What is NDC 72162-2004?

72162-2004 is the product NDC for Memantine Hydrochloride, Memantine hydrochloride 10 mg/1 tablet, listed with the FDA by Bryant Ranch Prepack. It has 2 package NDCs, shown above in 10- and 11-digit form.

Bryant Ranch Prepack, NDC labeler code 72162. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.

What other NDCs exist for Memantine Hydrochloride?

111 other product NDCs are listed under this name.

Is there a related HCPCS / J-code?

Not in Med-Code's curated HCPCS directory.

Memantine Hydrochloride NDC 72162-2004

NDC codes

FDA NDC Directory

Product NDC (as listed)72162-2004Labeler and product segments. Claims need a package NDC.

Product NDC at billing width72162-2004Add 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	Copy
72162-2004-5	7216220040572162200405	500 TABLET in 1 BOTTLE (72162-2004-5)Marketed from Feb 6, 2024
72162-2004-6	7216220040672162200406	60 TABLET in 1 BOTTLE (72162-2004-6)Marketed from Feb 6, 2024

How the 11-digit form is made: The package segment has 1 digit, so one leading zero is added to it (5-4-1 → 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 — 10 mg/1
Dosage form: Tablet
Route: Oral
Labeler: Bryant Ranch PrepackNDC labeler code 72162
Product type: Prescription drug
Marketing category: ANDA — Abbreviated New Drug Application (generic)Application ANDA 090961
Marketing start: Feb 28, 2019
Listing expires: Dec 31, 2026
Other FDA classes: NMDA Receptor Antagonists (Mechanism)
Identifiers: Product ID 72162-2004_41c04bd6-b745-4e94-a9ce-5b3babcd2039SPL ID 41c04bd6-b745-4e94-a9ce-5b3babcd2039SPL set ID be919d34-e9f4-49c8-8145-2dcafb7cb88cRxCUI 996561UNII JY0WD0UA60
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

N472162200405 followed by a unit qualifier and the quantity

Package 72162-2004-05. 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 Feb 6, 2024.

Indications (excerpt from the label)

Memantine hydrochloride is an N-methyl-D-aspartate (NMDA) receptor antagonist indicated for the treatment of moderate to severe dementia of the Alzheimer's type. ( 1 ) Memantine hydrochloride tablets, USP are indicated for the treatment of moderate to severe dementia of the Alzheimer's type.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 72162-2004

What is NDC 72162-2004?: 72162-2004 is the product NDC for Memantine Hydrochloride, Memantine hydrochloride 10 mg/1 tablet, listed with the FDA by Bryant Ranch Prepack. It has 2 package NDCs, shown above in 10- and 11-digit form.
What drug is associated with this NDC?: Memantine Hydrochloride.
What is the active ingredient?: Memantine hydrochloride.
Who is the labeler?: Bryant Ranch Prepack, NDC labeler code 72162. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Memantine Hydrochloride?: 111 other product NDCs are listed under this name. See all Memantine Hydrochloride 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 Memantine Hydrochloride NDCs
Product	Strength	Form · route	Labeler	Product NDC	Package NDCs (11-digit)
Memantine hydrochloride	Memantine hydrochloride 7 mg/1	Capsule, Extended releaseOral	Macleods Pharmaceuticals Limited	33342-219	33342-0219-0733342-0219-12
Memantine hydrochloride	Memantine hydrochloride 14 mg/1	Capsule, Extended releaseOral	Macleods Pharmaceuticals Limited	33342-220	33342-0220-0733342-0220-12
Memantine hydrochloride	Memantine hydrochloride 21 mg/1	Capsule, Extended releaseOral	Macleods Pharmaceuticals Limited	33342-221	33342-0221-0733342-0221-12
Memantine hydrochloride	Memantine hydrochloride 28 mg/1	Capsule, Extended releaseOral	Macleods Pharmaceuticals Limited	33342-222	33342-0222-0733342-0222-12
Memantine Hydrochloride	Memantine hydrochloride 5 mg/1	Tablet, Film coatedOral	Carlsbad Technology, Inc.	61442-192	61442-0192-0561442-0192-60
Memantine Hydrochloride	Memantine hydrochloride 10 mg/1	Tablet, Film coatedOral	Carlsbad Technology, Inc.	61442-193	61442-0193-0561442-0193-60
Memantine Hydrochloridememantine	Memantine hydrochloride 7 mg/1	Capsule, Extended releaseOral	Rising Pharma Holdings, Inc.	16571-852	16571-0852-03
Memantine Hydrochloridememantine	Memantine hydrochloride 14 mg/1	Capsule, Extended releaseOral	Rising Pharma Holdings, Inc.	16571-853	16571-0853-0316571-0853-09
Memantine Hydrochloridememantine	Memantine hydrochloride 21 mg/1	Capsule, Extended releaseOral	Rising Pharma Holdings, Inc.	16571-854	16571-0854-03
Memantine Hydrochloridememantine	Memantine hydrochloride 28 mg/1	Capsule, Extended releaseOral	Rising Pharma Holdings, Inc.	16571-855	16571-0855-0316571-0855-09

All 112 Memantine Hydrochloride NDCs

Other NDCs under ANDA 090961

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

FDA NDC Directory listings under ANDA 090961
Product	Strength	Form · route	Labeler	Product NDC
Memantine Hydrochloride	Memantine hydrochloride 5 mg/1	TabletOral	A-S Medication Solutions	50090-6291
Memantine Hydrochloride	Memantine hydrochloride 10 mg/1	TabletOral	Bryant Ranch Prepack	63629-2511
Memantine Hydrochloride	Memantine hydrochloride 10 mg/1	TabletOral	Bryant Ranch Prepack	63629-2512
Memantine Hydrochloride	Memantine hydrochloride 5 mg/1	TabletOral	Bryant Ranch Prepack	63629-2513
Memantine Hydrochloride	Memantine hydrochloride 5 mg/1	TabletOral	Bryant Ranch Prepack	63629-2514
Memantine Hydrochloride	Memantine hydrochloride 5 mg/1	TabletOral	Coupler LLC	67046-1471
Memantine Hydrochloride	Memantine hydrochloride 5 mg/1	TabletOral	REMEDYREPACK INC.	70518-3338
Memantine Hydrochloride	Memantine hydrochloride 5 mg/1	Tablet, Film coatedOral	Zydus Lifesciences Limited	70771-1119
Memantine Hydrochloride	Memantine hydrochloride 10 mg/1	Tablet, Film coatedOral	Zydus Lifesciences Limited	70771-1120
Memantine Hydrochloride	Memantine hydrochloride 10 mg/1	TabletOral	Bryant Ranch Prepack	71335-1603
Memantine Hydrochloride	Memantine hydrochloride 5 mg/1	TabletOral	Bryant Ranch Prepack	71335-1732
Memantine Hydrochloride	Memantine hydrochloride 5 mg/1	TabletOral	Bryant Ranch Prepack	71335-2013
Memantine Hydrochloride	Memantine hydrochloride 5 mg/1	TabletOral	Aphena Pharma Solutions - Tennessee, LLC	71610-911
Memantine Hydrochloride	Memantine hydrochloride 5 mg/1	TabletOral	Bryant Ranch Prepack	72162-2003
Memantine Hydrochloride	Memantine hydrochloride 5 mg/1	TabletOral	DirectRx	72189-294
Memantine Hydrochloride	Memantine hydrochloride 5 mg/1	TabletOral	Viona Pharmaceuticals Inc	72578-003
Memantine Hydrochloride	Memantine hydrochloride 10 mg/1	TabletOral	Viona Pharmaceuticals Inc	72578-004