NDC codes

FDA NDC Directory
Product NDC (as listed)67877-842Labeler and product segments. Claims need a package NDC.
Product NDC at billing width67877-0842Add 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
67877-842-0167877084201100 TABLET, FILM COATED in 1 BOTTLE (67877-842-01)Marketed from Jul 8, 2022
67877-842-0567877084205500 TABLET, FILM COATED in 1 BOTTLE (67877-842-05)Marketed from Feb 3, 2025
67877-842-10678770842101000 TABLET, FILM COATED in 1 BOTTLE (67877-842-10)Marketed from Jul 8, 2022

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)
Famotidine
Generic name (nonproprietary)
famotidine
Active ingredients
Famotidine20 mg/1
Dosage form
Tablet, Film coated
Route
Oral
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 215630
Marketing start
Listing expires
Other FDA classes
Histamine H2 Receptor Antagonists (Mechanism)
Identifiers
Product ID 67877-842_23381364-14e1-4f63-aea4-66d605fd14f1SPL ID 23381364-14e1-4f63-aea4-66d605fd14f1SPL set ID be69d9f9-f4ad-4cfe-bab2-e07186b25c1eRxCUI 284245, 310273UNII 5QZO15J2Z8UPC 0367877842011

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

N467877084201 followed by a unit qualifier and the quantity

Package 67877-0842-01. 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 .

Indications (excerpt from the label)

Famotidine tablets are indicated in adult and pediatric patients 40 kg and greater for the treatment of: active duodenal ulcer (DU). active gastric ulcer (GU). symptomatic nonerosive gastroesophageal reflux disease (GERD). erosive esophagitis due to GERD, diagnosed by biopsy. Famotidine tablets are indicated in adults for the: treatment of pathological hypersecretory conditions (e.g., Zollinger-Ellison syndrome, multiple endocrine neoplasias). reduction of the risk of duodenal ulcer recurrence. Famotidine is a histamine-2 (H2) receptor antagonist indicated (1) : In adult and pediatric patients 40 kg and greater for the treatment of: active duodenal ulcer (DU). active gastric ulcer. symptomat

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under ANDA 215630

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

FDA NDC Directory listings under ANDA 215630
ProductStrengthForm · routeLabelerProduct NDC
FamotidineFamotidine 20 mg/1Tablet, Film coatedOralHAWAII REPACK, INC.85534-0091
FamotidineFamotidine 40 mg/1Tablet, Film coatedOralHAWAII REPACK, INC.85534-0092
FamotidineFamotidine 20 mg/1Tablet, Film coatedOralPreferred Pharmaceuticals Inc.68788-8485
FamotidineFamotidine 40 mg/1Tablet, Film coatedOralAscend Laboratories, LLC67877-843
FamotidineFamotidine 40 mg/1Tablet, Film coatedOralAscend Laboratories, LLC67877-889
FamotidineFamotidine 40 mg/1Tablet, Film coatedOralPreferred Pharmaceuticals Inc.68788-8518
FamotidineFamotidine 20 mg/1Tablet, Film coatedOralREMEDYREPACK INC.70518-3829
FamotidineFamotidine 40 mg/1Tablet, Film coatedOralAsclemed USA, Inc.76420-713
FamotidineFamotidine 20 mg/1Tablet, Film coatedOralAsclemed USA, Inc.76420-712
FamotidineFamotidine 40 mg/1Tablet, Film coatedOralPD-Rx Pharmaceuticals, Inc.72789-345
FamotidineFamotidine 40 mg/1Tablet, Film coatedOralA-S Medication Solutions50090-7982
FamotidineFamotidine 40 mg/1Tablet, Film coatedOralBryant Ranch Prepack71335-2442
FamotidineFamotidine 40 mg/1Tablet, Film coatedOralA-S Medication Solutions50090-7981
FamotidineFamotidine 40 mg/1Tablet, Film coatedOralNuCare Pharmceuticals,Inc.68071-3413
FamotidineFamotidine 40 mg/1Tablet, Film coatedOralST. MARY'S MEDICAL PARK PHARMACY60760-843
FamotidineFamotidine 20 mg/1Tablet, Film coatedOralNuCare Pharmaceuticals,Inc.68071-3420
FamotidineFamotidine 20 mg/1Tablet, Film coatedOralREMEDYREPACK INC.70518-4574
FamotidineFamotidine 40 mg/1Tablet, Film coatedOralREMEDYREPACK INC.70518-4084
FamotidineFamotidine 20 mg/1Tablet, Film coatedOralA-S Medication Solutions50090-6582
FamotidineFamotidine 40 mg/1Tablet, Film coatedOralPD-Rx Pharmaceuticals, Inc.72789-453

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