Amantadine Hcl
NDC Package 69387-100-01
Package Information
Amantadine Hcl is amantadine Hydrochloride Capsules, USP are indicated for the prophylaxis and treatment of signs and symptoms of infection caused by various strains of influenza A virus. Marketed by Banner Life Sciences Llc., this product is identified by NDC 69387-100 and is authorized under FDA application ANDA078720.
Identification & Billing
- RxCUI: 849389 - amantadine HCl 100 MG Oral Capsule
- RxCUI: 849389 - amantadine hydrochloride 100 MG Oral Capsule
Clinical Specifications
Regulatory & Marketing
Hierarchy Structure
- 69387 - Banner Life Sciences Llc.
- 69387-100 - Amantadine Hcl
- 69387-100-01 - 100 CAPSULE, LIQUID FILLED in 1 BOTTLE
- 69387-100 - Amantadine Hcl
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.
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Other Available Packages
The following commercial packages are registered under the same Product NDC (69387-100). Click a package code to view its specific billing and regulatory data.
* 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 69387-100-01 identifies a specific commercial package of 100 capsule, liquid filled in 1 bottle of Amantadine Hcl, labeled by Banner Life Sciences Llc.. 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 Banner Life Sciences Llc. on September 07, 2015. The current certification is valid through December 31, 2017.
How is this Banner Life Sciences Llc. product billed for insurance claims?
For medical billing and reimbursement, this package follows the 11-digit CMS format: 69387010001. 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:
Note: The zero is added to the Product segment to maintain the 5-4-2 structure.