NDC codes

FDA NDC Directory
Product NDC (as listed)72888-059Labeler and product segments. Claims need a package NDC.
Product NDC at billing width72888-0059Add 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
72888-059-307288800593030 TABLET, DELAYED RELEASE in 1 BOTTLE (72888-059-30)Marketed from Jun 1, 2017
72888-059-907288800599090 TABLET, DELAYED RELEASE in 1 BOTTLE (72888-059-90)Marketed from Jun 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)
Rabeprazole Sodium
Generic name (nonproprietary)
rabeprazole sodium
Active ingredients
Rabeprazole sodium — 20 mg/1
Dosage form
Tablet, Delayed release
Route
Oral
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 204237
Marketing start
Listing expires
Other FDA classes
Proton Pump Inhibitors (Mechanism)
Identifiers
Product ID 72888-059_4844a51a-513a-8b72-e063-6294a90ab996SPL ID 4844a51a-513a-8b72-e063-6294a90ab996SPL set ID b1a12c83-74ab-febc-e053-2a95a90a1441RxCUI 854868UNII 3L36P16U4RUPC 0372888059907, 0372888059303
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

N472888005930 followed by a unit qualifier and the quantity

Package 72888-0059-30. 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 .

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-release tablet…

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under ANDA 204237

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

FDA NDC Directory listings under ANDA 204237
ProductStrengthForm · routeLabelerProduct NDC
Rabeprazole SodiumRabeprazole sodium 20 mg/1Tablet, Delayed releaseOralAsclemed USA, Inc.76420-223
Rabeprazole SodiumRabeprazole sodium 20 mg/1Tablet, Delayed releaseOralProficient Rx LP71205-603
Rabeprazole SodiumRabeprazole sodium 20 mg/1Tablet, Delayed releaseOralAdvanced Rx of Tennessee, LLC80425-0449
Rabeprazole SodiumRabeprazole sodium 20 mg/1Tablet, Delayed releaseOralPreferred Pharmaceuticals Inc.68788-8536
Rabeprazole SodiumRabeprazole sodium 20 mg/1Tablet, Delayed releaseOralREMEDYREPACK INC.70518-3209
Rabeprazole SodiumRabeprazole sodium 20 mg/1Tablet, Delayed releaseOralBryant Ranch Prepack72162-2503
Rabeprazole SodiumRabeprazole sodium 20 mg/1Tablet, Delayed releaseOralA-S Medication Solutions50090-6887
Rabeprazole SodiumRabeprazole sodium 20 mg/1Tablet, Delayed releaseOralAdvanced Rx of Tennessee, LLC80425-0363
Rabeprazole SodiumRabeprazole sodium 20 mg/1Tablet, Delayed releaseOralSt. Mary's Medical Park Pharmacy60760-972
Rabeprazole SodiumRabeprazole sodium 20 mg/1Tablet, Delayed releaseOralBryant Ranch Prepack71335-2304

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