NDC codes

FDA NDC Directory
Product NDC (as listed)50090-5287Labeler and product segments. Claims need a package NDC.
Product NDC at billing width50090-5287Add 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
50090-5287-0500905287005009052870060 TABLET in 1 BOTTLE (50090-5287-0)Marketed from Oct 22, 2020

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)
Sucralfate
Generic name (nonproprietary)
sucralfate
Active ingredients
Sucralfate — 1 g/1
Dosage form
Tablet
Route
Oral
Labeler
A-S Medication SolutionsNDC labeler code 50090
Product type
Prescription drug
Marketing category
NDA authorized genericApplication NDA 018333
Marketing start
Listing expires
Other FDA classes
Organometallic Compounds (Chemical structure)
Identifiers
Product ID 50090-5287_270e52df-d16b-4a96-b751-ff580c2f00c4SPL ID 270e52df-d16b-4a96-b751-ff580c2f00c4SPL set ID 793d033d-d341-4910-8dda-d43d8fd03a4dRxCUI 314234UNII XX73205DH5
Pharmacologic class
Aluminum Complex

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

N450090528700 followed by a unit qualifier and the quantity

Package 50090-5287-00. 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 Sucralfate is indicated in: Short-term treatment (up to 8 weeks) of active duodenal ulcer. While healing with sucralfate may occur during the first week or two, treatment should be continued for 4 to 8 weeks unless healing has been demonstrated by x-ray or endoscopic examination. Maintenance therapy for duodenal ulcer patients at reduced dosage after healing of acute ulcers.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 50090-5287

What is NDC 50090-5287?
50090-5287 is the product NDC for Sucralfate, Sucralfate 1 g/1 tablet, listed with the FDA by A-S Medication Solutions. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Sucralfate.
What is the active ingredient?
Sucralfate.
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 Sucralfate?
65 other product NDCs are listed under this name. See all Sucralfate 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 Sucralfate NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
SucralfateSucralfate 1 g/10mLSuspensionOralSafecor Health, LLC48433-22648433-0226-40
SucralfateSucralfate 1 g/1TabletOralCardinal Health 107, LLC55154-028155154-0281-00
SucralfateSucralfate 1 g/1TabletOralSafecor Health LLC48433-09148433-0091-20
SucralfateSucralfate 1 g/10mLSuspensionOralTorrent Pharmaceuticals Limited13668-75413668-0754-42
SucralfateSucralfate 1 g/10mLSuspensionOralChartwell RX, LLC62135-10662135-0106-44
SucralfateSucralfate 1 g/10mLSuspensionOralChartwell Governmental & Specialty RX, LLC68999-10668999-0106-24
SucralfateSucralfate 1 g/1TabletOralCoupler LLC67046-146967046-1469-03
Sucralfatesucralfate oralSucralfate 1 g/10mLSuspensionOralPrecision Dose, Inc.68094-04168094-0041-6168094-0041-62
SucralfateSucralfate 1 g/10mLSuspensionOralCosette Pharmaceuticals, Inc.0713-079100713-0791-75
SucralfateSucralfate 1 g/1TabletOralPreferred Pharmaceuticals Inc68788-877968788-8779-0368788-8779-09

All 66 Sucralfate NDCs

Other NDCs under NDA 018333

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

FDA NDC Directory listings under NDA 018333
ProductStrengthForm · routeLabelerProduct NDC
CarafatesucralfateSucralfate 1 g/1TabletOralAllergan, Inc.58914-171
SucralfateSucralfate 1 g/1TabletOralNorthwind Health Company, LLC51655-475
SucralfateSucralfate 1 g/1TabletOralMylan Pharmaceuticals, Inc.59762-0401
SucralfateSucralfate 1 g/1TabletOralPreferred Pharmaceuticals Inc.68788-8316
SucralfateSucralfate 1 g/1TabletOralBryant Ranch Prepack71335-2637
SucralfateSucralfate 1 g/1TabletOralAphena Pharma Solutions - Tennessee, LLC71610-017
SucralfateSucralfate 1 g/1TabletOralAdvanced Rx Pharmacy of Tennessee, LLC80425-0213
SucralfateSucralfate 1 g/1TabletOralAdvanced Rx Pharmacy of Tennessee, LLC80425-0377

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