Disulfiram NDC 63629-5466

NDC codes

FDA NDC Directory

Product NDC (as listed)63629-5466Labeler and product segments. Claims need a package NDC.

Product NDC at billing width63629-5466Add 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	Copy
63629-5466-1	63629546601	90 TABLET in 1 BOTTLE (63629-5466-1)Marketed from Apr 7, 2025

How the 11-digit form is made: The package segment has 1 digit, so one leading zero is added to it (5-4-1 → 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): Disulfiram
Generic name (nonproprietary): disulfiram
Active ingredients: Disulfiram — 250 mg/1
Dosage form: Tablet
Route: Oral
Labeler: Bryant Ranch Prepack
Product type: Prescription drug
Marketing category: ANDA — Abbreviated New Drug Application (generic)Application ANDA 091681
Marketing start: Aug 9, 2013
Listing expires: Dec 31, 2026
Other FDA classes: Acetyl Aldehyde Dehydrogenase Inhibitors (Mechanism)
Identifiers: Product ID 63629-5466_0102cfcc-e278-4a05-8588-d27b68f8bf78SPL ID 0102cfcc-e278-4a05-8588-d27b68f8bf78SPL set ID bd09ba63-7eef-4740-b5e9-383887024f1fRxCUI 197623UNII TR3MLJ1UAI
Pharmacologic class: Aldehyde Dehydrogenase 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

N463629546601 followed by a unit qualifier and the quantity

Package 63629-5466-01. 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 Apr 7, 2025. This label includes a boxed warning.

Indications (excerpt from the label)

INDICATIONS AND USAGE Disulfiram is an aid in the management of selected chronic alcohol patients who want to remain in a state of enforced sobriety so that supportive and psychotherapeutic treatment may be applied to best advantage. Disulfiram is not a cure for alcoholism. When used alone, without proper motivation and supportive therapy, it is unlikely that it will have any substantive effect on the drinking pattern of the chronic alcoholic.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under ANDA 091681

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

FDA NDC Directory listings under ANDA 091681
Product	Strength	Form · route	Labeler	Product NDC
Disulfiram	Disulfiram 250 mg/1	TabletOral	Alvogen Inc.	47781-607
Disulfiram	Disulfiram 250 mg/1	TabletOral	Golden State Medical Supply, Inc.	60429-196