NDC codes

FDA NDC Directory
Product NDC (as listed)72189-512Labeler and product segments. Claims need a package NDC.
Product NDC at billing width72189-0512Add 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
72189-512-187218905121818 TABLET in 1 BOTTLE (72189-512-18)Marketed from Sep 11, 2023

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 benzoate5 mg/1
Dosage form
Tablet
Route
Oral
Labeler
Direct_Rx
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 202490
Marketing start
Listing expires
Other FDA classes
Serotonin 1b Receptor Agonists (Mechanism)Serotonin 1d Receptor Agonists (Mechanism)
Identifiers
Product ID 72189-512_2c4e6424-181c-1db8-e063-6294a90a52d9SPL ID 2c4e6424-181c-1db8-e063-6294a90a52d9SPL set ID 05150193-cc2f-8b41-e063-6394a90a184cRxCUI 312840UNII 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

N472189051218 followed by a unit qualifier and the quantity

Package 72189-0512-18. 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 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 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 tablets, the diagnosis of migraine should be reconsidered before rizatriptan benzoate tablets are administered to treat any subsequent attacks. Rizatriptan benzoate tablets are not indicated for use in the management of hemiplegic or basilar migraine [see CONTRAINDICATIONS (4)]. Rizatriptan benzoate tablets are not indicated

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under ANDA 202490

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

FDA NDC Directory listings under ANDA 202490
ProductStrengthForm · routeLabelerProduct NDC
Rizatriptan BenzoateRizatriptan benzoate 5 mg/1TabletOralGolden State Medical Supply, Inc.51407-681
Rizatriptan BenzoateRizatriptan benzoate 10 mg/1TabletOralProficient Rx LP71205-644
Rizatriptan BenzoateRizatriptan benzoate 10 mg/1TabletOralGolden State Medical Supply, Inc.51407-682
Rizatriptan BenzoateRizatriptan benzoate 10 mg/1TabletOralA-S Medication Solutions50090-3367
Rizatriptan BenzoateRizatriptan benzoate 10 mg/1TabletOralProficient Rx LP82804-202
Rizatriptan BenzoateRizatriptan benzoate 10 mg/1TabletOralBryant Ranch Prepack71335-1912
Rizatriptan BenzoateRizatriptan benzoate 10 mg/1TabletOralDIRECT RX61919-656
Rizatriptan BenzoateRizatriptan benzoate 5 mg/1TabletOralBryant Ranch Prepack71335-1149
Rizatriptan BenzoateRizatriptan benzoate 10 mg/1TabletOraldirect rx72189-258
Rizatriptan BenzoateRizatriptan benzoate 5 mg/1TabletOralRising Pharma Holdings, Inc.57237-087
Rizatriptan BenzoateRizatriptan benzoate 10 mg/1TabletOralRising Pharma Holdings, Inc.57237-088
Rizatriptan BenzoateRizatriptan benzoate 5 mg/1TabletOralBryant Ranch Prepack71335-2536
Rizatriptan BenzoateRizatriptan benzoate 5 mg/1TabletOralAurobindo Pharma Limited65862-599
Rizatriptan BenzoateRizatriptan benzoate 10 mg/1TabletOralAurobindo Pharma Limited65862-600

Free account

Keep searching with a free account

You’ve used your 3 free searches for this session. Log in or create a free Med-Code account to keep looking up NDCs, J-codes and drugs.

Create a free accountLog in