NDC codes

FDA NDC Directory
Product NDC (as listed)58914-171Labeler and product segments. Claims need a package NDC.
Product NDC at billing width58914-0171Add 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
58914-171-105891401711058914017110100 TABLET in 1 BOTTLE (58914-171-10)Marketed from Oct 30, 1981

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)
Carafate
Generic name (nonproprietary)
sucralfate
Active ingredients
Sucralfate — 1 g/1
Dosage form
Tablet
Route
Oral
Labeler
Allergan, Inc.NDC labeler code 58914
Product type
Prescription drug
Marketing category
NDA — New Drug ApplicationApplication NDA 018333
Marketing start
Listing expires
Other FDA classes
Organometallic Compounds (Chemical structure)
Identifiers
Product ID 58914-171_4303f5ba-b1d8-4c1f-8647-fcc9db0da526SPL ID 4303f5ba-b1d8-4c1f-8647-fcc9db0da526SPL set ID c87c6b50-6977-4fa7-ae98-40c0753f7aeeRxCUI 208097, 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

N458914017110 followed by a unit qualifier and the quantity

Package 58914-0171-10. 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)

INDI C A T I O N S A ND U S A G E CARAFATE ® (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 58914-171

What is NDC 58914-171?
58914-171 is the product NDC for Carafate (sucralfate), Sucralfate 1 g/1 tablet, listed with the FDA by Allergan, Inc.. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Carafate (Sucralfate).
What is the active ingredient?
Sucralfate.
Who is the labeler?
Allergan, Inc., NDC labeler code 58914. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Carafate?
1 other product NDC are listed under this name. See all Carafate 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 Carafate NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
CarafatesucralfateSucralfate 1 g/10mLSuspensionOralAllergan, Inc.58914-17058914-0170-1458914-0170-60

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
SucralfateSucralfate 1 g/1TabletOralA-S Medication Solutions50090-5287
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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