NDC codes

FDA NDC Directory
Product NDC (as listed)71205-557Labeler and product segments. Claims need a package NDC.
Product NDC at billing width71205-0557Add 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
71205-557-0671205055706712050557061 BLISTER PACK in 1 BAG (71205-557-06) / 6 TABLET, ORALLY DISINTEGRATING in 1 BLISTER PACKMarketed from Apr 29, 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)
Rizatriptan Benzoate
Generic name (nonproprietary)
rizatriptan benzoate
Active ingredients
Rizatriptan benzoate — 10 mg/1
Dosage form
Tablet, Orally disintegrating
Route
Oral
Labeler
Proficient Rx LPNDC labeler code 71205
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 203062
Marketing start
Listing expires
Other FDA classes
Serotonin 1b Receptor Agonists (Mechanism)Serotonin 1d Receptor Agonists (Mechanism)
Identifiers
Product ID 71205-557_5ea65f46-b915-486a-93d6-0e352202cf66SPL ID 5ea65f46-b915-486a-93d6-0e352202cf66SPL set ID 80c124ab-a083-4184-ba6b-199a7681b5d1RxCUI 312837UNII WR978S7QHHUPC 0371205557065
Pharmacologic class
Serotonin-1b and Serotonin-1d Receptor Agonist

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

N471205055706 followed by a unit qualifier and the quantity

Package 71205-0557-06. 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)

Rizatriptan benzoate orally disintegrating tablets are indicated for the acute treatment of migraine with or without aura in adults and in pediatric patients 6 to 17 years old. Limitations of Use • Rizatriptan benzoate orally disintegrating tablets should only be used where a clear diagnosis of migraine has been established. If a patient has no response for the first migraine attack treated with rizatriptan benzoate orally disintegrating tablets, the diagnosis of migraine should be reconsidered before rizatriptan benzoate orally disintegrating tablets are administered to treat any subsequent attacks. • Rizatriptan benzoate orally disintegrating tablets are not indicated for use in the manage…

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 71205-557

What is NDC 71205-557?
71205-557 is the product NDC for Rizatriptan Benzoate, Rizatriptan benzoate 10 mg/1 tablet, orally disintegrating, listed with the FDA by Proficient Rx LP. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Rizatriptan Benzoate.
What is the active ingredient?
Rizatriptan benzoate.
Who is the labeler?
Proficient Rx LP, NDC labeler code 71205. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Rizatriptan Benzoate?
56 other product NDCs are listed under this name. See all Rizatriptan Benzoate 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 Rizatriptan Benzoate NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
Rizatriptan BenzoateRizatriptan benzoate 10 mg/1Tablet, Orally disintegratingOralAdvanced Rx of Tennessee, LLC80425-053580425-0535-01
Rizatriptan BenzoateRizatriptan benzoate 10 mg/1Tablet, Orally disintegratingOralREMEDYREPACK INC.70518-436270518-4362-00
Rizatriptan BenzoateRizatriptan benzoate 5 mg/1TabletOralDirect_Rx72189-51272189-0512-18
Rizatriptan BenzoateRizatriptan benzoate 10 mg/1Tablet, Film coatedOralDirect_Rx72189-44772189-0447-18
Rizatriptan BenzoateRizatriptan benzoate 5 mg/1TabletOralDirect Rx72189-31672189-0316-18
Rizatriptan BenzoateRizatriptan benzoate 10 mg/1TabletOraldirect rx72189-25872189-0258-1272189-0258-18
Rizatriptan BenzoateRizatriptan benzoate 10 mg/1TabletOralDIRECT RX61919-65661919-0656-12
Rizatriptan BenzoateRizatriptan benzoate 5 mg/1TabletOralDIRECT RX61919-39461919-0394-18
Rizatriptan BenzoateRizatriptan benzoate 5 mg/1Tablet, Orally disintegratingOralUnichem Pharmaceuticals (USA), Inc.29300-26829300-0268-2129300-0268-8129300-0268-91
Rizatriptan BenzoateRizatriptan benzoate 10 mg/1Tablet, Orally disintegratingOralUnichem Pharmaceuticals (USA), Inc.29300-26929300-0269-2129300-0269-8129300-0269-91

All 57 Rizatriptan Benzoate NDCs

Other NDCs under ANDA 203062

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

FDA NDC Directory listings under ANDA 203062
ProductStrengthForm · routeLabelerProduct NDC
Rizatriptan BenzoateRizatriptan benzoate 5 mg/1Tablet, Orally disintegratingOralRising Pharma Holdings, Inc.57237-085
Rizatriptan BenzoateRizatriptan benzoate 10 mg/1Tablet, Orally disintegratingOralRising Pharma Holdings, Inc.57237-086
Rizatriptan BenzoateRizatriptan benzoate 10 mg/1Tablet, Orally disintegratingOralREMEDYREPACK INC.70518-4362
Rizatriptan BenzoateRizatriptan benzoate 10 mg/1Tablet, Orally disintegratingOralBryant Ranch Prepack71335-2982
Rizatriptan BenzoateRizatriptan benzoate 5 mg/1Tablet, Orally disintegratingOralAurobindo Pharma Limited65862-625
Rizatriptan BenzoateRizatriptan benzoate 10 mg/1Tablet, Orally disintegratingOralAurobindo Pharma Limited65862-626
Rizatriptan BenzoateRizatriptan benzoate 10 mg/1Tablet, Orally disintegratingOralNuCare Pharmaceuticals,Inc.68071-3568
Rizatriptan BenzoateRizatriptan benzoate 5 mg/1Tablet, Orally disintegratingOralAsclemed USA, Inc.76420-908
Rizatriptan BenzoateRizatriptan benzoate 10 mg/1Tablet, Orally disintegratingOralAsclemed USA, Inc.76420-909
Rizatriptan Benzoate ODTRizatriptan benzoate 10 mg/1Tablet, Orally disintegratingOralDirect Rx72189-341
Rizatriptan BenzoateRizatriptan benzoate 5 mg/1Tablet, Orally disintegratingOralGolden State Medical Supply, Inc.51407-679
Rizatriptan BenzoateRizatriptan benzoate 10 mg/1Tablet, Orally disintegratingOralGolden State Medical Supply, Inc.51407-680
Rizatriptan BenzoateRizatriptan benzoate 10 mg/1Tablet, Orally disintegratingOralBryant Ranch Prepack71335-1819
Rizatriptan BenzoateRizatriptan benzoate 10 mg/1Tablet, Orally disintegratingOralAdvanced Rx of Tennessee, LLC80425-0535

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