Amlodipine And Atorvastatin Tablet, Film Coated
NDC Package 72162-2091-3

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

Package Information

Amlodipine And Atorvastatin tablets is amlodipine and atorvastatin tablets are indicated in patients for whom treatment with both amlodipine and atorvastatin is appropriate.Amlodipine. This formulation utilizes a tablet, film coated delivery system. Marketed by Bryant Ranch Prepack, this product is identified by NDC 72162-2091 and is authorized under FDA application ANDA205199.

Identification & Billing

NDC Package Code
72162-2091-3
Package Description
30 TABLET, FILM COATED in 1 BOTTLE
Product Code
72162-2091
11-Digit Billing Format
72162209103
Billing Unit
EA - Billing unit of "each" is used when the product is dispensed in discreet units.
Units Per Package
30 EA
RxNorm Crosswalk
  • RxCUI: 597990 - amLODIPine besylate 10 MG / atorvastatin calcium 40 MG Oral Tablet
  • RxCUI: 597990 - amlodipine 10 MG / atorvastatin 40 MG Oral Tablet
  • RxCUI: 597990 - amlodipine (as amlodipine besylate) 10 MG / atorvastatin (as atorvastatin calcium) 40 MG Oral Tablet

Clinical Specifications

Proprietary Name
Amlodipine And Atorvastatin
Non-Proprietary Name
Amlodipine And Atorvastatin
Substance Name
Amlodipine Besylate; Atorvastatin Calcium Trihydrate
Dosage Form
Tablet, Film Coated - A solid dosage form that contains medicinal substances with or without suitable diluents and is coated with a thin layer of a water-insoluble or water-soluble polymer.
Administration Route
Oral - Administration to or by way of the mouth.
Active Ingredient(s)
Pharmacologic Class
Usage Information
Amlodipine and atorvastatin tablets are indicated in patients for whom treatment with both amlodipine and atorvastatin is appropriate.Amlodipine

Regulatory & Marketing

Labeler Name
Bryant Ranch Prepack
Product Type
Human Prescription Drug
FDA Application #
ANDA205199
Marketing Category
ANDA - A product marketed under an approved Abbreviated New Drug Application.
Start Marketing Date
07-29-2020
Listing Expiration
12-31-2027
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 72162-2091-3 identifies a specific commercial package of 30 tablet, film coated in 1 bottle of Amlodipine And Atorvastatin, a human prescription drug labeled by Bryant Ranch Prepack. This product is billed for "EA" each discreet unit and contains an estimated amount of 30 billable units per package. This tablet, film coated is formulated for oral use and contains amlodipine besylate; atorvastatin calcium trihydrate 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 Bryant Ranch Prepack on July 29, 2020. The current certification is valid through December 31, 2027.

How is this Bryant Ranch Prepack product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 72162209103. 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 (5-4-1)
72162-2091-3
11-Digit CMS (5-4-2)
72162-2091-03

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