Memantine Hydrochloride Kit
NDC Package 59651-408-28

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

Package Information

Memantine Hydrochloride kits is memantine hydrochloride extended-release capsules are indicated for the treatment of moderate to severe dementia of the Alzheimer’s type. This formulation utilizes a kit delivery system. Marketed by Aurobindo Pharma Limited, this product is identified by NDC 59651-408 and is authorized under FDA application ANDA214651.

Identification & Billing

NDC Package Code
59651-408-28
Package Description
1 BLISTER PACK in 1 CARTON / 1 KIT in 1 BLISTER PACK
Product Code
59651-408
11-Digit Billing Format
59651040828
RxNorm Crosswalk
  • RxCUI: 996594 - memantine HCl 14 MG 24HR Extended Release Oral Capsule
  • RxCUI: 996594 - 24 HR memantine hydrochloride 14 MG Extended Release Oral Capsule
  • RxCUI: 996594 - memantine hydrochloride 14 MG 24 HR Extended Release Oral Capsule
  • RxCUI: 996603 - memantine HCl 21 MG 24HR Extended Release Oral Capsule
  • RxCUI: 996603 - 24 HR memantine hydrochloride 21 MG Extended Release Oral Capsule

Clinical Specifications

Proprietary Name
Memantine Hydrochloride
Non-Proprietary Name
Memantine Hydrochloride
Dosage Form
Kit - A packaged collection of related material.
Usage Information
Memantine hydrochloride extended-release capsules are indicated for the treatment of moderate to severe dementia of the Alzheimer’s type.

Regulatory & Marketing

Labeler Name
Aurobindo Pharma Limited
Product Type
Human Prescription Drug
FDA Application #
ANDA214651
Marketing Category
ANDA - A product marketed under an approved Abbreviated New Drug Application.
Start Marketing Date
08-09-2021
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 59651-408-28 identifies a specific commercial package of 1 blister pack in 1 carton / 1 kit in 1 blister pack of Memantine Hydrochloride, a human prescription drug labeled by Aurobindo Pharma Limited. This kit is formulated for use and contains 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 Aurobindo Pharma Limited on August 09, 2021. The current certification is valid through December 31, 2026.

How is this Aurobindo Pharma Limited product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 59651040828. 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)
59651-408-28
11-Digit CMS (5-4-2)
59651-0408-28

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