NDC codes

FDA NDC Directory
Product NDC (as listed)63629-9152Labeler and product segments. Claims need a package NDC.
Product NDC at billing width63629-9152Add 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
63629-9152-163629915201100 TABLET in 1 BOTTLE, PLASTIC (63629-9152-1)Marketed from Jan 26, 2022

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)
Sucralfate
Generic name (nonproprietary)
sucralfate
Active ingredients
Sucralfate — 1 g/1
Dosage form
Tablet
Route
Oral
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 074415
Marketing start
Listing expires
Other FDA classes
Organometallic Compounds (Chemical structure)
Identifiers
Product ID 63629-9152_68eb54fd-5a5e-4803-a43e-1c3134416377SPL ID 68eb54fd-5a5e-4803-a43e-1c3134416377SPL set ID 7b05323d-4695-41d7-8236-1e7b4e8f2a1eRxCUI 314234UNII XX73205DH5
Pharmacologic class
Aluminum Complex

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

N463629915201 followed by a unit qualifier and the quantity

Package 63629-9152-01. 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)

INDICATIONS AND USAGE Sucralfate tablets are indicated in: Short-term treatment (up to 8 weeks) of active duodenal ulcer. While healing with sucralfate may occur during the first week or two, treatment should be continued for 4 to 8 weeks unless healing has been demonstrated by x-ray or endoscopic examination. Maintenance therapy for duodenal ulcer patients at reduced dosage after healing of acute ulcers.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under ANDA 074415

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

FDA NDC Directory listings under ANDA 074415
ProductStrengthForm · routeLabelerProduct NDC
SucralfateSucralfate 1 g/1TabletOralAphena Pharma Solutions - Tennessee, LLC71610-541
SucralfateSucralfate 1 g/1TabletOralAdvanced Rx Pharmacy of Tennessee, LLC80425-0188
SucralfateSucralfate 1 g/1TabletOralDirect_Rx72189-429
SucralfateSucralfate 1 g/1TabletOralA-S Medication Solutions50090-6455
SucralfateSucralfate 1 g/1TabletOralBryant Ranch Prepack72162-2264
SucralfateSucralfate 1 g/1TabletOralBryant Ranch Prepack63629-9153
SucralfateSucralfate 1 g/1TabletOralBryant Ranch Prepack71335-2114
SucralfateSucralfate 1 g/1TabletOralNuCare Pharmaceuticals,Inc.68071-3478
SucralfateSucralfate 1 g/1TabletOralGolden State Medical Supply, Inc.51407-881
SucralfateSucralfate 1 g/1TabletOralChartwell RX, LLC62135-436
SucralfateSucralfate 1 g/1TabletOralProficient Rx LP82804-102

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