NDC codes

FDA NDC Directory
Product NDC (as listed)0173-0759Labeler and product segments. Claims need a package NDC.
Product NDC at billing width00173-0759Add 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
0173-0759-00001730759001 BLISTER PACK in 1 PACKAGE, COMBINATION (0173-0759-00) / 1 KIT in 1 BLISTER PACKMarketed from Jul 6, 2009

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)
Lamictal XRSuffix: XR
Generic name (nonproprietary)
lamotrigine
Dosage form
Kit
Product type
Prescription drug
Marketing category
NDA — New Drug ApplicationApplication NDA 022115
Marketing start
Listing expires
Identifiers
Product ID 0173-0759_d0cca76f-809f-4db8-a468-619a217debc1SPL ID d0cca76f-809f-4db8-a468-619a217debc1SPL set ID 3e2c9a35-6a39-41d7-ad84-3c0bb8894b09RxCUI 850087, 850091, 900145, 900156, 900157, 900164, 900165, 900169, 900865, 900866, 900890, 900891, 900983, 900984, 1098608, 1098610, 1146690, 1146692UNII U3H27498KSUPC 0301730756008, 0301730757005, 0301730761002, 0301730754004, 0301730781000

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 drug-specific HCPCS code in Med-Code's directory for this product. The directory is curated and not complete — check the current CMS HCPCS file before billing.

NDC on a medical claim

N400173075900 followed by a unit qualifier and the quantity

Package 00173-0759-00. 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 . This label includes a boxed warning.

Indications (excerpt from the label)

LAMICTAL XR is indicated for: • adjunctive therapy for primary generalized tonic-clonic seizures (PGTC) and partial-onset seizures with or without secondary generalization in patients aged 13 years and older. ( 1.1 ) • conversion to monotherapy in patients aged 13 years and older with partial-onset seizures who are receiving treatment with a single antiepileptic drug (AED). ( 1.2 ) Limitation of use: Safety and effectiveness in patients younger than 13 years have not been established. ( 1.3 ) 1.1 Adjunctive Therapy LAMICTAL XR is indicated as adjunctive therapy for primary generalized tonic-clonic (PGTC) seizures and partial-onset seizures with or without secondary generalization in patients…

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under NDA 022115

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

FDA NDC Directory listings under NDA 022115
ProductStrengthForm · routeLabelerProduct NDC
Lamictal XRlamotrigine—KitGlaxoSmithKline LLC0173-0760
Lamictal XRlamotrigineLamotrigine 300 mg/1Tablet, Film coated, Extended releaseOralGlaxoSmithKline LLC0173-0761
Lamictal XRlamotrigineLamotrigine 250 mg/1Tablet, Film coated, Extended releaseOralGlaxoSmithKline LLC0173-0781
Lamictal XRlamotrigineLamotrigine 25 mg/1Tablet, Film coated, Extended releaseOralGlaxoSmithKline LLC0173-0754
Lamictal XRlamotrigineLamotrigine 50 mg/1Tablet, Film coated, Extended releaseOralGlaxoSmithKline LLC0173-0755
Lamictal XRlamotrigineLamotrigine 100 mg/1Tablet, Film coated, Extended releaseOralGlaxoSmithKline LLC0173-0756
Lamictal XRlamotrigineLamotrigine 200 mg/1Tablet, Film coated, Extended releaseOralGlaxoSmithKline LLC0173-0757
Lamictal XRlamotrigine—KitGlaxoSmithKline LLC0173-0758

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