Amitriptyline Hydrochloride
NDC Package 60760-367-00

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

Package Information

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

Amitriptyline Hydrochloride is for the relief of symptoms of depression. Marketed by St. Mary's Medical Park Pharmacy, this product is identified by NDC 60760-367 and is authorized under FDA application ANDA202446.

Identification & Billing

NDC Package Code
60760-367-00
Package Description
100 TABLET, FILM COATED in 1 BOTTLE, PLASTIC
Product Code
60760-367
11-Digit Billing Format
60760036700
Billing Unit
EA - Billing unit of "each" is used when the product is dispensed in discreet units.
Units Per Package
100 EA

Clinical Specifications

Proprietary Name
Amitriptyline Hydrochloride
Dosage Form
-
Usage Information
For the relief of symptoms of depression. Endogenous depression is more likely to be alleviated than are other depressive states.

Regulatory & Marketing

Labeler Name
St. Mary's Medical Park Pharmacy
FDA Application #
ANDA202446
Marketing Category
ANDA - A product marketed under an approved Abbreviated New Drug Application.
Start Marketing Date
06-03-2016
End Marketing Date
03-31-2025
Listing Expiration
03-31-2025
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.

Other Available Packages

The following commercial packages are registered under the same Product NDC (60760-367). Click a package code to view its specific billing and regulatory data.

60760-367-30
30 TABLET, FILM COATED in 1 BOTTLE, PLASTIC

* 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 60760-367-00 identifies a specific commercial package of 100 tablet, film coated in 1 bottle, plastic of Amitriptyline Hydrochloride, labeled by St. Mary's Medical Park Pharmacy. This product is billed for "EA" each discreet unit and contains an estimated amount of 100 billable units per package. 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 St. Mary's Medical Park Pharmacy on June 03, 2016. The current certification is valid through March 31, 2025.

How is this St. Mary's Medical Park Pharmacy product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 60760036700. Quantities are measured in per "each", products billed on a per each basis are usually products dispensed in discreet units.. There are 100 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 (5-3-2)
60760-367-00
11-Digit CMS (5-4-2)
60760-0367-00

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