphate — 10 mg/1
Dosage form: Tablet
Route: Oral
Labeler: Catalyst Pharmaceuticals, Inc.
Product type: Prescription drug
Marketing category: NDA — New Drug ApplicationApplication NDA 208078
Marketing start: Jan 7, 2019
Listing expires: Dec 31, 2027
Other FDA classes: Potassium Channel Antagonists (Mechanism)
Identifiers: Product ID 69616-211_4f94edd2-b6a8-264d-e063-6294a90a89dfSPL ID 4f94edd2-b6a8-264d-e063-6294a90a89dfSPL set ID f015fe60-3128-4a43-8c31-19fc6b5def3fRxCUI 2106343, 2107518UNII 8HF8FIN815
Pharmacologic class: Potassium Channel Blocker

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

N469616021103 followed by a unit qualifier and the quantity

Package 69616-0211-03. 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

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