NDC codes

FDA NDC Directory
Product NDC (as listed)64764-544Labeler and product segments. Claims need a package NDC.
Product NDC at billing width64764-0544Add 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
64764-544-05647640544055 BLISTER PACK in 1 TRAY (64764-544-05) / 3 TABLET, ORALLY DISINTEGRATING, DELAYED RELEASE in 1 BLISTER PACKMarketed from Aug 30, 2002
64764-544-116476405441110 BLISTER PACK in 1 CARTON (64764-544-11) / 10 TABLET, ORALLY DISINTEGRATING, DELAYED RELEASE in 1 BLISTER PACK (64764-544-30)Marketed from Aug 30, 2002

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)
Prevacid SoluTab
Generic name (nonproprietary)
lansoprazole
Active ingredients
Lansoprazole — 30 mg/1
Dosage form
Tablet, Orally disintegrating, Delayed release
Route
Oral
Product type
Prescription drug
Marketing category
NDA — New Drug ApplicationApplication NDA 021428
Marketing start
Listing expires
Other FDA classes
Inhibition Gastric Acid Secretion (Physiologic effect)Proton Pump Inhibitors (Mechanism)
Identifiers
Product ID 64764-544_45f1d5ff-d884-4e40-a16c-313a4e21e32cSPL ID 45f1d5ff-d884-4e40-a16c-313a4e21e32cSPL set ID 71ba78cb-7e46-43eb-9425-fa130f537f84RxCUI 206205, 206206, 311277, 351260, 351261, 866152UNII 0K5C5T2QPGUPC 0364764046132
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

N464764054405 followed by a unit qualifier and the quantity

Package 64764-0544-05. 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)

PREVACID and PREVACID SoluTab are proton pump inhibitors (PPIs) indicated for the: Treatment of active duodenal ulcer in adults. ( 1.1 ) Eradication of H. pylori to reduce the risk of duodenal ulcer recurrence in adults. ( 1.2 ) Maintenance of healed duodenal ulcers in adults. ( 1.3 ) Treatment of active benign gastric ulcer in adults. ( 1.4 ) Healing of nonsteroidal anti-inflammatory drugs (NSAID)-associated gastric ulcer in adults. ( 1.5 ) Risk reduction of NSAID-associated gastric ulcer in adults. ( 1.6 ) Treatment of symptomatic gastroesophageal reflux disease (GERD) in adults and pediatric patients 1 year of age and older. ( 1.7 ) Treatment of erosive esophagitis (EE) in adults and pedi…

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under NDA 021428

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

FDA NDC Directory listings under NDA 021428
ProductStrengthForm · routeLabelerProduct NDC
Prevacid SoluTablansoprazoleLansoprazole 15 mg/1Tablet, Orally disintegrating, Delayed releaseOralTakeda Pharmaceuticals America, Inc.64764-543

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