NDC codes

FDA NDC Directory
Product NDC (as listed)55111-396Labeler and product segments. Claims need a package NDC.
Product NDC at billing width55111-0396Add 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
55111-396-01551110396011 BOTTLE in 1 CARTON (55111-396-01) / 100 TABLET in 1 BOTTLEMarketed from Sep 30, 2006
55111-396-08551110396081 BLISTER PACK in 1 CARTON (55111-396-08) / 8 TABLET in 1 BLISTER PACKMarketed from Sep 30, 2006
55111-396-13551110396131 BOTTLE in 1 CARTON (55111-396-13) / 130 TABLET in 1 BOTTLEMarketed from Oct 1, 2020
55111-396-16551110396165 BLISTER PACK in 1 CARTON (55111-396-16) / 5 TABLET in 1 BLISTER PACKMarketed from Sep 30, 2006
55111-396-32551110396321 BOTTLE in 1 CARTON (55111-396-32) / 170 TABLET in 1 BOTTLEMarketed from Sep 30, 2006
55111-396-35551110396351 BOTTLE in 1 CARTON (55111-396-35) / 25 TABLET in 1 BOTTLEMarketed from Sep 30, 2006
55111-396-44551110396442 BOTTLE in 1 CARTON (55111-396-44) / 100 TABLET in 1 BOTTLEMarketed from Sep 30, 2006
55111-396-50551110396501 BOTTLE in 1 CARTON (55111-396-50) / 50 TABLET in 1 BOTTLEMarketed from Sep 30, 2006
55111-396-65551110396651 BOTTLE in 1 CARTON (55111-396-65) / 65 TABLET in 1 BOTTLEMarketed from Oct 1, 2020
55111-396-90551110396901 BOTTLE in 1 CARTON (55111-396-90) / 90 TABLET in 1 BOTTLEMarketed from Oct 7, 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)
Famotidine
Generic name (nonproprietary)
famotidine
Active ingredients
Famotidine20 mg/1
Dosage form
Tablet
Route
Oral
Product type
Over-the-counter drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 077367
Marketing start
Listing expires
Other FDA classes
Histamine H2 Receptor Antagonists (Mechanism)
Identifiers
Product ID 55111-396_e818465f-a1ca-0e6a-f18c-cf2cb2a2cc82SPL ID e818465f-a1ca-0e6a-f18c-cf2cb2a2cc82SPL set ID 387088a6-8eaa-fc49-8050-a546d0f0fd32RxCUI 199047, 310273UNII 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

N455111039601 followed by a unit qualifier and the quantity

Package 55111-0396-01. 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)

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)

Other NDCs under ANDA 077367

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

FDA NDC Directory listings under ANDA 077367
ProductStrengthForm · routeLabelerProduct NDC
Acid Reducer Maximum StrengthfamotidineFamotidine 20 mg/1TabletOralDr.Reddys Laboratories Inc.43598-960
FamotidineFamotidine 10 mg/1TabletOralDr.Reddys Laboratories Limited55111-118
FamotidineFamotidine 10 mg/1TabletOralAlbertsons Companies21130-022
FamotidineFamotidine 20 mg/1TabletOralAlbertsons Companies21130-023
FamotidineFamotidine 20 mg/1TabletOralDiscount Drug Mart, Inc53943-101
FamotidineFamotidine 10 mg/1TabletOralDiscount Drug Mart, Inc53943-100
FamotidineFamotidine 10 mg/1TabletOralChain Drug Consortium, LLC68016-800
FamotidineFamotidine 20 mg/1TabletOralChain Drug Consortium, LLC68016-801
FamotidineFamotidine 10 mg/1TabletOralChain Drug Marketing Association INC63868-583
FamotidineFamotidine 20 mg/1TabletOralChain Drug Marketing Association INC63868-584
FamotidineFamotidine 20 mg/1TabletOralChain Drug Marketing Association INC83324-116
FamotidineFamotidine 10 mg/1TabletOralFamily Dollar Stores, Inc.55319-426
FamotidineFamotidine 20 mg/1TabletOralFamily Dollar Stores, Inc.55319-427
FamotidineFamotidine 10 mg/1TabletOralChain Drug Marketing Association INC83324-139
Acid Reducer Original StrengthfamotidineFamotidine 10 mg/1TabletOralDr.Reddys Laboratories Inc.43598-824

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