Tofacitinib NDC 84677-055

NDC codes

FDA NDC Directory

Product NDC (as listed)84677-055Labeler and product segments. Claims need a package NDC.

Product NDC at billing width84677-0055Add 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	Copy
84677-055-60	84677005560	60 TABLET, FILM COATED in 1 BOTTLE (84677-055-60)Marketed from Jun 1, 2026

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): Tofacitinib
Generic name (nonproprietary): tofacitinib
Active ingredients: Tofacitinib — 10 mg/1
Dosage form: Tablet, Film coated
Route: Oral
Labeler: Golden State Medical Supply, Inc.
Product type: Prescription drug
Marketing category: ANDA — Abbreviated New Drug Application (generic)Application ANDA 218096
Marketing start: Jun 1, 2026
Listing expires: Dec 31, 2027
Other FDA classes: Janus Kinase Inhibitors (Mechanism)
Identifiers: Product ID 84677-055_58f22511-eebf-fdbd-e063-6294a90adb8eSPL ID 58f22511-eebf-fdbd-e063-6294a90adb8eSPL set ID 58f22c41-87d2-e745-e063-6394a90a962eRxCUI 1357541, 2048566UNII 87LA6FU830
Pharmacologic class: Janus Kinase 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

N484677005560 followed by a unit qualifier and the quantity

Package 84677-0055-60. 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 13, 2026. This label includes a boxed warning.

Indications (excerpt from the label)

Tofacitinib tablets are Janus kinase (JAK) inhibitors. Tofacitinib tablets are indicated for the treatment of adult patients with: Moderately to severely active rheumatoid arthritis (RA), who have had an inadequate response or intolerance to one or more TNF blockers. Active psoriatic arthritis (PsA), who have had an inadequate response or intolerance to one or more TNF blockers. Active ankylosing spondylitis (AS), who have had an inadequate response or intolerance to one or more TNF blockers. Moderately to severely active ulcerative colitis (UC), who have had an inadequate response or intolerance to one or more TNF blockers. Tofacitinib tablets are indicated for the treatment of pediatric pa…

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under ANDA 218096

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

FDA NDC Directory listings under ANDA 218096
Product	Strength	Form · route	Labeler	Product NDC
Tofacitinib	Tofacitinib 5 mg/1	Tablet, Film coatedOral	Apotex Corp.	60505-6263
Tofacitinib	Tofacitinib 10 mg/1	Tablet, Film coatedOral	Apotex Corp.	60505-6264
Tofacitinib	Tofacitinib 5 mg/1	Tablet, Film coatedOral	Golden State Medical Supply, Inc.	84677-054