NDC codes

FDA NDC Directory
Product NDC (as listed)0615-4517Labeler and product segments. Claims need a package NDC.
Product NDC at billing width00615-4517Add the package segment from the table below.
Package NDCs as listed with the FDA, and the 11-digit 5-4-2 form used on claims. The highlighted digit is the added leading zero.
Package NDC11-digit (billing)PackageCopy
0615-4517-39006154517390061545173930 TABLET in 1 BLISTER PACK (0615-4517-39)Marketed from Jan 8, 2010

How the 11-digit form is made: The labeler segment has 4 digits, so one leading zero is added to it (4-4-2 → 5-4-2). Formatting the NDC does not by itself make it billable — the product, package and quantity must match what was dispensed or administered, and payer rules apply. Conversion rules

Product information

Brand name (proprietary)
Sucralfate
Generic name (nonproprietary)
sucralfate
Active ingredients
Sucralfate — 1 g/1
Dosage form
Tablet
Route
Oral
Labeler
NCS HealthCare of KY, LLC dba Vangard LabsNDC labeler code 0615
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 070848
Marketing start
Marketing end
Other FDA classes
Organometallic Compounds (Chemical structure)
Identifiers
Product ID 0615-4517_aaad7cf2-c17f-45f9-9aae-ba7e391fd430SPL ID aaad7cf2-c17f-45f9-9aae-ba7e391fd430SPL set ID d67dcaad-56c1-4e77-a0c8-655970808414RxCUI 314234UNII XX73205DH5
Pharmacologic class
Aluminum Complex

Billing references

What Med-Code can say about coding this product, and where each statement comes from. Nothing here is inferred from the name alone.

HCPCS codeNo match

No HCPCS code in Med-Code's directory. Oral products like this are usually dispensed by a pharmacy and billed by NDC.

NDC on a medical claim

N400615451739 followed by a unit qualifier and the quantity

Package 00615-4517-39. Unit qualifiers: F2 (international unit), GR (gram), ME (milligram), ML (milliliter), UN (unit (each)). The qualifier and quantity depend on what was given. About the N4 qualifier

Product label

Current FDA label (SPL), effective .

Indications (excerpt from the label)

INDICATIONS AND USAGE Sucralfate tablets, USP are indicated in: Short-term treatment (up to 8 weeks) of active duodenal ulcer. While healing with sucralfate may occur during the first week or two, treatment should be continued for 4 to 8 weeks unless healing has been demonstrated by x-ray or endoscopic examination. Maintenance therapy for duodenal ulcer patients at reduced dosage after healing of acute ulcers.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 0615-4517

What is NDC 0615-4517?
0615-4517 is the product NDC for Sucralfate, Sucralfate 1 g/1 tablet, listed with the FDA by NCS HealthCare of KY, LLC dba Vangard Labs. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Sucralfate.
What is the active ingredient?
Sucralfate.
Who is the labeler?
NCS HealthCare of KY, LLC dba Vangard Labs, NDC labeler code 0615. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Sucralfate?
65 other product NDCs are listed under this name. See all Sucralfate NDCs.
Is there a related HCPCS / J-code?
Not in Med-Code's curated HCPCS directory. See Billing references above.

Other finished products listed under the same name: strengths, forms and labelers.

Other Sucralfate NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
SucralfateSucralfate 1 g/10mLSuspensionOralSafecor Health, LLC48433-22648433-0226-40
SucralfateSucralfate 1 g/1TabletOralCardinal Health 107, LLC55154-028155154-0281-00
SucralfateSucralfate 1 g/1TabletOralSafecor Health LLC48433-09148433-0091-20
SucralfateSucralfate 1 g/10mLSuspensionOralTorrent Pharmaceuticals Limited13668-75413668-0754-42
SucralfateSucralfate 1 g/10mLSuspensionOralChartwell RX, LLC62135-10662135-0106-44
SucralfateSucralfate 1 g/10mLSuspensionOralChartwell Governmental & Specialty RX, LLC68999-10668999-0106-24
SucralfateSucralfate 1 g/1TabletOralCoupler LLC67046-146967046-1469-03
Sucralfatesucralfate oralSucralfate 1 g/10mLSuspensionOralPrecision Dose, Inc.68094-04168094-0041-6168094-0041-62
SucralfateSucralfate 1 g/10mLSuspensionOralCosette Pharmaceuticals, Inc.0713-079100713-0791-75
SucralfateSucralfate 1 g/1TabletOralPreferred Pharmaceuticals Inc68788-877968788-8779-0368788-8779-09

All 66 Sucralfate NDCs

Other NDCs under ANDA 070848

Products listed under the same FDA application: other strengths and forms, and repackagers who relabel the same product.

FDA NDC Directory listings under ANDA 070848
ProductStrengthForm · routeLabelerProduct NDC
SucralfateSucralfate 1 g/1TabletOralNuCare Pharmaceuticals,Inc.68071-1749
SucralfateSucralfate 1 g/1TabletOralASCLEMED USA INC.87063-176
SucralfateSucralfate 1 g/1TabletOralMylan Institutional Inc.51079-753
SucralfateSucralfate 1 g/1TabletOralProficient Rx LP82804-063
SucralfateSucralfate 1 g/1TabletOralNorthwind Health Company, LLC51655-031
SucralfateSucralfate 1 g/1TabletOralBryant Ranch Prepack63629-1307
SucralfateSucralfate 1 g/1TabletOralCardinal Health 107, LLC55154-4379
SucralfateSucralfate 1 g/1TabletOralSafecor Health LLC48433-091
SucralfateSucralfate 1 g/1TabletOralPreferred Pharmaceuticals Inc.68788-8946
SucralfateSucralfate 1 g/1TabletOralCardinal Health 107, LLC55154-0281
SucralfateSucralfate 1 g/1TabletOralTeva Pharmaceuticals USA, Inc.0093-2210
SucralfateSucralfate 1 g/1TabletOralAdvanced Rx of Tennessee, LLC80425-0091
SucralfateSucralfate 1 g/1TabletOralDIRECT RX72189-234

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