NDC codes

FDA NDC Directory
Product NDC (as listed)55289-757Labeler and product segments. Claims need a package NDC.
Product NDC at billing width55289-0757Add 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
55289-757-305528907573030 TABLET in 1 BOTTLE, PLASTIC (55289-757-30)Marketed from Mar 24, 2009
55289-757-605528907576060 TABLET in 1 BOTTLE, PLASTIC (55289-757-60)Marketed from Mar 24, 2009
55289-757-905528907579090 TABLET in 1 BOTTLE, PLASTIC (55289-757-90)Marketed from Dec 26, 2007

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)
Baclofen
Generic name (nonproprietary)
baclofen
Active ingredients
Baclofen10 mg/1
Dosage form
Tablet
Route
Oral
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 072234
Marketing start
Listing expires
Other FDA classes
GABA A Agonists (Mechanism)GABA B Agonists (Mechanism)
Identifiers
Product ID 55289-757_419b4e87-cb86-8fbc-e063-6394a90a3b7cSPL ID 419b4e87-cb86-8fbc-e063-6394a90a3b7cSPL set ID 95755a7b-4a9f-45ea-a381-d3f661150efeRxCUI 197391UNII H789N3FKE8UPC 0355289757306
Pharmacologic class
gamma-Aminobutyric Acid-ergic Agonist

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

N455289075730 followed by a unit qualifier and the quantity

Package 55289-0757-30. 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 Baclofen tablets are useful for the alleviation of signs and symptoms of spasticity resulting from multiple sclerosis, particularly for the relief of flexor spasms and concomitant pain, clonus, and muscular rigidity. Patients should have reversible spasticity so that baclofen treatment will aid in restoring residual function. Baclofen tablets may also be of some value in patients with spinal cord injuries and other spinal cord diseases. Baclofen tablets are not indicated in the treatment of skeletal muscle spasm resulting from rheumatic disorders. The efficacy of baclofen in stroke, cerebral palsy, and Parkinson’s disease has not been established and, therefore, it is n

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under ANDA 072234

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

FDA NDC Directory listings under ANDA 072234
ProductStrengthForm · routeLabelerProduct NDC
BaclofenBaclofen 10 mg/1TabletOralTeva Pharmaceuticals USA, Inc.0172-4096
BaclofenBaclofen 10 mg/1TabletOralNorthwind Health Company, LLC82868-013
BaclofenBaclofen 10 mg/1TabletOralAdvanced Rx of Tennessee, LLC80425-0080
BaclofenBaclofen 10 mg/1TabletOralProficient Rx LP63187-147

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