Famotidine NDC 51407-684

NDC codes

FDA NDC Directory

Product NDC (as listed)51407-684Labeler and product segments. Claims need a package NDC.

Product NDC at billing width51407-0684Add 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
51407-684-01	51407068401	36 BOTTLE in 1 BOX (51407-684-01) / 100 TABLET in 1 BOTTLEMarketed from Mar 8, 2023
51407-684-10	51407068410	24 BOTTLE in 1 BOX (51407-684-10) / 1000 TABLET in 1 BOTTLEMarketed from Mar 8, 2023
51407-684-18	51407068418	36 BOTTLE in 1 BOX (51407-684-18) / 180 TABLET in 1 BOTTLEMarketed from Mar 8, 2023

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): Famotidine
Generic name (nonproprietary): famotidine
Active ingredients: Famotidine — 40 mg/1
Dosage form: Tablet
Route: Oral
Labeler: Golden State Medical Supply, Inc.
Product type: Prescription drug
Marketing category: ANDA — Abbreviated New Drug Application (generic)Application ANDA 075805
Marketing start: Apr 16, 2001
Listing expires: Dec 31, 2026
Other FDA classes: Histamine H2 Receptor Antagonists (Mechanism)
Identifiers: Product ID 51407-684_22941e23-59e9-f792-e063-6394a90a2552SPL ID 22941e23-59e9-f792-e063-6394a90a2552SPL set ID f67bcbc7-952c-61c0-e053-2a95a90a6fa6RxCUI 284245, 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

N451407068401 followed by a unit qualifier and the quantity

Package 51407-0684-01. 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 Sep 20, 2024.

Indications (excerpt from the label)

Famotidine tablets are indicated in adult and pediatric patients 40 kg and above for the treatment of: • active duodenal ulcer (DU). • active gastric ulcer(GU). • symptomatic non-erosive 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 gastric ulcer…

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under ANDA 075805

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

FDA NDC Directory listings under ANDA 075805
Product	Strength	Form · route	Labeler	Product NDC
Famotidine	Famotidine 40 mg/1	TabletOral	Bryant Ranch Prepack	72162-1737
Famotidine	Famotidine 40 mg/1	TabletOral	NuCare Pharmaceuticals,Inc.	68071-4197
Famotidine	Famotidine 40 mg/1	TabletOral	Bryant Ranch Prepack	63629-2014
Famotidine	Famotidine 40 mg/1	TabletOral	Bryant Ranch Prepack	63629-2015
Famotidine	Famotidine 40 mg/1	TabletOral	AvPAK	50268-304
Famotidine	Famotidine 20 mg/1	TabletOral	Proficient Rx LP	63187-129
Famotidine	Famotidine 40 mg/1	TabletOral	Proficient Rx LP	71205-257
Famotidine	Famotidine 40 mg/1	TabletOral	Bryant Ranch Prepack	63629-2782
Famotidine	Famotidine 40 mg/1	TabletOral	Aphena Pharma Solutions - Tennessee, LLC	53401-036
Famotidine	Famotidine 20 mg/1	TabletOral	Golden State Medical Supply, Inc.	51407-683
Famotidine	Famotidine 20 mg/1	TabletOral	Carlsbad Technology, Inc	61442-121
Famotidine	Famotidine 40 mg/1	TabletOral	Carlsbad Technology, Inc	61442-122
Famotidine	Famotidine 40 mg/1	TabletOral	A-S Medication Solutions	50090-7966
Famotidine	Famotidine 20 mg/1	TabletOral	Aphena Pharma Solutions - Tennessee, LLC	71610-470
Famotidine	Famotidine 20 mg/1	TabletOral	Bryant Ranch Prepack	71335-1520
Famotidine	Famotidine 20 mg/1	TabletOral	NuCare Pharmaceuticals,Inc.	68071-2306
Famotidine	Famotidine 20 mg/1	TabletOral	A-S Medication Solutions	50090-1045
Famotidine	Famotidine 40 mg/1	TabletOral	direct rx	72189-207
Pepcidfamotidine	Famotidine 20 mg/1	Tablet, Film coatedOral	Bausch Health US LLC	0187-4420
Pepcidfamotidine	Famotidine 40 mg/1	Tablet, Film coatedOral	Bausch Health US LLC	0187-4440

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