NDC codes

FDA NDC Directory
Product NDC (as listed)0904-6476Labeler and product segments. Claims need a package NDC.
Product NDC at billing width00904-6476Add 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
0904-6476-6100904647661100 BLISTER PACK in 1 CARTON (0904-6476-61) / 1 TABLET in 1 BLISTER PACKMarketed from Jul 15, 2015

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)
Baclofen
Generic name (nonproprietary)
baclofen
Active ingredients
Baclofen20 mg/1
Dosage form
Tablet
Route
Oral
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 077241
Marketing start
Marketing end
Other FDA classes
GABA A Agonists (Mechanism)GABA B Agonists (Mechanism)
Identifiers
Product ID 0904-6476_9b1e8651-0d74-4a7a-a35f-480c94a4ecc0SPL ID 9b1e8651-0d74-4a7a-a35f-480c94a4ecc0SPL set ID ae732bdc-5178-4565-8219-d1787a5211a6RxCUI 197391, 197392UNII H789N3FKE8
Pharmacologic class
gamma-Aminobutyric Acid-ergic Agonist

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

N400904647661 followed by a unit qualifier and the quantity

Package 00904-6476-61. 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 Baclofen tablets USP are useful for the alleviation of signs and symptoms of spasticity resulting from multiple sclerosis, particularly for the relief of flexor spasms and concomitant pain, clonus, and muscular rigidity. Patients should have reversible spasticity so that baclofen treatment will aid in restoring residual function. Baclofen tablets USP may also be of some value in patients with spinal cord injuries and other spinal cord diseases. Baclofen tablets USP are not indicated in the treatment of skeletal muscle spasm resulting from rheumatic disorders. The efficacy of baclofen in stroke, cerebral palsy, and Parkinson's disease has not been established and, theref

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under ANDA 077241

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

FDA NDC Directory listings under ANDA 077241
ProductStrengthForm · routeLabelerProduct NDC
BaclofenBaclofen 20 mg/1TabletOralProficient Rx LP63187-280
BaclofenBaclofen 20 mg/1TabletOralPD-Rx Pharmaceuticals, Inc.43063-865
BaclofenBaclofen 10 mg/1TabletOralMarlex Pharmaceuticals Inc10135-532
BaclofenBaclofen 20 mg/1TabletOralMarlex Pharmaceuticals Inc10135-533
BaclofenBaclofen 10 mg/1TabletOralProficient Rx LP63187-313
BaclofenBaclofen 20 mg/1TabletOralBryant Ranch Prepack72162-1080
BaclofenBaclofen 5 mg/1TabletOralLannett Company, Inc.0527-1333
BaclofenBaclofen 20 mg/1TabletOralBryant Ranch Prepack71335-0103
BaclofenBaclofen 20 mg/1TabletOralLannett Company, Inc.0527-1337
BaclofenBaclofen 20 mg/1TabletOralAdvanced Rx Pharmacy of Tennessee, LLC80425-0112
BaclofenBaclofen 20 mg/1TabletOralAphena Pharma Solutions - Tennessee, LLC71610-444
BaclofenBaclofen 20 mg/1TabletOralBryant Ranch Prepack63629-2083
BaclofenBaclofen 20 mg/1TabletOralBryant Ranch Prepack63629-2084
BaclofenBaclofen 20 mg/1TabletOralCardinal Health 107, LLC55154-7876
BaclofenBaclofen 20 mg/1TabletOralChartwell RX, LLC62135-474
BaclofenBaclofen 5 mg/1TabletOralChartwell RX, LLC62135-472
BaclofenBaclofen 10 mg/1TabletOralChartwell RX, LLC62135-473

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