Lansoprazole NDC 11822-3374

NDC codes

FDA NDC Directory

Product NDC (as listed)11822-3374Labeler and product segments. Claims need a package NDC.

Product NDC at billing width11822-3374Add 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
11822-3374-5	11822337405	1 BOTTLE in 1 CARTON (11822-3374-5) / 14 CAPSULE, DELAYED RELEASE in 1 BOTTLEMarketed from Nov 29, 2019
11822-3374-7	11822337407	3 BOTTLE, PLASTIC in 1 BOX (11822-3374-7) / 14 CAPSULE, DELAYED RELEASE in 1 BOTTLE, PLASTICMarketed from Nov 29, 2019

How the 11-digit form is made: The package segment has 1 digit, so one leading zero is added to it (5-4-1 → 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): Lansoprazole
Generic name (nonproprietary): lansoprazole
Active ingredients: Lansoprazole — 15 mg/1
Dosage form: Capsule, Delayed release
Route: Oral
Labeler: Rite Aid Corporation
Product type: Over-the-counter drug
Marketing category: ANDA — Abbreviated New Drug Application (generic)Application ANDA 203187
Marketing start: Nov 29, 2019
Marketing end: Nov 29, 2026
Other FDA classes: Inhibition Gastric Acid Secretion (Physiologic effect)Proton Pump Inhibitors (Mechanism)
Identifiers: Product ID 11822-3374_a4c3b92d-38c5-4375-a950-42bf3af2482dSPL ID a4c3b92d-38c5-4375-a950-42bf3af2482dSPL set ID 5f256a0c-14df-4fd9-a818-b4276954152eRxCUI 596843UNII 0K5C5T2QPGUPC 0011822331135
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

N411822337405 followed by a unit qualifier and the quantity

Package 11822-3374-05. 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

Label details couldn’t be retrieved right now. Open the label on DailyMed.

Other NDCs under ANDA 203187

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

FDA NDC Directory listings under ANDA 203187
Product	Strength	Form · route	Labeler	Product NDC
Lansoprazole	Lansoprazole 15 mg/1	Capsule, Delayed releaseOral	CVS Pharmacy	69842-755