Rizatriptan Benzoate Tablet, Orally Disintegrating
NDC Package 43817-133-04

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

Package Information

Rizatriptan Benzoate tablets is rizatriptan is used to treat migraines. This formulation utilizes a tablet, orally disintegrating delivery system. Marketed by Panacea Biotec Limited, this product is identified by NDC 43817-133 and is authorized under FDA application ANDA204722.

Identification & Billing

NDC Package Code
43817-133-04
Package Description
6 BLISTER PACK in 1 CARTON / 3 TABLET, ORALLY DISINTEGRATING in 1 BLISTER PACK (43817-133-03)
Product Code
43817-133
11-Digit Billing Format
43817013304
RxNorm Crosswalk
  • RxCUI: 312837 - rizatriptan benzoate 10 MG Disintegrating Oral Tablet
  • RxCUI: 312837 - rizatriptan 10 MG Disintegrating Oral Tablet
  • RxCUI: 312837 - rizatriptan 10 MG (as rizatriptan benzoate 14.53 MG) Disintegrating Oral Tablet
  • RxCUI: 312839 - rizatriptan benzoate 5 MG Disintegrating Oral Tablet
  • RxCUI: 312839 - rizatriptan 5 MG Disintegrating Oral Tablet

Clinical Specifications

Proprietary Name
Rizatriptan Benzoate
Non-Proprietary Name
Rizatriptan Benzoate
Substance Name
Rizatriptan Benzoate
Dosage Form
Tablet, Orally Disintegrating - A solid dosage form containing medicinal substances which disintegrates rapidly, usually within a matter of seconds, when placed upon the tongue.
Administration Route
Oral - Administration to or by way of the mouth.
Active Ingredient(s)
RIZATRIPTAN BENZOATE 5 mg/1
Pharmacologic Class
Usage Information
Rizatriptan is used to treat migraines. It helps to relieve headache, pain, and other migraine symptoms (including nausea, vomiting, sensitivity to light/sound). Prompt treatment helps you return to your normal routine and may decrease your need for other pain medications. Rizatriptan belongs to a class of drugs known as triptans. It affects a certain natural substance (serotonin) that causes narrowing of blood vessels in the brain. It may also relieve pain by affecting certain nerves in the brain. Rizatriptan does not prevent future migraines or lessen how often you get migraine attacks.

Regulatory & Marketing

Labeler Name
Panacea Biotec Limited
Product Type
Human Prescription Drug
FDA Application #
ANDA204722
Marketing Category
ANDA - A product marketed under an approved Abbreviated New Drug Application.
Start Marketing Date
01-17-2017
Listing Expiration
12-31-2026
Exclude Flag
N
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 43817-133-04 identifies a specific commercial package of 6 blister pack in 1 carton / 3 tablet, orally disintegrating in 1 blister pack (43817-133-03) of Rizatriptan Benzoate, a human prescription drug labeled by Panacea Biotec Limited. This tablet, orally disintegrating is formulated for oral use and contains rizatriptan benzoate as the active substance.

Is this product currently listed with the FDA?

Yes, this product is active and verified within the NDC Directory. It was introduced to the market by Panacea Biotec Limited on January 17, 2017. The current certification is valid through December 31, 2026.

What are the primary indications for this medication?

Rizatriptan is used to treat migraines. It helps to relieve headache, pain, and other migraine symptoms (including nausea, vomiting, sensitivity to light/sound). Prompt treatment helps you return to your normal routine and may decrease your need for other pain medications. Rizatriptan belongs to a class of drugs known as triptans. It affects a certain natural substance (serotonin) that causes narrowing of blood vessels in the brain. It may also relieve pain by affecting certain nerves in the brain. Rizatriptan does not prevent future migraines or lessen how often you get migraine attacks.

How is this Panacea Biotec Limited product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 43817013304. 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 (5-3-2)
43817-133-04
11-Digit CMS (5-4-2)
43817-0133-04

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