NDC codes

FDA NDC Directory
Product NDC (as listed)67296-2147Labeler and product segments. Claims need a package NDC.
Product NDC at billing width67296-2147Add 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
67296-2147-46729621470440 TABLET in 1 BOTTLE (67296-2147-4)Marketed from May 20, 2023

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 215705
Marketing start
Listing expires
Other FDA classes
Organometallic Compounds (Chemical structure)
Identifiers
Product ID 67296-2147_4637f5d7-c529-1d00-e063-6394a90a754fSPL ID 4637f5d7-c529-1d00-e063-6394a90a754fSPL set ID 3251e156-4c52-63b3-e063-6294a90a9a95RxCUI 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

N467296214704 followed by a unit qualifier and the quantity

Package 67296-2147-04. 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 215705

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

FDA NDC Directory listings under ANDA 215705
ProductStrengthForm · routeLabelerProduct NDC
SucralfateSucralfate 1 g/1TabletOralCoupler LLC67046-1469
SucralfateSucralfate 1 g/1TabletOralViona Pharmaceuticals Inc72578-081
SucralfateSucralfate 1 g/1TabletOralPreferred Pharmaceuticals Inc68788-8779
SucralfateSucralfate 1 g/1TabletOralNCS HealthCare of KY, LLC dba Vangard Labs0615-8653
SucralfateSucralfate 1 g/1TabletOralBryant Ranch Prepack71335-2461
SucralfateSucralfate 1 g/1TabletOralZydus Lifesciences Limited70771-1833
SucralfateSucralfate 1 g/1TabletOralNuCare Pharmaceuticals, Inc.68071-3812

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