NDC codes

FDA NDC Directory
Product NDC (as listed)71610-904Labeler and product segments. Claims need a package NDC.
Product NDC at billing width71610-0904Add 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
71610-904-107161009041010 TABLET, FILM COATED in 1 BOTTLE (71610-904-10)Marketed from May 6, 2025
71610-904-147161009041414 TABLET, FILM COATED in 1 BOTTLE (71610-904-14)Marketed from May 6, 2025
71610-904-157161009041515 TABLET, FILM COATED in 1 BOTTLE (71610-904-15)Marketed from May 6, 2025
71610-904-207161009042020 TABLET, FILM COATED in 1 BOTTLE (71610-904-20)Marketed from May 13, 2025
71610-904-287161009042828 TABLET, FILM COATED in 1 BOTTLE (71610-904-28)Marketed from May 6, 2025
71610-904-307161009043030 TABLET, FILM COATED in 1 BOTTLE (71610-904-30)Marketed from May 6, 2025
71610-904-457161009044545 TABLET, FILM COATED in 1 BOTTLE (71610-904-45)Marketed from May 6, 2025
71610-904-537161009045360 TABLET, FILM COATED in 1 BOTTLE (71610-904-53)Marketed from May 6, 2025
71610-904-607161009046090 TABLET, FILM COATED in 1 BOTTLE (71610-904-60)Marketed from May 6, 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)
Zolpidem Tartrate
Generic name (nonproprietary)
zolpidem tartrate
Active ingredients
Zolpidem tartrate5 mg/1
Dosage form
Tablet, Film coated
Route
Oral
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 077214
Marketing start
Listing expires
DEA schedule
CIV
Other FDA classes
Central Nervous System Depression (Physiologic effect)GABA A Receptor Positive Modulators (Mechanism)
Identifiers
Product ID 71610-904_35d0e953-2920-f36b-e063-6294a90a7d52SPL ID 35d0e953-2920-f36b-e063-6294a90a7d52SPL set ID 349053e4-9885-ec0b-e063-6294a90ad79aRxCUI 854876UNII WY6W63843K
Pharmacologic class
gamma-Aminobutyric Acid A Receptor Positive Modulator

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

N471610090410 followed by a unit qualifier and the quantity

Package 71610-0904-10. 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 . This label includes a boxed warning.

Indications (excerpt from the label)

Zolpidem Tartrate Tablets is indicated for the short-term treatment of insomnia characterized by difficulties with sleep initiation. Zolpidem Tartrate Tablets has been shown to decrease sleep latency for up to 35 days in controlled clinical studies [see Clinical Studies ( 14 )]. The clinical trials performed in support of efficacy were 4–5 weeks in duration with the final formal assessments of sleep latency performed at the end of treatment. Zolpidem Tartrate Tablets, a gamma-aminobutyric acid (GABA) A receptor positive modulator, is indicated for the short-term treatment of insomnia characterized by difficulties with sleep initiation. ( 1 )

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under ANDA 077214

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

FDA NDC Directory listings under ANDA 077214
ProductStrengthForm · routeLabelerProduct NDC
Zolpidemzolpidem tartrateZolpidem tartrate 5 mg/1TabletOralBryant Ranch Prepack63629-1170
Zolpidemzolpidem tartrateZolpidem tartrate 5 mg/1TabletOralBryant Ranch Prepack63629-8998
Zolpidemzolpidem tartrateZolpidem tartrate 10 mg/1TabletOralBryant Ranch Prepack63629-8999
Zolpidemzolpidem tartrateZolpidem tartrate 10 mg/1TabletOralAphena Pharma Solutions - Tennessee, LLC71610-848
Zolpidemzolpidem tartrateZolpidem tartrate 5 mg/1TabletOralAphena Pharma Solutions - Tennessee, LLC71610-847
Zolpidemzolpidem tartrateZolpidem tartrate 10 mg/1TabletOralProficient Rx LP71205-691
Zolpidemzolpidem tartrateZolpidem tartrate 5 mg/1TabletOralBryant Ranch Prepack72162-1982
Zolpidemzolpidem tartrateZolpidem tartrate 10 mg/1TabletOralBryant Ranch Prepack72162-1983
Zolpidem TartrateZolpidem tartrate 10 mg/1Tablet, Film coatedOralAphena Pharma Solutions - Tennessee, LLC71610-915
Zolpidemzolpidem tartrateZolpidem tartrate 5 mg/1TabletOralAphena Pharma Solutions - Tennessee, LLC71610-670
Zolpidemzolpidem tartrateZolpidem tartrate 10 mg/1TabletOralBryant Ranch Prepack71335-9684
Zolpidemzolpidem tartrateZolpidem tartrate 5 mg/1TabletOralGolden State Medical Supply, Inc.51407-877
Zolpidemzolpidem tartrateZolpidem tartrate 10 mg/1TabletOralGolden State Medical Supply, Inc.51407-878
Zolpidemzolpidem tartrateZolpidem tartrate 10 mg/1TabletOralBryant Ranch Prepack71335-2303
Zolpidemzolpidem tartrateZolpidem tartrate 5 mg/1TabletOralACI Healthcare USA, Inc71093-155
Zolpidemzolpidem tartrateZolpidem tartrate 10 mg/1TabletOralACI Healthcare USA, Inc71093-156
Zolpidemzolpidem tartrateZolpidem tartrate 5 mg/1TabletOralBryant Ranch Prepack63629-9613
Zolpidemzolpidem tartrateZolpidem tartrate 10 mg/1TabletOralBryant Ranch Prepack63629-9614
Zolpidem TartrateZolpidem tartrate 10 mg/1Tablet, Film coatedOralThe ACME Laboratories Ltd.72722-104
Zolpidem TartrateZolpidem tartrate 5 mg/1Tablet, Film coatedOralGolden State Medical Supply, Inc.51407-941

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