NDC Package 76420-017-12 Amitriptyline Hydrochloride

Powder - View Billable Units, 11-Digit Format, RxNorm

Package Information
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Frequently Asked Questions

Package Information

This product is an UNFINISHED DRUG part of the official NDC directory. Unfinished drugs include products like active ingredients some of which are used in bulk for further processing or compounding. The FDA requires a list of these drugs manufactured in a U.S. commercial distribution facility.

Find all the important details about this NDC Package code, including the 11-Digit NDC Billing number, billing units, wholesale price, RxNorm crosswalk, active ingredients, pharmacologic clasess, etc.

NDC Package Code:

76420-017-12

Package Description:

1.2 g in 1 BOTTLE

Product Code:

76420-017

Non-Proprietary Name:

Amitriptyline Hydrochloride

Substance Name:

Amitriptyline Hydrochloride

11-Digit NDC Billing Format:

76420001712

Billing Unit:

GM - Billing unit of "gram" is used when a product is measured by its weight.

NDC to RxNorm Crosswalk:

1.2 GM

Product Type:

Bulk Ingredient

Labeler Name:

Asclemed Usa Inc.

Dosage Form:

Powder - An intimate mixture of dry, finely divided drugs and/or chemicals that may be intended for internal or external use.

Active Ingredient(s):

AMITRIPTYLINE HYDROCHLORIDE 1 g/g

Sample Package:

N/A

Marketing Category:

BULK INGREDIENT FOR HUMAN PRESCRIPTION COMPOUNDING - A category specifying that a bulk product is intended for use on humans and requires a prescription.

Start Marketing Date:

09-10-2019

Listing Expiration Date:

12-31-2024

Exclude Flag:

Unfinished Product:

Yes

Code Structure:

76420 - Asclemed Usa Inc.
- 76420-017 -
  - 76420-017-12 - 1.2 g in 1 BOTTLE

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 disclaimer below.

Other Product Packages

The following packages are also available for this product:

NDC Package Code	Package Description
76420-017-24	2.4 g in 1 BOTTLE

* Please review the disclaimer below.

Frequently Asked Questions

What is NDC 76420-017-12?

The NDC Packaged Code 76420-017-12 is assigned to an UNFINISHED drug package of 1.2 g in 1 bottle of Amitriptyline Hydrochloride, a bulk ingredient labeled by Asclemed Usa Inc.. The product's dosage form is powder and is administered via form.This product is billed per "GM" gram and contains an estimated amount of 1.2 billable units per package.

Is NDC 76420-017 included in the NDC Directory?

Yes, Amitriptyline Hydrochloride is an UNFINISHED PRODUCT with code 76420-017 that is active and included in the NDC Directory. The product was first marketed by Asclemed Usa Inc. on September 10, 2019 and its listing in the NDC Directory is set to expire on December 31, 2024 if the product is not updated or renewed by the manufacturer.

What is the NDC billing unit for package 76420-017-12?

The contents of this package are billed per "gm or gram", products billed per gram are products measured by weight. The calculated billable units for this package is 1.2.

What is the 11-digit format for NDC 76420-017-12?

The 11-digit format is 76420001712. The 11-digit billing format might be required by the Centers for Medicare & Medicaid Services (CMS) and other payers in billing claim forms.

This package code is originally configured in a 5-3-2 segment 10-digit format and by adding a zero within the original NDC package code we can obtain the converted 11-digit format in a 5-4-2 segment configuration. The table below shows the 11-digit code conversion:

10-Digit Format	10-Digit Original Code	11-Digit Format	11-Digit Code
5-3-2	76420-017-12	5-4-2	76420-0017-12

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