NDC codes

FDA NDC Directory
Product NDC (as listed)50090-4682Labeler and product segments. Claims need a package NDC.
Product NDC at billing width50090-4682Add 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
50090-4682-05009046820020 TABLET in 1 BOTTLE (50090-4682-0)Marketed from Nov 4, 2019
50090-4682-15009046820160 TABLET in 1 BOTTLE (50090-4682-1)Marketed from Nov 4, 2019
50090-4682-25009046820230 TABLET in 1 BOTTLE (50090-4682-2)Marketed from Nov 4, 2019
50090-4682-35009046820390 TABLET in 1 BOTTLE (50090-4682-3)Marketed from Nov 4, 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)
Baclofen
Generic name (nonproprietary)
baclofen
Active ingredients
Baclofen — 20 mg/1
Dosage form
Tablet
Route
Oral
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 211659
Marketing start
Listing expires
Other FDA classes
GABA A Agonists (Mechanism)GABA B Agonists (Mechanism)
Identifiers
Product ID 50090-4682_0825b008-5a6d-4ad7-8cdb-73ebb6692302SPL ID 0825b008-5a6d-4ad7-8cdb-73ebb6692302SPL set ID 975fda6d-d929-482b-8be7-60849026dbddRxCUI 197392UNII H789N3FKE8
Pharmacologic class
gamma-Aminobutyric Acid-ergic Agonist

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

N450090468200 followed by a unit qualifier and the quantity

Package 50090-4682-00. 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

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

Other NDCs under ANDA 211659

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

FDA NDC Directory listings under ANDA 211659
ProductStrengthForm · routeLabelerProduct NDC
BaclofenBaclofen 5 mg/1TabletOralZydus Lifesciences Limited70771-1586
BaclofenBaclofen 10 mg/1TabletOralA-S Medication Solutions50090-7928
BaclofenBaclofen 20 mg/1TabletOralZydus Pharmaceuticals (USA) Inc.70710-1286
BaclofenBaclofen 5 mg/1TabletOralCardinal Health 107, LLC55154-4349
BaclofenBaclofen 10 mg/1TabletOralZydus Pharmaceuticals (USA) Inc.70710-1285
BaclofenBaclofen 5 mg/1TabletOralAvPAK50268-105
BaclofenBaclofen 10 mg/1TabletOralAvPAK50268-106
BaclofenBaclofen 20 mg/1TabletOralAvPAK50268-107
BaclofenBaclofen 10 mg/1TabletOralA-S Medication Solutions50090-6149
BaclofenBaclofen 10 mg/1TabletOralZydus Lifesciences Limited70771-1448
BaclofenBaclofen 20 mg/1TabletOralZydus Lifesciences Limited70771-1449
BaclofenBaclofen 10 mg/1TabletOralCoupler LLC67046-1072
BaclofenBaclofen 5 mg/1TabletOralZydus Pharmaceuticals (USA) Inc.70710-1609
BaclofenBaclofen 15 mg/1TabletOralZydus Lifesciences Limited70771-1868
BaclofenBaclofen 15 mg/1TabletOralZydus Pharmaceuticals (USA) Inc.70710-1666
BaclofenBaclofen 5 mg/1TabletOralAmerican Health Packaging60687-804
BaclofenBaclofen 10 mg/1TabletOralAmerican Health Packaging60687-815
BaclofenBaclofen 20 mg/1TabletOralBryant Ranch Prepack71335-1356
BaclofenBaclofen 20 mg/1TabletOralAmerican Health Packaging60687-826

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