NDC codes

FDA NDC Directory
Product NDC (as listed)21130-249Labeler and product segments. Claims need a package NDC.
Product NDC at billing width21130-0249Add 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
21130-249-7521130024975211300249751 BOTTLE in 1 CARTON (21130-249-75) / 90 TABLET, FILM COATED in 1 BOTTLEMarketed from Mar 11, 2021

How the 11-digit form is made: The product segment has 3 digits, so one leading zero is added to it (5-3-2 → 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)
signature care acid controller
Generic name (nonproprietary)
famotidine
Active ingredients
Famotidine — 10 mg/1
Dosage form
Tablet, Film coated
Route
Oral
Labeler
SafewayNDC labeler code 21130
Product type
Over-the-counter drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 075400
Marketing start
Listing expires
Other FDA classes
Histamine H2 Receptor Antagonists (Mechanism)
Identifiers
Product ID 21130-249_94c22818-03bf-4274-9088-7d5ead948d6dSPL ID 94c22818-03bf-4274-9088-7d5ead948d6dSPL set ID adbf2c58-cd1c-4444-b133-21a18a348931RxCUI 199047UNII 5QZO15J2Z8

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

N421130024975 followed by a unit qualifier and the quantity

Package 21130-0249-75. 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)

Uses • relieves heartburn associated with acid indigestion and sour stomach • prevents heartburn associated with acid indigestion and sour stomach brought on by eating or drinking certain food and beverages

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 21130-249

What is NDC 21130-249?
21130-249 is the product NDC for signature care acid controller (famotidine), Famotidine 10 mg/1 tablet, film coated, listed with the FDA by Safeway. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
signature care acid controller (Famotidine).
What is the active ingredient?
Famotidine.
Who is the labeler?
Safeway, NDC labeler code 21130. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for signature care acid controller?
None: this is the only finished product listed under this name.
Is there a related HCPCS / J-code?
Not in Med-Code's curated HCPCS directory. See Billing references above.

Other NDCs under ANDA 075400

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

FDA NDC Directory listings under ANDA 075400
ProductStrengthForm · routeLabelerProduct NDC
Acid ControllerfamotidineFamotidine 10 mg/1Tablet, Film coatedOralSafeway21130-771
acid controllerfamotidineFamotidine 10 mg/1Tablet, Film coatedOralH E B37808-301
Acid Controller Original StrengthfamotidineFamotidine 10 mg/1Tablet, Film coatedOralWalgreen Company0363-0141
acid controller original strengthfamotidineFamotidine 10 mg/1Tablet, Film coatedOralCVS Pharmacy59779-141
Acid ReducerfamotidineFamotidine 10 mg/1Tablet, Film coatedOralCVS WOONSOCKET PRESCRIPTION CENTER, INCORPORATED51316-816
acid reducerfamotidineFamotidine 10 mg/1Tablet, Film coatedOralPublix Super Markets Inc56062-141
Acid ReducerfamotidineFamotidine 10 mg/1Tablet, Film coatedOralAmazon.com Services LLC72288-756
acid reducer original strengthfamotidineFamotidine 10 mg/1Tablet, Film coatedOralHyVee Inc42507-141
basic care acid reducerfamotidineFamotidine 10 mg/1Tablet, Film coatedOralAmazon.com Services LLC72288-141
CareOne Acid RelieffamotidineFamotidine 10 mg/1Tablet, Film coatedOralAmerican Sales Company41520-901
dg health heartburn prevention original strengthfamotidineFamotidine 10 mg/1Tablet, Film coatedOralDolgencorp, LLC55910-141
equaline heartburn preventionfamotidineFamotidine 10 mg/1Tablet, Film coatedOralUnited Natural Foods, Inc. dba UNFI41163-313
Equate FamotidinefamotidineFamotidine 10 mg/1Tablet, Film coatedOralWal-Mart Stores Inc49035-507
foster and thrive acid reducerfamotidineFamotidine 10 mg/1Tablet, Film coatedOralStrategic Sourcing Services LLC70677-1102
good sense acid reducerfamotidineFamotidine 10 mg/1Tablet, Film coatedOralL. Perrigo Company0113-0141
heartburn relieffamotidineFamotidine 10 mg/1Tablet, Film coatedOralMeijer Distribution Inc41250-493
heartburn relief original strengthfamotidineFamotidine 10 mg/1Tablet, Film coatedOralMajor Pharmaceuticals0904-5529
heartburn relief original strengthfamotidineFamotidine 10 mg/1TabletOralProficient Rx LP63187-999
TopCare Acid ReducerfamotidineFamotidine 10 mg/1Tablet, Film coatedOralTopco Associates LLC36800-141

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