Furosemide NDC 0904-7177

NDC codes

FDA NDC Directory

Product NDC (as listed)0904-7177Labeler and product segments. Claims need a package NDC.

Product NDC at billing width00904-7177Add 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 NDC	11-digit (billing)	Package	Copy
0904-7177-61	00904717761	100 BLISTER PACK in 1 CARTON (0904-7177-61) / 1 TABLET in 1 BLISTER PACKMarketed from Mar 26, 2004

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): Furosemide
Generic name (nonproprietary): furosemide
Active ingredients: Furosemide — 20 mg/1
Dosage form: Tablet
Route: Oral
Labeler: Major Pharmaceuticals
Product type: Prescription drug
Marketing category: ANDA — Abbreviated New Drug Application (generic)Application ANDA 076796
Marketing start: Mar 26, 2004
Listing expires: Dec 31, 2027
Other FDA classes: Increased Diuresis at Loop of Henle (Physiologic effect)
Identifiers: Product ID 0904-7177_ee764e1d-0e34-4e02-bab5-c766786f7663SPL ID ee764e1d-0e34-4e02-bab5-c766786f7663SPL set ID 6be1addd-a811-47fc-8650-6870d661c234RxCUI 310429, 313988UNII 7LXU5N7ZO5
Pharmacologic class: Loop Diuretic

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

N400904717761 followed by a unit qualifier and the quantity

Package 00904-7177-61. 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

Label details couldn’t be retrieved right now. Open the label on DailyMed.

Other NDCs under ANDA 076796

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

FDA NDC Directory listings under ANDA 076796
Product	Strength	Form · route	Labeler	Product NDC
Furosemide	Furosemide 80 mg/1	TabletOral	Bryant Ranch Prepack	63629-1120
Furosemide	Furosemide 80 mg/1	TabletOral	Bryant Ranch Prepack	63629-1119
Furosemide	Furosemide 40 mg/1	TabletOral	NuCare Pharmaceuticals,Inc.	68071-4445
Furosemide	Furosemide 80 mg/1	TabletOral	Bryant Ranch Prepack	72162-1362
Furosemide	Furosemide 20 mg/1	TabletOral	Bryant Ranch Prepack	72162-1360
Furosemide	Furosemide 40 mg/1	TabletOral	Bryant Ranch Prepack	72162-1361
Furosemide	Furosemide 20 mg/1	TabletOral	PD-Rx Pharmaceuticals, Inc.	43063-849
Furosemide	Furosemide 20 mg/1	TabletOral	REMEDYREPACK INC.	70518-3061
Furosemide	Furosemide 40 mg/1	TabletOral	NuCare Pharmaceuticals,Inc.	68071-4522
Furosemide	Furosemide 20 mg/1	TabletOral	NuCare Pharmaceuticals,Inc.	68071-4534
Furosemide	Furosemide 40 mg/1	TabletOral	Aphena Pharma Solutions - Tennessee, LLC	71610-049
Furosemide	Furosemide 20 mg/1	TabletOral	Aphena Pharma Solutions - Tennessee, LLC	71610-096
Furosemide	Furosemide 80 mg/1	TabletOral	PD-Rx Pharmaceuticals, Inc.	72789-033
Furosemide	Furosemide 20 mg/1	TabletOral	PD-Rx Pharmaceuticals, Inc.	72789-030
Furosemide	Furosemide 40 mg/1	TabletOral	PD-Rx Pharmaceuticals, Inc.	72789-032
Furosemide	Furosemide 20 mg/1	TabletOral	NCS HealthCare of KY, LLC dba Vangard Labs	0615-8368
Furosemide	Furosemide 40 mg/1	TabletOral	NCS HealthCare of KY, LLC dba Vangard Labs	0615-8369
Furosemide	Furosemide 80 mg/1	TabletOral	NCS HealthCare of KY, LLC dba Vangard Labs	0615-8370
Furosemide	Furosemide 20 mg/1	TabletOral	Bryant Ranch Prepack	63629-1214
Furosemide	Furosemide 20 mg/1	TabletOral	Bryant Ranch Prepack	63629-1215

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