NDC codes

FDA NDC Directory
Product NDC (as listed)0173-0777Labeler and product segments. Claims need a package NDC.
Product NDC at billing width00173-0777Add 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
0173-0777-0200173077702001730777021 DOSE PACK in 1 CARTON (0173-0777-02) / 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 — 200 mg/1
Dosage form
Tablet, Orally disintegrating
Route
Oral
Labeler
GlaxoSmithKline LLCNDC labeler code 0173
Product type
Prescription drug
Marketing category
NDA — New Drug ApplicationApplication NDA 022251
Marketing start
Listing expires
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 0173-0777_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

N400173077702 followed by a unit qualifier and the quantity

Package 00173-0777-02. 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 . 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)

About NDC 0173-0777

What is NDC 0173-0777?
0173-0777 is the product NDC for Lamictal ODT (lamotrigine), Lamotrigine 200 mg/1 tablet, orally disintegrating, listed with the FDA by GlaxoSmithKline LLC. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Lamictal ODT (Lamotrigine).
What is the active ingredient?
Lamotrigine.
Who is the labeler?
GlaxoSmithKline LLC, NDC labeler code 0173. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Lamictal ODT?
6 other product NDCs are listed under this name. See all Lamictal ODT 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 Lamictal ODT NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
Lamictal ODTlamotrigineLamotrigine 25 mg/1Tablet, Orally disintegratingOralGlaxoSmithKline LLC0173-077200173-0772-02
Lamictal ODTlamotrigineLamotrigine 50 mg/1Tablet, Orally disintegratingOralGlaxoSmithKline LLC0173-077400173-0774-02
Lamictal ODTlamotrigineLamotrigine 100 mg/1Tablet, Orally disintegratingOralGlaxoSmithKline LLC0173-077600173-0776-02
Lamictal ODTlamotrigine—KitGlaxoSmithKline LLC0173-077800173-0778-00
Lamictal ODTlamotrigine—KitGlaxoSmithKline LLC0173-077900173-0779-00
Lamictal ODTlamotrigine—KitGlaxoSmithKline LLC0173-078000173-0780-00

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
ProductStrengthForm · routeLabelerProduct NDC
Lamictal ODTlamotrigineLamotrigine 25 mg/1Tablet, Orally disintegratingOralGlaxoSmithKline LLC0173-0772
Lamictal ODTlamotrigineLamotrigine 50 mg/1Tablet, Orally disintegratingOralGlaxoSmithKline LLC0173-0774
Lamictal ODTlamotrigineLamotrigine 100 mg/1Tablet, Orally disintegratingOralGlaxoSmithKline LLC0173-0776
Lamictal ODTlamotrigine—KitGlaxoSmithKline LLC0173-0778
Lamictal ODTlamotrigine—KitGlaxoSmithKline LLC0173-0779
Lamictal ODTlamotrigine—KitGlaxoSmithKline LLC0173-0780

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