Guanfacine Extended-release
NDC Package 72162-2104-1

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

Package Information

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

Guanfacine Extended-release is a . Marketed by Bryant Ranch Prepack, this product is identified by NDC 72162-2104 and is authorized under FDA application ANDA205430.

Identification & Billing

NDC Package Code
72162-2104-1
Package Description
100 TABLET, EXTENDED RELEASE in 1 BOTTLE
Product Code
72162-2104
11-Digit Billing Format
72162210401

Clinical Specifications

Proprietary Name
Guanfacine Extended-release
Dosage Form
-

Regulatory & Marketing

Labeler Name
Bryant Ranch Prepack
FDA Application #
ANDA205430
Marketing Category
ANDA - A product marketed under an approved Abbreviated New Drug Application.
Start Marketing Date
10-03-2018
End Marketing Date
01-16-2026
Listing Expiration
01-16-2026
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.

Frequently Asked Questions

What is the distribution configuration for this product package?

The code 72162-2104-1 identifies a specific commercial package of 100 tablet, extended release in 1 bottle of Guanfacine Extended-release, labeled by Bryant Ranch Prepack. 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 Bryant Ranch Prepack on October 03, 2018. The current certification is valid through January 16, 2026.

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

For medical billing and reimbursement, this package follows the 11-digit CMS format: 72162210401. 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)
72162-2104-1
11-Digit CMS (5-4-2)
72162-2104-01

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