NDC codes

FDA NDC Directory
Product NDC (as listed)72189-341Labeler and product segments. Claims need a package NDC.
Product NDC at billing width72189-0341Add 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
72189-341-0972189034109721890341099 TABLET, ORALLY DISINTEGRATING in 1 BOTTLE (72189-341-09)Marketed from Mar 28, 2022

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 ODT
Generic name (nonproprietary)
rizatriptan benzoate odt
Active ingredients
Rizatriptan benzoate — 10 mg/1
Dosage form
Tablet, Orally disintegrating
Route
Oral
Labeler
Direct RxNDC labeler code 72189
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 72189-341_2c4c5f32-a754-7f96-e063-6394a90ad938SPL ID 2c4c5f32-a754-7f96-e063-6394a90ad938SPL set ID db489d19-1509-c979-e053-2a95a90a4410RxCUI 312837UNII WR978S7QHH
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

N472189034109 followed by a unit qualifier and the quantity

Package 72189-0341-09. 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 management…

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 72189-341

What is NDC 72189-341?
72189-341 is the product NDC for Rizatriptan Benzoate ODT, Rizatriptan benzoate 10 mg/1 tablet, orally disintegrating, listed with the FDA by Direct Rx. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Rizatriptan Benzoate ODT.
What is the active ingredient?
Rizatriptan benzoate.
Who is the labeler?
Direct Rx, NDC labeler code 72189. 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 ODT?
1 other product NDC are listed under this name. See all Rizatriptan Benzoate ODT 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 ODT NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
Rizatriptan Benzoate ODTRizatriptan benzoate 10 mg/1Tablet, Orally disintegratingOralDirect_rx72189-60972189-0609-18

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 BenzoateRizatriptan benzoate 10 mg/1Tablet, Orally disintegratingOralProficient Rx LP71205-557
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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