NDC codes

FDA NDC Directory
Product NDC (as listed)0113-0116Labeler and product segments. Claims need a package NDC.
Product NDC at billing width00113-0116Add 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
0113-0116-5500113011655001130116553 CARTON in 1 CARTON (0113-0116-55) / 14 BLISTER PACK in 1 CARTON / 1 TABLET, ORALLY DISINTEGRATING, DELAYED RELEASE in 1 BLISTER PACKMarketed from Nov 28, 2017

How the 11-digit form is made: The labeler segment has 4 digits, so one leading zero is added to it (4-4-2 → 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)
Good Sense Lansoprazole
Generic name (nonproprietary)
lansoprazole
Active ingredients
Lansoprazole — 15 mg/1
Dosage form
Tablet, Orally disintegrating, Delayed release
Route
Oral
Labeler
L. Perrigo CompanyNDC labeler code 0113
Product type
Over-the-counter drug
Marketing category
NDA — New Drug ApplicationApplication NDA 208025
Marketing start
Listing expires
Other FDA classes
Inhibition Gastric Acid Secretion (Physiologic effect)Proton Pump Inhibitors (Mechanism)
Identifiers
Product ID 0113-0116_a5e0ac07-7297-4c43-b706-94b5c9d94481SPL ID a5e0ac07-7297-4c43-b706-94b5c9d94481SPL set ID d86585b7-e146-4f04-9016-412b16e06f55RxCUI 351261UNII 0K5C5T2QPG
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

N400113011655 followed by a unit qualifier and the quantity

Package 00113-0116-55. 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)

Use • treats frequent heartburn (occurs 2 or more days a week) • not intended for immediate relief of heartburn; this drug may take 1 to 4 days for full effect

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 0113-0116

What is NDC 0113-0116?
0113-0116 is the product NDC for Good Sense Lansoprazole (lansoprazole), Lansoprazole 15 mg/1 tablet, orally disintegrating, delayed release, listed with the FDA by L. Perrigo Company. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Good Sense Lansoprazole (Lansoprazole).
What is the active ingredient?
Lansoprazole.
Who is the labeler?
L. Perrigo Company, NDC labeler code 0113. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Good Sense Lansoprazole?
1 other product NDC are listed under this name. See all Good Sense Lansoprazole 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 Good Sense Lansoprazole NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
Good Sense LansoprazolelansoprazoleLansoprazole 15 mg/1Capsule, Delayed releaseOralL. Perrigo Company0113-111400113-1114-0100113-1114-0200113-1114-03

Other NDCs under NDA 208025

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

FDA NDC Directory listings under NDA 208025
ProductStrengthForm · routeLabelerProduct NDC
basic care lansoprazolelansoprazoleLansoprazole 15 mg/1Tablet, Orally disintegrating, Delayed releaseOralAmazon.com Services LLC72288-829
equate lansoprazolelansoprazoleLansoprazole 15 mg/1Tablet, Orally disintegrating, Delayed releaseOralWal-Mart Stores Inc49035-373
LansoprazoleLansoprazole 15 mg/1Tablet, Orally disintegrating, Delayed releaseOralWalgreen Company0363-1419
lansoprazoleLansoprazole 15 mg/1Tablet, Orally disintegrating, Delayed releaseOralKroger Company30142-192
LansoprazoleLansoprazole 15 mg/1Tablet, Orally disintegrating, Delayed releaseOralCVS Pharmacy69842-507
LansoprazoleLansoprazole 15 mg/1Tablet, Orally disintegrating, Delayed releaseOralAmazon.com Services LLC72288-672
topcare LansoprazolelansoprazoleLansoprazole 15 mg/1Tablet, Orally disintegrating, Delayed releaseOralTopco Associates LLC36800-295

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