NDC codes

FDA NDC Directory
Product NDC (as listed)70436-054Labeler and product segments. Claims need a package NDC.
Product NDC at billing width70436-0054Add 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
70436-054-047043600540430 CAPSULE, EXTENDED RELEASE in 1 BOTTLE (70436-054-04)Marketed from Nov 15, 2021

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)
Memantine Hydrochloride
Generic name (nonproprietary)
memantine hydrochloride
Active ingredients
Memantine hydrochloride — 7 mg/1
Dosage form
Capsule, Extended release
Route
Oral
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 211100
Marketing start
Listing expires
Other FDA classes
NMDA Receptor Antagonists (Mechanism)
Identifiers
Product ID 70436-054_5003d132-8e5e-799f-e063-6394a90a5029SPL ID 5003d132-8e5e-799f-e063-6394a90a5029SPL set ID a74050c4-5a37-4fa1-85d9-85831525cfebRxCUI 996594, 996603, 996609, 996615UNII JY0WD0UA60UPC 0370436054046, 0370436057047, 0370436056040, 0370436055067, 0370436057061, 0370436055043
Pharmacologic class
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

N470436005404 followed by a unit qualifier and the quantity

Package 70436-0054-04. 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 Hydrochloride Extended-Release Capsules are indicated for the treatment of moderate to severe dementia of the Alzheimer’s type. Memantine Hydrochloride Extended-Release Capsules are a N-methyl-D-aspartate (NMDA) receptor antagonist indicated for the treatment of moderate to severe dementia of the Alzheimer’s type. ( 1 )

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under ANDA 211100

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

FDA NDC Directory listings under ANDA 211100
ProductStrengthForm · routeLabelerProduct NDC
Memantine HydrochlorideMemantine hydrochloride 21 mg/1Capsule, Extended releaseOralSlate Run Pharmaceuticals, LLC70436-056
Memantine HydrochlorideMemantine hydrochloride 14 mg/1Capsule, Extended releaseOralSlate Run Pharmaceuticals, LLC70436-055
Memantine HydrochlorideMemantine hydrochloride 28 mg/1Capsule, Extended releaseOralSlate Run Pharmaceuticals, LLC70436-057

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