NDC codes

FDA NDC Directory
Product NDC (as listed)17856-0620Labeler and product segments. Claims need a package NDC.
Product NDC at billing width17856-0620Add 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
17856-0620-11785606200172 CUP, UNIT-DOSE in 1 CASE (17856-0620-1) / 2.5 mL in 1 CUP, UNIT-DOSEMarketed from Apr 30, 2026
17856-0620-21785606200272 CUP, UNIT-DOSE in 1 CASE (17856-0620-2) / 5 mL in 1 CUP, UNIT-DOSEMarketed from Apr 30, 2026
17856-0620-3178560620031 SYRINGE in 1 BAG (17856-0620-3) / 2.5 mL in 1 SYRINGEMarketed from Jul 14, 2026
17856-0620-4178560620041 SYRINGE in 1 BAG (17856-0620-4) / 5 mL in 1 SYRINGEMarketed from Jul 14, 2026
17856-0620-51785606200545 SYRINGE in 1 BOX, UNIT-DOSE (17856-0620-5) / 5 mL in 1 SYRINGEMarketed from Sep 4, 2026
17856-0620-91785606200990 SYRINGE in 1 BOX, UNIT-DOSE (17856-0620-9) / 2.5 mL in 1 SYRINGEMarketed from Sep 4, 2026

How the 11-digit form is made: The package segment has 1 digit, so one leading zero is added to it (5-4-1 → 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
Baclofen10 mg/5mL
Dosage form
Solution
Route
Oral
Product type
Prescription drug
Marketing category
NDA authorized genericApplication NDA 208193
Marketing start
Listing expires
Other FDA classes
GABA A Agonists (Mechanism)GABA B Agonists (Mechanism)
Identifiers
Product ID 17856-0620_5aae5fc2-e3b8-4974-e063-6294a90a113dSPL ID 5aae5fc2-e3b8-4974-e063-6294a90a113dSPL set ID 50b3e7be-832b-313d-e063-6394a90a5ab4RxCUI 2667941UNII 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

N417856062001 followed by a unit qualifier and the quantity

Package 17856-0620-01. 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)

Baclofen oral solution is indicated for the treatment of spasticity resulting from multiple sclerosis, particularly for the relief of flexor spasms and concomitant pain, clonus, and muscular rigidity. Baclofen oral solution may also be of some value in patients with spinal cord injuries and other spinal cord diseases. Limitations of Use Baclofen oral solution is not indicated in the treatment of skeletal muscle spasm resulting from rheumatic disorders. Baclofen oral solution is a gamma-aminobutyric acid (GABA-ergic) agonist indicated for the treatment of spasticity resulting from multiple sclerosis, particularly for the relief of flexor spasms and concomitant pain, clonus, and muscular rigid

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under NDA 208193

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

FDA NDC Directory listings under NDA 208193
ProductStrengthForm · routeLabelerProduct NDC
BaclofenBaclofen 10 mg/5mLSolutionOralPalmetto Pharmaceuticals Inc.68134-403
BaclofenBaclofen 10 mg/5mLSolutionOralTRUPHARMA, LLC52817-620
Ozobax DsbaclofenBaclofen 10 mg/5mLSolutionOralRosemont Pharmaceuticals LLC69528-302

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