NDC codes

FDA NDC Directory
Product NDC (as listed)50090-3574Labeler and product segments. Claims need a package NDC.
Product NDC at billing width50090-3574Add 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
50090-3574-0500903574005009035740030 TABLET, FILM COATED in 1 BOTTLE (50090-3574-0)Marketed from Sep 7, 2018
50090-3574-1500903574015009035740160 TABLET, FILM COATED in 1 BOTTLE (50090-3574-1)Marketed from Jun 24, 2019

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)
Cimetidine
Generic name (nonproprietary)
cimetidine
Active ingredients
Cimetidine — 400 mg/1
Dosage form
Tablet, Film coated
Route
Oral
Labeler
A-S Medication SolutionsNDC labeler code 50090
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 074246
Marketing start
Listing expires
Other FDA classes
Histamine H2 Receptor Antagonists (Mechanism)
Identifiers
Product ID 50090-3574_f09197f2-eaf2-452c-9b3a-58c411fd5e52SPL ID f09197f2-eaf2-452c-9b3a-58c411fd5e52SPL set ID 28fa98b3-6c78-4b7b-9a37-84c879dbf58aRxCUI 197507UNII 80061L1WGD

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

N450090357400 followed by a unit qualifier and the quantity

Package 50090-3574-00. 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 Cimetidine tablets are indicated in: 1. Short-term treatment of active duodenal ulcer. Most patients heal within 4 weeks and there is rarely reason to use cimetidine tablets at full dosage for longer than 6 to 8 weeks (see DOSAGE AND ADMINISTRATION: Duodenal Ulcer ). Concomitant antacids should be given as needed for relief of pain. However, simultaneous administration of cimetidine tablets and antacids is not recommended, since antacids have been reported to interfere with the absorption of cimetidine. 2. Maintenance therapy for duodenal ulcer patients at reduced dosage after healing of active ulcer. Patients have been maintained on continued treatment with cimetidine …

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 50090-3574

What is NDC 50090-3574?
50090-3574 is the product NDC for Cimetidine, Cimetidine 400 mg/1 tablet, film coated, listed with the FDA by A-S Medication Solutions. It has 2 package NDCs, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Cimetidine.
What is the active ingredient?
Cimetidine.
Who is the labeler?
A-S Medication Solutions, NDC labeler code 50090. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Cimetidine?
21 other product NDCs are listed under this name. See all Cimetidine NDCs.
Is there a related HCPCS / J-code?
Not in Med-Code's curated HCPCS directory. See Billing references above.

Other finished products listed under the same name: strengths, forms and labelers.

Other Cimetidine NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
CimetidineCimetidine 200 mg/1Tablet, Film coatedOralBionpharma Inc.69452-32369452-0323-2069452-0323-30
CimetidineCimetidine 300 mg/1Tablet, Film coatedOralBionpharma Inc.69452-32469452-0324-2069452-0324-30
CimetidineCimetidine 400 mg/1Tablet, Film coatedOralBionpharma Inc.69452-32569452-0325-2069452-0325-30
CimetidineCimetidine 800 mg/1Tablet, Film coatedOralBionpharma Inc.69452-32669452-0326-2069452-0326-30
CimetidineCimetidine 400 mg/1Tablet, Film coatedOralAurobindo Pharma Limited59651-82559651-0825-0159651-0825-05
CimetidineCimetidine 800 mg/1Tablet, Film coatedOralAurobindo Pharma Limited59651-82659651-0826-01
CimetidineCimetidine 400 mg/1Tablet, Film coatedOralNorthwind Health Company, LLC51655-69751655-0697-51
CimetidineCimetidine 400 mg/1Tablet, Film coatedOralA-S Medication Solutions50090-050050090-0500-0050090-0500-01
CimetidineCimetidine 400 mg/1Tablet, Film coatedOralProficient Rx LP63187-33363187-0333-30
CimetidineCimetidine 800 mg/1Tablet, Film coatedOralTeva Pharmaceuticals USA, Inc.0093-830500093-8305-01

All 22 Cimetidine NDCs

Other NDCs under ANDA 074246

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

FDA NDC Directory listings under ANDA 074246
ProductStrengthForm · routeLabelerProduct NDC
CimetidineCimetidine 200 mg/1Tablet, Film coatedOralMylan Pharmaceuticals Inc.0378-0053
CimetidineCimetidine 300 mg/1Tablet, Film coatedOralMylan Pharmaceuticals Inc.0378-0317
CimetidineCimetidine 400 mg/1Tablet, Film coatedOralMylan Pharmaceuticals Inc.0378-0372
CimetidineCimetidine 800 mg/1Tablet, Film coatedOralMylan Pharmaceuticals Inc.0378-0541
CimetidineCimetidine 400 mg/1Tablet, Film coatedOralNorthwind Health Company, LLC51655-697
CimetidineCimetidine 400 mg/1Tablet, Film coatedOralPD-Rx Pharmaceuticals, Inc.55289-581

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