Pantoprazole Sodium (pantoprazole) NDC 63187-837

NDC codes

FDA NDC Directory

Product NDC (as listed)63187-837Labeler and product segments. Claims need a package NDC.

Product NDC at billing width63187-0837Add 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
63187-837-10	63187083710	10 TABLET, DELAYED RELEASE in 1 BOTTLE (63187-837-10)Marketed from Feb 1, 2020
63187-837-30	63187083730	30 TABLET, DELAYED RELEASE in 1 BOTTLE (63187-837-30)Marketed from May 1, 2017
63187-837-60	63187083760	60 TABLET, DELAYED RELEASE in 1 BOTTLE (63187-837-60)Marketed from May 1, 2017
63187-837-90	63187083790	90 TABLET, DELAYED RELEASE in 1 BOTTLE (63187-837-90)Marketed from May 1, 2017

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): Pantoprazole Sodium
Generic name (nonproprietary): pantoprazole
Active ingredients: Pantoprazole sodium — 20 mg/1
Dosage form: Tablet, Delayed release
Route: Oral
Labeler: Proficient Rx LP
Product type: Prescription drug
Marketing category: ANDA — Abbreviated New Drug Application (generic)Application ANDA 205119
Marketing start: Jun 20, 2016
Listing expires: Dec 31, 2026
Other FDA classes: Proton Pump Inhibitors (Mechanism)
Identifiers: Product ID 63187-837_06cc0229-6d8c-4b43-9936-391dd39975d5SPL ID 06cc0229-6d8c-4b43-9936-391dd39975d5SPL set ID a7dc4321-331d-49af-976c-cfd69d0055d9RxCUI 251872UNII 6871619Q5XUPC 0363187837600
Pharmacologic class: Proton Pump Inhibitor

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

N463187083710 followed by a unit qualifier and the quantity

Package 63187-0837-10. 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 May 2, 2022.

Indications (excerpt from the label)

Pantoprazole sodium delayed-release tablets, USP are indicated for: Pantoprazole sodium delayed-release tablets, USP are a proton pump inhibitor indicated for the following: • Short-Term Treatment of Erosive Esophagitis Associated with Gastroesophageal Reflux Disease (GERD) (1.1) • Maintenance of Healing of Erosive Esophagitis (1.2) • Pathological Hypersecretory Conditions Including Zollinger-Ellison Syndrome (1.3) 1.1 Short-Term Treatment of Erosive Esophagitis Associated With Gastroesophageal Reflux Disease (GERD) Pantoprazole sodium delayed-release tablets, USP are indicated in adults and pediatric patients five years of age and older for the short-term treatment (up to 8 weeks) in the he…

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under ANDA 205119

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

FDA NDC Directory listings under ANDA 205119
Product	Strength	Form · route	Labeler	Product NDC
Pantoprazole Sodiumpantoprazole	Pantoprazole sodium 20 mg/1	Tablet, Delayed releaseOral	Amneal Pharmaceuticals LLC	65162-636
Pantoprazole Sodiumpantoprazole	Pantoprazole sodium 40 mg/1	Tablet, Delayed releaseOral	Amneal Pharmaceuticals LLC	65162-637
Pantoprazole Sodiumpantoprazole	Pantoprazole sodium 20 mg/1	Tablet, Delayed releaseOral	PHOENIX RX LLC	85509-1636
Pantoprazole Sodium DRpantoprazole sodium	Pantoprazole sodium 20 mg/1	Tablet, Delayed releaseOral	Advanced Rx of Tennessee, LLC	80425-0085
Pantoprazole Sodiumpantoprazole	Pantoprazole sodium 20 mg/1	Tablet, Delayed releaseOral	Bryant Ranch Prepack	71335-0291
Pantoprazole Sodiumpantoprazole	Pantoprazole sodium 40 mg/1	Tablet, Delayed releaseOral	Proficient Rx LP	63187-974