NDC codes

FDA NDC Directory
Product NDC (as listed)0904-7140Labeler and product segments. Claims need a package NDC.
Product NDC at billing width00904-7140Add 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
0904-7140-040090471400430 BLISTER PACK in 1 CARTON (0904-7140-04) / 1 TABLET in 1 BLISTER PACKMarketed from Dec 2, 2013

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)
Guanfacine
Generic name (nonproprietary)
guanfacine
Active ingredients
Guanfacine hydrochloride — 1 mg/1
Dosage form
Tablet
Route
Oral
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 074673
Marketing start
Listing expires
Other FDA classes
Adrenergic alpha2-Agonists (Mechanism)
Identifiers
Product ID 0904-7140_eaf671db-1fc7-4923-af07-99aea483d91aSPL ID eaf671db-1fc7-4923-af07-99aea483d91aSPL set ID 400be431-ad6c-4783-a513-ca8b47bf43eeRxCUI 197745UNII PML56A160O
Pharmacologic class
Central alpha-2 Adrenergic 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

N400904714004 followed by a unit qualifier and the quantity

Package 00904-7140-04. 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 Guanfacine hydrochloride tablets are indicated in the management of hypertension. Guanfacine may be given alone or in combination with other antihypertensive agents, especially thiazide-type diuretics.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under ANDA 074673

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

FDA NDC Directory listings under ANDA 074673
ProductStrengthForm · routeLabelerProduct NDC
GuanfacineGuanfacine hydrochloride 2 mg/1TabletOralEpic Pharma, LLC42806-296
GuanfacineGuanfacine hydrochloride 1 mg/1TabletOralProficient Rx LP63187-302
GuanfacineGuanfacine hydrochloride 1 mg/1TabletOralPuraCap Laboratories LLC dba Blu Pharmaceuticals24658-730
GuanfacineGuanfacine hydrochloride 1 mg/1TabletOralEpic Pharma, LLC42806-048

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