NDC codes

FDA NDC Directory
Product NDC (as listed)16837-872Labeler and product segments. Claims need a package NDC.
Product NDC at billing width16837-0872Add 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
16837-872-20168370872203 BLISTER PACK in 1 CARTON (16837-872-20) / 10 TABLET, FILM COATED in 1 BLISTER PACKMarketed from Jan 21, 2011
16837-872-22168370872221 BOTTLE, PLASTIC in 1 CARTON (16837-872-22) / 90 TABLET, FILM COATED in 1 BOTTLE, PLASTICMarketed from Jan 21, 2011
16837-872-30168370872303 BLISTER PACK in 1 CARTON (16837-872-30) / 10 TABLET, FILM COATED in 1 BLISTER PACKMarketed from Oct 1, 1995
16837-872-90168370872901 BOTTLE, PLASTIC in 1 CARTON (16837-872-90) / 90 TABLET, FILM COATED in 1 BOTTLE, PLASTICMarketed from Oct 1, 1995

How the 11-digit form is made: The product segment has 3 digits, so one leading zero is added to it (5-3-2 → 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)
Pepcid AC Original StrengthSuffix: Original Strength
Generic name (nonproprietary)
famotidine
Active ingredients
Famotidine — 10 mg/1
Dosage form
Tablet, Film coated
Route
Oral
Product type
Over-the-counter drug
Marketing category
NDA — New Drug ApplicationApplication NDA 020325
Marketing start
Listing expires
Other FDA classes
Histamine H2 Receptor Antagonists (Mechanism)
Identifiers
Product ID 16837-872_4a227807-355e-b37d-e063-6394a90a7639SPL ID 4a227807-355e-b37d-e063-6394a90a7639SPL set ID 54f4086f-e443-4e7e-8c7e-94e152e1c256RxCUI 199047, 212072UNII 5QZO15J2Z8

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

N416837087220 followed by a unit qualifier and the quantity

Package 16837-0872-20. 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)

Uses relieves heartburn associated with acid indigestion and sour stomach prevents heartburn associated with acid indigestion and sour stomach brought on by eating or drinking certain food and beverages

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under NDA 020325

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

FDA NDC Directory listings under NDA 020325
ProductStrengthForm · routeLabelerProduct NDC
Pepcid ACfamotidineFamotidine 20 mg/1Tablet, Film coatedOralLil' Drug Store Products, Inc.66715-9748
PEPCID AC Maximum StrengthfamotidineFamotidine 20 mg/1Tablet, Film coatedOralKenvue Brands LLC16837-855
Maximum Strength PEPCID AC Icy Cool MintfamotidineFamotidine 20 mg/1Tablet, Film coatedOralKenvue Brands LLC16837-889

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