Famotidine NDC 0904-7193

NDC codes

FDA NDC Directory

Product NDC (as listed)0904-7193Labeler and product segments. Claims need a package NDC.

Product NDC at billing width00904-7193Add 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
0904-7193-06	00904719306	50 BLISTER PACK in 1 CARTON (0904-7193-06) / 1 TABLET, FILM COATED in 1 BLISTER PACKMarketed from Aug 10, 2022
0904-7193-61	00904719361	100 BLISTER PACK in 1 CARTON (0904-7193-61) / 1 TABLET, FILM COATED in 1 BLISTER PACKMarketed from Apr 16, 2001

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): Famotidine
Generic name (nonproprietary): famotidine
Active ingredients: Famotidine — 20 mg/1
Dosage form: Tablet, Film coated
Route: Oral
Labeler: Major Pharmaceuticals
Product type: Prescription drug
Marketing category: ANDA — Abbreviated New Drug Application (generic)Application ANDA 075718
Marketing start: Apr 16, 2001
Listing expires: Dec 31, 2027
Other FDA classes: Histamine H2 Receptor Antagonists (Mechanism)
Identifiers: Product ID 0904-7193_ee03be10-ad4f-48f2-8e8c-6acad76cde8dSPL ID ee03be10-ad4f-48f2-8e8c-6acad76cde8dSPL set ID 3e6d167f-91e4-4122-911d-d3da66386f44RxCUI 310273UNII 5QZO15J2Z8
Pharmacologic class: Histamine-2 Receptor Antagonist

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

N400904719306 followed by a unit qualifier and the quantity

Package 00904-7193-06. 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 Aug 20, 2026.

Indications (excerpt from the label)

Famotidine tablets are indicated in adult and pediatric patients 40 kg and greater for the treatment of: • active duodenal ulcer (DU). • active gastric ulcer (GU). • symptomatic nonerosive gastroesophageal reflux disease (GERD). • erosive esophagitis due to GERD, diagnosed by biopsy. Famotidine tablets are indicated in adults for the: • treatment of pathological hypersecretory conditions (e.g., Zollinger-Ellison syndrome, multiple endocrine neoplasias). • reduction of the risk of duodenal ulcer recurrence. Famotidine is a histamine-2 (H 2 ) receptor antagonist indicated ( 1 ): In adult and pediatric patients 40 kg and greater for the treatment of: • active duodenal ulcer (DU). • active gastr…

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under ANDA 075718

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

FDA NDC Directory listings under ANDA 075718
Product	Strength	Form · route	Labeler	Product NDC
Famotidine	Famotidine 40 mg/1	Tablet, Film coatedOral	Dr.Reddy's Laboratories Limited	55111-120
Famotidine	Famotidine 20 mg/1	Tablet, Film coatedOral	Dr.Reddy's Laboratories Limited	55111-119
Famotidine	Famotidine 20 mg/1	Tablet, Film coatedOral	Cardinal Health 107, LLC	55154-4313
Famotidine	Famotidine 20 mg/1	Tablet, Film coatedOral	Legacy Pharmaceutical Packaging, LLC	68645-594
Famotidine	Famotidine 20 mg/1	Tablet, Film coatedOral	Proficient Rx LP	82804-194
Famotidine	Famotidine 20 mg/1	Tablet, Film coatedOral	Preferred Pharmaceuticals Inc.	68788-8889
Famotidine	Famotidine 20 mg/1	Tablet, Film coatedOral	Direct_Rx	72189-543
Famotidine	Famotidine 20 mg/1	Tablet, Film coatedOral	Bryant Ranch Prepack	71335-1950
Famotidine	Famotidine 20 mg/1	Tablet, Film coatedOral	Quality Care Products, LLC	83008-091
Famotidine	Famotidine 20 mg/1	Tablet, Film coatedOral	AvPAK	50268-299
Famotidine	Famotidine 20 mg/1	Tablet, Film coatedOral	Cardinal Health 107, LLC	55154-2628
Famotidine	Famotidine 20 mg/1	Tablet, Film coatedOral	Sportpharm LLC	85766-221
Famotidine	Famotidine 40 mg/1	Tablet, Film coatedOral	Sportpharm LLC	85766-222