NDC codes

FDA NDC Directory
Product NDC (as listed)80425-0172Labeler and product segments. Claims need a package NDC.
Product NDC at billing width80425-0172Add 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
80425-0172-1804250172018042501720130 TABLET, FILM COATED in 1 BOTTLE (80425-0172-1)Marketed from Dec 5, 2014
80425-0172-2804250172028042501720260 TABLET, FILM COATED in 1 BOTTLE (80425-0172-2)Marketed from Dec 5, 2014

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)
Amitriptyline HCL
Generic name (nonproprietary)
amitriptyline hcl
Active ingredients
Amitriptyline hydrochloride — 10 mg/1
Dosage form
Tablet, Film coated
Route
Oral
Labeler
Advanced Rx Pharmacy of Tennessee, LLCNDC labeler code 80425
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 202446
Marketing start
Listing expires
Identifiers
Product ID 80425-0172_2a99a670-af32-299d-e063-6294a90a05d2SPL ID 2a99a670-af32-299d-e063-6294a90a05d2SPL set ID ca66c2fc-6724-f4cd-e053-2995a90a42cfRxCUI 856783UNII 26LUD4JO9K
Pharmacologic class
Tricyclic Antidepressant

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

N480425017201 followed by a unit qualifier and the quantity

Package 80425-0172-01. 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)

3. Indications and Usage For the relief of symptoms of depression. Endogenous depression is more likely to be alleviated than are other depressive states.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 80425-0172

What is NDC 80425-0172?
80425-0172 is the product NDC for Amitriptyline HCL, Amitriptyline hydrochloride 10 mg/1 tablet, film coated, listed with the FDA by Advanced Rx Pharmacy of Tennessee, LLC. It has 2 package NDCs, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Amitriptyline HCL.
What is the active ingredient?
Amitriptyline hydrochloride.
Who is the labeler?
Advanced Rx Pharmacy of Tennessee, LLC, NDC labeler code 80425. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Amitriptyline HCL?
7 other product NDCs are listed under this name. See all Amitriptyline HCL 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 Amitriptyline HCL NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
Amitriptyline HCLAmitriptyline hydrochloride 150 mg/1Tablet, Film coatedOralDirect_Rx72189-62272189-0622-30
Amitriptyline HCLAmitriptyline hydrochloride 150 mg/1Tablet, Film coatedOralDirect_Rx72189-58872189-0588-30
Amitriptyline HCLAmitriptyline hydrochloride 100 mg/1TabletOralDirect_rx72189-58172189-0581-30
Amitriptyline HCLAmitriptyline hydrochloride 75 mg/1Tablet, Film coatedOralDirect_Rx72189-44472189-0444-30
Amitriptyline HCLAmitriptyline hydrochloride 10 mg/1Tablet, Film coatedOralDirect_Rx72189-43172189-0431-3072189-0431-6072189-0431-90
Amitriptyline HCLAmitriptyline hydrochloride 50 mg/1Tablet, Film coatedOralDirect_Rx72189-44072189-0440-3072189-0440-6072189-0440-90
Amitriptyline HClAmitriptyline hydrochloride 25 mg/1Tablet, Film coatedOralDirect_Rx72189-42072189-0420-3072189-0420-6072189-0420-90

Other NDCs under ANDA 202446

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

FDA NDC Directory listings under ANDA 202446
ProductStrengthForm · routeLabelerProduct NDC
Amitriptyline HydrochlorideAmitriptyline hydrochloride 10 mg/1Tablet, Film coatedOralAccord Healthcare Inc.16729-171
Amitriptyline HydrochlorideAmitriptyline hydrochloride 100 mg/1Tablet, Film coatedOralAccord Healthcare Inc.16729-175
Amitriptyline HydrochlorideAmitriptyline hydrochloride 150 mg/1Tablet, Film coatedOralAccord Healthcare Inc.16729-176
Amitriptyline HydrochlorideAmitriptyline hydrochloride 100 mg/1Tablet, Film coatedOralA-S Medication Solutions50090-3564
Amitriptyline HydrochlorideAmitriptyline hydrochloride 10 mg/1Tablet, Film coatedOralNorthwind Health Company, LLC51655-632
Amitriptyline HydrochlorideAmitriptyline hydrochloride 10 mg/1Tablet, Film coatedOralProficient Rx LP63187-637
Amitriptyline HydrochlorideAmitriptyline hydrochloride 10 mg/1Tablet, Film coatedOralNuCare Pharmaceuticals,Inc.68071-4092
Amitriptyline HydrochlorideAmitriptyline hydrochloride 10 mg/1Tablet, Film coatedOralNuCare Pharmaceuticals,Inc.68071-4104
Amitriptyline HydrochlorideAmitriptyline hydrochloride 10 mg/1Tablet, Film coatedOralBryant Ranch Prepack71335-0395
Amitriptyline HydrochlorideAmitriptyline hydrochloride 150 mg/1Tablet, Film coatedOralBryant Ranch Prepack71335-0566

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