Lamictal ODT (lamotrigine) NDC 0173-0774

NDC codes

FDA NDC Directory

Product NDC (as listed)0173-0774Labeler and product segments. Claims need a package NDC.

Product NDC at billing width00173-0774Add 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
0173-0774-02	00173077402	1 DOSE PACK in 1 CARTON (0173-0774-02) / 30 TABLET, ORALLY DISINTEGRATING in 1 DOSE PACKMarketed from Jun 5, 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 ODTSuffix: ODT
Generic name (nonproprietary): lamotrigine
Active ingredients: Lamotrigine — 50 mg/1
Dosage form: Tablet, Orally disintegrating
Route: Oral
Labeler: GlaxoSmithKline LLC
Product type: Prescription drug
Marketing category: NDA — New Drug ApplicationApplication NDA 022251
Marketing start: Jun 5, 2009
Listing expires: Dec 31, 2027
Other FDA classes: Decreased Central Nervous System Disorganized Electrical Activity (Physiologic effect)Dihydrofolate Reductase Inhibitors (Mechanism)Organic Cation Transporter 2 Inhibitors (Mechanism)
Identifiers: Product ID 0173-0774_076c76e0-4a5e-491b-ba85-de2dd757b436SPL ID 076c76e0-4a5e-491b-ba85-de2dd757b436SPL set ID d7e3572d-56fe-4727-2bb4-013ccca22678RxCUI 103968, 105018, 105019, 108782, 198427, 198428, 198429, 198430, 201239, 201240, 206201, 252478, 252479, 282401, 311264, 311265, 349010, 542426, 751139, 751563, 753451, 795772, 795774, 795778, 849049, 849050, 849051, 849052, 851748, 851749, 851750, 851751, 851752, 851753UNII U3H27498KSUPC 0301730526007, 0301730644602, 0301730699008, 0301730642554, 0301730643605, 0301730527004
Pharmacologic class: Anti-epileptic Agent; Mood Stabilizer

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

N400173077402 followed by a unit qualifier and the quantity

Package 00173-0774-02. 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 Oct 10, 2025. This label includes a boxed warning.

Indications (excerpt from the label)

LAMICTAL is indicated for: Epilepsy—adjunctive therapy in patients aged 2 years and older: • partial-onset seizures. • primary generalized tonic-clonic (PGTC) seizures. • generalized seizures of Lennox-Gastaut syndrome. ( 1.1 ) Epilepsy—monotherapy in patients aged 16 years and older: Conversion to monotherapy in patients with partial-onset seizures who are receiving treatment with carbamazepine, phenytoin, phenobarbital, primidone, or valproate as the single antiepileptic drug. ( 1.1 ) Bipolar disorder: Maintenance treatment of bipolar I disorder to delay the time to occurrence of mood episodes in patients treated for acute mood episodes with standard therapy. ( 1.2 ) Limitations of Use: Tr…

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under NDA 022251

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

FDA NDC Directory listings under NDA 022251
Product	Strength	Form · route	Labeler	Product NDC
Lamictal ODTlamotrigine	Lamotrigine 25 mg/1	Tablet, Orally disintegratingOral	GlaxoSmithKline LLC	0173-0772
Lamictal ODTlamotrigine	Lamotrigine 100 mg/1	Tablet, Orally disintegratingOral	GlaxoSmithKline LLC	0173-0776
Lamictal ODTlamotrigine	Lamotrigine 200 mg/1	Tablet, Orally disintegratingOral	GlaxoSmithKline LLC	0173-0777
Lamictal ODTlamotrigine	—	Kit	GlaxoSmithKline LLC	0173-0778
Lamictal ODTlamotrigine	—	Kit	GlaxoSmithKline LLC	0173-0779
Lamictal ODTlamotrigine	—	Kit	GlaxoSmithKline LLC	0173-0780