NDC codes

FDA NDC Directory
Product NDC (as listed)80425-0188Labeler and product segments. Claims need a package NDC.
Product NDC at billing width80425-0188Add 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
80425-0188-1804250188018042501880130 TABLET in 1 BOTTLE (80425-0188-1)Marketed from Feb 17, 2020

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)
Sucralfate
Generic name (nonproprietary)
sucralfate
Active ingredients
Sucralfate — 1 g/1
Dosage form
Tablet
Route
Oral
Labeler
Advanced Rx Pharmacy of Tennessee, LLCNDC labeler code 80425
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 074415
Marketing start
Listing expires
Other FDA classes
Organometallic Compounds (Chemical structure)
Identifiers
Product ID 80425-0188_2a99e9e8-3d18-ee0b-e063-6294a90ae4efSPL ID 2a99e9e8-3d18-ee0b-e063-6294a90ae4efSPL set ID d3c41720-7e1a-08c1-e053-2a95a90aba03RxCUI 314234UNII XX73205DH5
Pharmacologic class
Aluminum Complex

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

N480425018801 followed by a unit qualifier and the quantity

Package 80425-0188-01. 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)

Indications and Usage Sucralfate tablets are indicated in: Short-term treatment (up to 8 weeks) of active duodenal ulcer. While healing with sucralfate may occur during the first week or two, treatment should be continued for 4 to 8 weeks unless healing has been demonstrated by x-ray or endoscopic examination. Maintenance therapy for duodenal ulcer patients at reduced dosage after healing of acute ulcers.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 80425-0188

What is NDC 80425-0188?
80425-0188 is the product NDC for Sucralfate, Sucralfate 1 g/1 tablet, listed with the FDA by Advanced Rx Pharmacy of Tennessee, LLC. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Sucralfate.
What is the active ingredient?
Sucralfate.
Who is the labeler?
Advanced Rx Pharmacy of Tennessee, LLC, NDC labeler code 80425. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Sucralfate?
65 other product NDCs are listed under this name. See all Sucralfate NDCs.
Is there a related HCPCS / J-code?
Not in Med-Code's curated HCPCS directory. See Billing references above.

Other finished products listed under the same name: strengths, forms and labelers.

Other Sucralfate NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
SucralfateSucralfate 1 g/10mLSuspensionOralSafecor Health, LLC48433-22648433-0226-40
SucralfateSucralfate 1 g/1TabletOralCardinal Health 107, LLC55154-028155154-0281-00
SucralfateSucralfate 1 g/1TabletOralSafecor Health LLC48433-09148433-0091-20
SucralfateSucralfate 1 g/10mLSuspensionOralTorrent Pharmaceuticals Limited13668-75413668-0754-42
SucralfateSucralfate 1 g/10mLSuspensionOralChartwell RX, LLC62135-10662135-0106-44
SucralfateSucralfate 1 g/10mLSuspensionOralChartwell Governmental & Specialty RX, LLC68999-10668999-0106-24
SucralfateSucralfate 1 g/1TabletOralCoupler LLC67046-146967046-1469-03
Sucralfatesucralfate oralSucralfate 1 g/10mLSuspensionOralPrecision Dose, Inc.68094-04168094-0041-6168094-0041-62
SucralfateSucralfate 1 g/10mLSuspensionOralCosette Pharmaceuticals, Inc.0713-079100713-0791-75
SucralfateSucralfate 1 g/1TabletOralPreferred Pharmaceuticals Inc68788-877968788-8779-0368788-8779-09

All 66 Sucralfate NDCs

Other NDCs under ANDA 074415

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

FDA NDC Directory listings under ANDA 074415
ProductStrengthForm · routeLabelerProduct NDC
SucralfateSucralfate 1 g/1TabletOralA-S Medication Solutions50090-6455
SucralfateSucralfate 1 g/1TabletOralChartwell RX, LLC62135-436
SucralfateSucralfate 1 g/1TabletOralBryant Ranch Prepack63629-9152
SucralfateSucralfate 1 g/1TabletOralBryant Ranch Prepack63629-9153
SucralfateSucralfate 1 g/1TabletOralNuCare Pharmaceuticals,Inc.68071-3478
SucralfateSucralfate 1 g/1TabletOralBryant Ranch Prepack71335-2114
SucralfateSucralfate 1 g/1TabletOralAphena Pharma Solutions - Tennessee, LLC71610-541
SucralfateSucralfate 1 g/1TabletOralBryant Ranch Prepack72162-2264
SucralfateSucralfate 1 g/1TabletOralDirect_Rx72189-429
SucralfateSucralfate 1 g/1TabletOralProficient Rx LP82804-102

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