NDC codes

FDA NDC Directory
Product NDC (as listed)69842-507Labeler and product segments. Claims need a package NDC.
Product NDC at billing width69842-0507Add 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
69842-507-55698420507553 CARTON in 1 CARTON (69842-507-55) / 14 BLISTER PACK in 1 CARTON / 1 TABLET, ORALLY DISINTEGRATING, DELAYED RELEASE in 1 BLISTER PACKMarketed from Dec 2, 2017

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)
Lansoprazole
Generic name (nonproprietary)
lansoprazole
Active ingredients
Lansoprazole — 15 mg/1
Dosage form
Tablet, Orally disintegrating, Delayed release
Route
Oral
Labeler
CVS PharmacyNDC labeler code 69842
Product type
Over-the-counter drug
Marketing category
NDA — New Drug ApplicationApplication NDA 208025
Marketing start
Listing expires
Other FDA classes
Inhibition Gastric Acid Secretion (Physiologic effect)Proton Pump Inhibitors (Mechanism)
Identifiers
Product ID 69842-507_8ce244ef-086e-4524-8cf8-9675eff19296SPL ID 8ce244ef-086e-4524-8cf8-9675eff19296SPL set ID 992a8f95-475c-4e57-90cc-9839c8678427RxCUI 351261UNII 0K5C5T2QPG
Pharmacologic class
Proton Pump Inhibitor

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

N469842050755 followed by a unit qualifier and the quantity

Package 69842-0507-55. 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)

Use • treats frequent heartburn (occurs 2 or more days a week) • not intended for immediate relief of heartburn; this drug may take 1 to 4 days for full effect

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 69842-507

What is NDC 69842-507?
69842-507 is the product NDC for Lansoprazole, Lansoprazole 15 mg/1 tablet, orally disintegrating, delayed release, listed with the FDA by CVS Pharmacy. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Lansoprazole.
What is the active ingredient?
Lansoprazole.
Who is the labeler?
CVS Pharmacy, NDC labeler code 69842. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Lansoprazole?
94 other product NDCs are listed under this name. See all Lansoprazole NDCs.
Is there a related HCPCS / J-code?
Not in Med-Code's curated HCPCS directory. See Billing references above.

Other finished products listed under the same name: strengths, forms and labelers.

Other Lansoprazole NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
LansoprazoleLansoprazole 30 mg/1Tablet, Orally disintegrating, Delayed releaseOralCardinal Health 107, LLC55154-834055154-8340-00
LansoprazoleLansoprazole 30 mg/1Capsule, Delayed release pelletsOralPreferred Pharmaceuticals Inc.68788-414168788-4141-0368788-4141-0668788-4141-09
LansoprazoleLansoprazole 15 mg/1Tablet, Orally disintegrating, Delayed releaseOralAmazon.com Services LLC72288-67272288-0672-55
LansoprazoleLansoprazole 15 mg/1Capsule, Delayed releaseOralAmazon.com Services LLC72288-82772288-0827-03
LansoprazoleLansoprazole 30 mg/1Capsule, Delayed release pelletsOralSafecor Health LLC48433-05148433-0051-08
LansoprazoleLansoprazole 30 mg/1Capsule, Delayed releaseOralMedcore LLC82461-71382461-0713-30
LansoprazoleLansoprazole 15 mg/1Capsule, Delayed releaseOralMacleods Pharmaceuticals Limited33342-31033342-0310-07
LansoprazoleLansoprazole 30 mg/1Capsule, Delayed releaseOralMacleods Pharmaceuticals Limited33342-31133342-0311-07
LansoprazoleLansoprazole 30 mg/1Capsule, Delayed releaseOralPreferred Pharmaceuticals Inc.68788-862168788-8621-0168788-8621-0368788-8621-06+2 more
LansoprazoleLansoprazole 15 mg/1Tablet, Orally disintegrating, Delayed releaseOralAurobindo Pharma Limited65862-89565862-0895-78

All 95 Lansoprazole NDCs

Other NDCs under NDA 208025

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

FDA NDC Directory listings under NDA 208025
ProductStrengthForm · routeLabelerProduct NDC
basic care lansoprazolelansoprazoleLansoprazole 15 mg/1Tablet, Orally disintegrating, Delayed releaseOralAmazon.com Services LLC72288-829
equate lansoprazolelansoprazoleLansoprazole 15 mg/1Tablet, Orally disintegrating, Delayed releaseOralWal-Mart Stores Inc49035-373
Good Sense LansoprazolelansoprazoleLansoprazole 15 mg/1Tablet, Orally disintegrating, Delayed releaseOralL. Perrigo Company0113-0116
LansoprazoleLansoprazole 15 mg/1Tablet, Orally disintegrating, Delayed releaseOralWalgreen Company0363-1419
lansoprazoleLansoprazole 15 mg/1Tablet, Orally disintegrating, Delayed releaseOralKroger Company30142-192
LansoprazoleLansoprazole 15 mg/1Tablet, Orally disintegrating, Delayed releaseOralAmazon.com Services LLC72288-672
topcare LansoprazolelansoprazoleLansoprazole 15 mg/1Tablet, Orally disintegrating, Delayed releaseOralTopco Associates LLC36800-295

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