Famotidine NDC 67877-842

NDC codes

FDA NDC Directory

Product NDC (as listed)67877-842Labeler and product segments. Claims need a package NDC.

Product NDC at billing width67877-0842Add 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
67877-842-01	67877084201	100 TABLET, FILM COATED in 1 BOTTLE (67877-842-01)Marketed from Jul 8, 2022
67877-842-05	67877084205	500 TABLET, FILM COATED in 1 BOTTLE (67877-842-05)Marketed from Feb 3, 2025
67877-842-10	67877084210	1000 TABLET, FILM COATED in 1 BOTTLE (67877-842-10)Marketed from Jul 8, 2022

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): Famotidine
Generic name (nonproprietary): famotidine
Active ingredients: Famotidine — 20 mg/1
Dosage form: Tablet, Film coated
Route: Oral
Labeler: Ascend Laboratories, LLC
Product type: Prescription drug
Marketing category: ANDA — Abbreviated New Drug Application (generic)Application ANDA 215630
Marketing start: Jul 8, 2022
Listing expires: Dec 31, 2026
Other FDA classes: Histamine H2 Receptor Antagonists (Mechanism)
Identifiers: Product ID 67877-842_23381364-14e1-4f63-aea4-66d605fd14f1SPL ID 23381364-14e1-4f63-aea4-66d605fd14f1SPL set ID be69d9f9-f4ad-4cfe-bab2-e07186b25c1eRxCUI 284245, 310273UNII 5QZO15J2Z8UPC 0367877842011
Pharmacologic class: Histamine-2 Receptor Antagonist

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

N467877084201 followed by a unit qualifier and the quantity

Package 67877-0842-01. 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

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