What is NDC 82804-139?

82804-139 is the product NDC for Nortriptyline Hydrochloride, Nortriptyline hydrochloride 25 mg/1 capsule, listed with the FDA by Proficient Rx LP. It has 1 package NDC, shown above in 10- and 11-digit form.

Proficient Rx LP, NDC labeler code 82804. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.

What other NDCs exist for Nortriptyline Hydrochloride?

77 other product NDCs are listed under this name.

Is there a related HCPCS / J-code?

Not in Med-Code's curated HCPCS directory.

Nortriptyline Hydrochloride NDC 82804-139

NDC codes

FDA NDC Directory

Product NDC (as listed)82804-139Labeler and product segments. Claims need a package NDC.

Product NDC at billing width82804-0139Add 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
82804-139-30	8280401393082804013930	30 CAPSULE in 1 BOTTLE, PLASTIC (82804-139-30)Marketed from Sep 6, 2024

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): Nortriptyline Hydrochloride
Generic name (nonproprietary): nortriptyline hydrochloride
Active ingredients: Nortriptyline hydrochloride — 25 mg/1
Dosage form: Capsule
Route: Oral
Labeler: Proficient Rx LPNDC labeler code 82804
Product type: Prescription drug
Marketing category: ANDA — Abbreviated New Drug Application (generic)Application ANDA 073556
Marketing start: Nov 17, 2023
Listing expires: Dec 31, 2027
Identifiers: Product ID 82804-139_661ec73c-d893-446a-83c3-218b06889962SPL ID 661ec73c-d893-446a-83c3-218b06889962SPL set ID 661ec73c-d893-446a-83c3-218b06889962RxCUI 317136UNII 00FN6IH15DUPC 0382804139309
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

N482804013930 followed by a unit qualifier and the quantity

Package 82804-0139-30. 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 Sep 1, 2024. This label includes a boxed warning.

Indications (excerpt from the label)

INDICATIONS AND USAGE Nortriptyline hydrochloride, USP is indicated for the relief of symptoms of depression. Endogenous depressions are 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 82804-139

What is NDC 82804-139?: 82804-139 is the product NDC for Nortriptyline Hydrochloride, Nortriptyline hydrochloride 25 mg/1 capsule, listed with the FDA by Proficient Rx LP. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?: Nortriptyline Hydrochloride.
What is the active ingredient?: Nortriptyline hydrochloride.
Who is the labeler?: Proficient Rx LP, NDC labeler code 82804. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Nortriptyline Hydrochloride?: 77 other product NDCs are listed under this name. See all Nortriptyline 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 Nortriptyline Hydrochloride NDCs
Product	Strength	Form · route	Labeler	Product NDC	Package NDCs (11-digit)
Nortriptyline Hydrochloride	Nortriptyline hydrochloride 10 mg/1	CapsuleOral	REMEDYREPACK INC.	70518-4766	70518-4766-00
Nortriptyline Hydrochloride	Nortriptyline hydrochloride 25 mg/1	CapsuleOral	Coupler LLC	67046-1661	67046-1661-03
Nortriptyline Hydrochloride	Nortriptyline hydrochloride 25 mg/1	CapsuleOral	American Health Packaging	60687-911	60687-0911-01
Nortriptyline Hydrochloride	Nortriptyline hydrochloride 10 mg/1	CapsuleOral	American Health Packaging	60687-900	60687-0900-01
Nortriptyline Hydrochloride	Nortriptyline hydrochloride 25 mg/1	CapsuleOral	St. Mary's Medical Park Pharmacy	60760-909	60760-0909-30
Nortriptyline Hydrochloride	Nortriptyline hydrochloride 10 mg/1	CapsuleOral	Preferred Pharmaceuticals Inc.	68788-8900	68788-8900-03
Nortriptyline Hydrochloride	Nortriptyline hydrochloride 25 mg/1	CapsuleOral	Advanced Rx of Tennessee, LLC	80425-0534	80425-0534-0180425-0534-0280425-0534-03
Nortriptyline Hydrochloride	Nortriptyline hydrochloride 50 mg/1	CapsuleOral	Coupler LLC	67046-1530	67046-1530-03
Nortriptyline Hydrochloride	Nortriptyline hydrochloride 75 mg/1	CapsuleOral	REMEDYREPACK INC.	70518-4281	70518-4281-00
Nortriptyline Hydrochloride	Nortriptyline hydrochloride 10 mg/1	CapsuleOral	Coupler LLC	67046-1500	67046-1500-03

All 78 Nortriptyline Hydrochloride NDCs

Other NDCs under ANDA 073556

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

FDA NDC Directory listings under ANDA 073556
Product	Strength	Form · route	Labeler	Product NDC
Nortriptyline HCL	Nortriptyline hydrochloride 25 mg/1	CapsuleOral	Direct_rx	72189-561
Nortriptyline HCL	Nortriptyline hydrochloride 50 mg/1	CapsuleOral	Direct_rx	72189-562
Nortriptyline HCL	Nortriptyline hydrochloride 10 mg/1	CapsuleOral	Direct_rx	72189-563
Nortriptyline Hydrochloride	Nortriptyline hydrochloride 25 mg/1	CapsuleOral	PD-Rx Pharmaceuticals, Inc.	43063-722
Nortriptyline Hydrochloride	Nortriptyline hydrochloride 25 mg/1	CapsuleOral	A-S Medication Solutions	50090-7191
Nortriptyline Hydrochloride	Nortriptyline hydrochloride 25 mg/1	CapsuleOral	Mayne Pharma Inc.	51862-016
Nortriptyline Hydrochloride	Nortriptyline hydrochloride 10 mg/1	CapsuleOral	ST. MARY'S MEDICAL PARK PHARMACY	60760-908
Nortriptyline Hydrochloride	Nortriptyline hydrochloride 25 mg/1	CapsuleOral	St. Mary's Medical Park Pharmacy	60760-909
Nortriptyline Hydrochloride	Nortriptyline hydrochloride 25 mg/1	CapsuleOral	Coupler LLC	67046-1411
Nortriptyline Hydrochloride	Nortriptyline hydrochloride 10 mg/1	CapsuleOral	Coupler LLC	67046-1500
Nortriptyline Hydrochloride	Nortriptyline hydrochloride 50 mg/1	CapsuleOral	Coupler LLC	67046-1530
Nortriptyline Hydrochloride	Nortriptyline hydrochloride 25 mg/1	CapsuleOral	Preferred Pharmaceuticals Inc.	68788-8721
Nortriptyline Hydrochloride	Nortriptyline hydrochloride 10 mg/1	CapsuleOral	Preferred Pharmaceuticals Inc.	68788-8900
Nortriptyline Hydrochloride	Nortriptyline hydrochloride 25 mg/1	CapsuleOral	REMEDYREPACK INC.	70518-4086
Nortriptyline Hydrochloride	Nortriptyline hydrochloride 50 mg/1	CapsuleOral	REMEDYREPACK INC.	70518-4122
Nortriptyline Hydrochloride	Nortriptyline hydrochloride 75 mg/1	CapsuleOral	REMEDYREPACK INC.	70518-4281
Nortriptyline Hydrochloride	Nortriptyline hydrochloride 10 mg/1	CapsuleOral	REMEDYREPACK INC.	70518-4766
Nortriptyline Hydrochloride	Nortriptyline hydrochloride 25 mg/1	CapsuleOral	Bryant Ranch Prepack	71335-2350
Nortriptyline Hydrochloride	Nortriptyline hydrochloride 50 mg/1	CapsuleOral	Bryant Ranch Prepack	71335-2351
Nortriptyline Hydrochloride	Nortriptyline hydrochloride 75 mg/1	CapsuleOral	Bryant Ranch Prepack	71335-2459

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