Imipramine Pamoate
NDC Package 0406-9934-03

View Billable Units, 11-Digit Conversion Format, and RxNorm mappings
Table of Contents
    1. Package Information
    2. Frequently Asked Questions

Package Information

This product is EXCLUDED from the official NDC directory because the listing data was discontinued by the firm.

Imipramine Pamoate is a medication used to treat depression. Marketed by Mallinckrodt, Inc., this product is identified by NDC 0406-9934 and is authorized under FDA application NDA017090.

Identification & Billing

NDC Package Code
0406-9934-03
Package Description
30 CAPSULE in 1 BOTTLE
Product Code
0406-9934
11-Digit Billing Format
00406993403
Billing Unit
EA - Billing unit of "each" is used when the product is dispensed in discreet units.
Units Per Package
30 EA

Clinical Specifications

Proprietary Name
Imipramine Pamoate
Dosage Form
-
Usage Information
This medication is used to treat depression. Using this medication may improve your mood, sleep, appetite, and energy level and may help restore your interest in daily life. Imipramine pamoate belongs to a class of medications called tricyclic antidepressants. It works by restoring the balance of certain natural substances (neurotransmitters) in the brain.

Regulatory & Marketing

Labeler Name
Mallinckrodt, Inc.
FDA Application #
NDA017090
Marketing Category
NDA - A product marketed under an approved New Drug Application.
Start Marketing Date
10-15-2009
End Marketing Date
12-31-2016
Listing Expiration
12-31-2016
Exclude Flag
D
Sample Package
No

Hierarchy Structure

Code Lineage

The NDC Directory contains ONLY information on final marketed drugs submitted to FDA electronically by labelers. A labeler might be a manufacturer, re-packager or re-labeler. The product information included in the NDC directory does not indicate that FDA has verified the information provided by the product labeler. Assigned NDC numbers are not in any way an indication of FDA approval of the product.

* Please review the full disclaimer at the bottom of this page.

Frequently Asked Questions

What is the distribution configuration for this product package?

The code 0406-9934-03 identifies a specific commercial package of 30 capsule in 1 bottle of Imipramine Pamoate, labeled by Mallinckrodt, Inc.. This is formulated for use and contains as the active substance.

Is this product currently listed with the FDA?

This product code is currently listed as inactive or excluded from the primary directory. It was introduced to the market by Mallinckrodt, Inc. on October 15, 2009. The current certification is valid through December 31, 2016.

What are the primary indications for this medication?

This medication is used to treat depression. Using this medication may improve your mood, sleep, appetite, and energy level and may help restore your interest in daily life. Imipramine pamoate belongs to a class of medications called tricyclic antidepressants. It works by restoring the balance of certain natural substances (neurotransmitters) in the brain.

How is this Mallinckrodt, Inc. product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 00406993403. Quantities are measured in per "each", products billed on a per each basis are usually products dispensed in discreet units.. There are 30 total billable units per package. The table below illustrates the segment conversion from the 10-digit labeler code to the 11-digit provider format.

11-Digit Code Conversion

Billing payers usually require a 5-4-2 segment configuration. Below is the conversion from the 10-digit package format to the 11-digit billing format:

10-Digit Format (4-4-2)
0406-9934-03
11-Digit CMS (5-4-2)
00406-9934-03

Note: The zero is added to the Labeler segment to maintain the 5-4-2 structure.