Desipramine Hydrochloride
NDC Package 72189-104-30

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 inactivated by the FDA.

Desipramine Hydrochloride is tablets, USP are indicated for the treatment of depression. Marketed by Direct Rx, this product is identified by NDC 72189-104 and is authorized under FDA application ANDA072099.

Identification & Billing

NDC Package Code
72189-104-30
Package Description
30 TABLET, FILM COATED in 1 BOTTLE
Product Code
72189-104
11-Digit Billing Format
72189010430
Billing Unit
EA - Billing unit of "each" is used when the product is dispensed in discreet units.
Units Per Package
30 EA
RxNorm Crosswalk

Clinical Specifications

Proprietary Name
Desipramine Hydrochloride
Dosage Form
-
Usage Information
Desipramine hydrochloride tablets, USP are indicated for the treatment of depression.

Regulatory & Marketing

Labeler Name
Direct Rx
FDA Application #
ANDA072099
Marketing Category
ANDA - A product marketed under an approved Abbreviated New Drug Application.
Start Marketing Date
06-12-2020
Listing Expiration
12-31-2024
Exclude Flag
I
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 72189-104-30 identifies a specific commercial package of 30 tablet, film coated in 1 bottle of Desipramine Hydrochloride, labeled by Direct Rx. This product is billed for "EA" each discreet unit and contains an estimated amount of 30 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 Direct Rx on June 12, 2020. The current certification is valid through December 31, 2024.

How is this Direct Rx product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 72189010430. 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 (5-3-2)
72189-104-30
11-Digit CMS (5-4-2)
72189-0104-30

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