Rabeprazole Sodium NDC 67877-443

NDC codes

FDA NDC Directory

Product NDC (as listed)67877-443Labeler and product segments. Claims need a package NDC.

Product NDC at billing width67877-0443Add 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
67877-443-30	67877044330	30 TABLET, DELAYED RELEASE in 1 BOTTLE (67877-443-30)Marketed from Apr 27, 2018
67877-443-38	67877044338	100 POUCH in 1 CARTON (67877-443-38) / 1 BLISTER PACK in 1 POUCH / 10 TABLET, DELAYED RELEASE in 1 BLISTER PACK (67877-443-33)Marketed from Apr 27, 2018
67877-443-90	67877044390	90 TABLET, DELAYED RELEASE in 1 BOTTLE (67877-443-90)Marketed from Apr 27, 2018

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): Rabeprazole Sodium
Generic name (nonproprietary): rabeprazole sodium
Active ingredients: Rabeprazole sodium — 20 mg/1
Dosage form: Tablet, Delayed release
Route: Oral
Labeler: Ascend Laboratories, LLC
Product type: Prescription drug
Marketing category: ANDA — Abbreviated New Drug Application (generic)Application ANDA 208644
Marketing start: Apr 27, 2018
Listing expires: Dec 31, 2027
Other FDA classes: Proton Pump Inhibitors (Mechanism)
Identifiers: Product ID 67877-443_a12d4fab-6c30-456f-9c53-2b18c488cf4fSPL ID a12d4fab-6c30-456f-9c53-2b18c488cf4fSPL set ID 45092108-7c4a-48f9-8222-ca8612e82189RxCUI 854868UNII 3L36P16U4RUPC 0367877443904, 0367877443300
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

N467877044330 followed by a unit qualifier and the quantity

Package 67877-0443-30. 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 Aug 28, 2026.

Indications (excerpt from the label)

Rabeprazole sodium delayed-release tablets is a proton pump inhibitor (PPI) indicated in adults for: · Healing of Erosive or Ulcerative Gastroesophageal Reflux Disease (GERD) ( 1.1 ). · Maintenance of Healing of Erosive or Ulcerative GERD ( 1.2 ). · Treatment of Symptomatic GERD ( 1.3 ). · Healing of Duodenal Ulcers ( 1.4 ). · Helicobacter pylori Eradication to Reduce Risk of Duodenal Ulcer Recurrence ( 1.5 ). · Treatment of Pathological Hypersecretory Conditions, Including Zollinger-Ellison Syndrome ( 1.6 ). In adolescent patients 12 years of age and older for: · Short-term Treatment of Symptomatic GERD ( 1.7 ) 1.1 Healing of Erosive or Ulcerative GERD in Adults Rabeprazole sodium delayed-r…

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under ANDA 208644

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

FDA NDC Directory listings under ANDA 208644
Product	Strength	Form · route	Labeler	Product NDC
Rabeprazole Sodium	Rabeprazole sodium 20 mg/1	Tablet, Delayed releaseOral	DIRECT RX	72189-169
Rabeprazole Sodium	Rabeprazole sodium 20 mg/1	Tablet, Delayed releaseOral	Preferred Pharmaceuticals, Inc.	68788-7459
Rabeprazole Sodium	Rabeprazole sodium 20 mg/1	Tablet, Delayed releaseOral	Bryant Ranch Prepack	71335-1100
Rabeprazole Sodium	Rabeprazole sodium 20 mg/1	Tablet, Delayed releaseOral	A-S Medication Solutions	50090-4751
Rabeprazole Sodium	Rabeprazole sodium 20 mg/1	Tablet, Delayed releaseOral	PHOENIX RX LLC	85509-1443
Rabeprazole Sodium	Rabeprazole sodium 20 mg/1	Tablet, Delayed releaseOral	REMEDYREPACK INC.	70518-2590
Rabeprazole Sodium	Rabeprazole sodium 20 mg/1	Tablet, Delayed releaseOral	Asclemed USA, Inc.	76420-818
Rabeprazole Sodium	Rabeprazole sodium 20 mg/1	Tablet, Delayed releaseOral	Bryant Ranch Prepack	72162-2367
Rabeprazole Sodium DRrabeprazole sodium	Rabeprazole sodium 20 mg/1	Tablet, Delayed releaseOral	Advanced Rx of Tennessee, LLC	80425-0094
Rabeprazole Sodium DRrabeprazole sodium	Rabeprazole sodium 20 mg/1	Tablet, Delayed releaseOral	Advanced Rx Pharmacy of Tennessee, LLC	80425-0134
Rabeprazole Sodium	Rabeprazole sodium 20 mg/1	Tablet, Delayed releaseOral	St. Mary's Medical Park Pharmacy	60760-560
Rabeprazole Sodium	Rabeprazole sodium 20 mg/1	Tablet, Delayed releaseOral	Proficient Rx LP	71205-292