NDC codes

FDA NDC Directory
Product NDC (as listed)72189-169Labeler and product segments. Claims need a package NDC.
Product NDC at billing width72189-0169Add 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
72189-169-30721890169307218901693030 TABLET, DELAYED RELEASE in 1 BOTTLE (72189-169-30)Marketed from Jan 14, 2021
72189-169-60721890169607218901696060 TABLET, DELAYED RELEASE in 1 BOTTLE (72189-169-60)Marketed from Jan 14, 2021
72189-169-90721890169907218901699090 TABLET, DELAYED RELEASE in 1 BOTTLE (72189-169-90)Marketed from Jan 14, 2021

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)
Rabeprazole Sodium
Generic name (nonproprietary)
rabeprazole sodium
Active ingredients
Rabeprazole sodium — 20 mg/1
Dosage form
Tablet, Delayed release
Route
Oral
Labeler
DIRECT RXNDC labeler code 72189
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 208644
Marketing start
Listing expires
Other FDA classes
Proton Pump Inhibitors (Mechanism)
Identifiers
Product ID 72189-169_2be9206c-ed86-e301-e063-6294a90a43a8SPL ID 2be9206c-ed86-e301-e063-6294a90a43a8SPL set ID b1b7def0-834f-37f5-e053-2a95a90ade1fRxCUI 854868UNII 3L36P16U4R
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

N472189016930 followed by a unit qualifier and the quantity

Package 72189-0169-30. 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)

1.1 Healing of Erosive or Ulcerative GERD in Adults Rabeprazole sodium delayed-release tablets are indicated for short-term (4 to 8 weeks) treatment in the healing and symptomatic relief of erosive or ulcerative gastroesophageal reflux disease (GERD). For those patients who have not healed after 8 weeks of treatment, an additional 8-week course of rabeprazole sodium delayed-release tablets may be considered. 1.2 Maintenance of Healing of Erosive or Ulcerative GERD in Adults Rabeprazole sodium delayed-release tablets are indicated for maintaining healing and reduction in relapse rates of heartburn symptoms in patients with erosive or ulcerative gastroesophageal reflux disease (GERD Maintenanc…

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 72189-169

What is NDC 72189-169?
72189-169 is the product NDC for Rabeprazole Sodium, Rabeprazole sodium 20 mg/1 tablet, delayed release, listed with the FDA by DIRECT RX. It has 3 package NDCs, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Rabeprazole Sodium.
What is the active ingredient?
Rabeprazole sodium.
Who is the labeler?
DIRECT RX, NDC labeler code 72189. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Rabeprazole Sodium?
34 other product NDCs are listed under this name. See all Rabeprazole Sodium 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 Rabeprazole Sodium NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
Rabeprazole sodiumRabeprazole sodium 20 mg/1Tablet, Delayed releaseOralPreferred Pharmaceuticals Inc.68788-406068788-4060-0368788-4060-0668788-4060-09
Rabeprazole SodiumRabeprazole sodium 20 mg/1Tablet, Delayed releaseOralAdvanced Rx of Tennessee, LLC80425-044980425-0449-0180425-0449-0280425-0449-03
Rabeprazole SodiumRabeprazole sodium 20 mg/1Tablet, Delayed releaseOralAdvanced Rx of Tennessee, LLC80425-036380425-0363-0180425-0363-0280425-0363-03
Rabeprazole SodiumRabeprazole sodium 20 mg/1Tablet, Delayed releaseOralPreferred Pharmaceuticals Inc.68788-853668788-8536-0368788-8536-06
Rabeprazole SodiumRabeprazole sodium 20 mg/1Tablet, Delayed releaseOralREMEDYREPACK INC.70518-320970518-3209-01
Rabeprazole SodiumRabeprazole sodium 20 mg/1Tablet, Delayed releaseOralSt. Mary's Medical Park Pharmacy60760-97260760-0972-0760760-0972-30
Rabeprazole SodiumRabeprazole sodium 20 mg/1Tablet, Delayed releaseOralDIRECT RX72189-14272189-0142-3072189-0142-90
Rabeprazole SodiumRabeprazole sodium 20 mg/1Tablet, Delayed releaseOralREMEDYREPACK INC.70518-259070518-2590-0070518-2590-01
Rabeprazole SodiumRabeprazole sodium 20 mg/1Tablet, Delayed releaseOralSt. Mary's Medical Park Pharmacy60760-56060760-0560-0760760-0560-3060760-0560-60
Rabeprazole SodiumRabeprazole sodium 20 mg/1Tablet, Delayed releaseOralPHOENIX RX LLC85509-144385509-1443-0385509-1443-0685509-1443-09

All 35 Rabeprazole Sodium NDCs

Other NDCs under ANDA 208644

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

FDA NDC Directory listings under ANDA 208644
ProductStrengthForm · routeLabelerProduct NDC
Rabeprazole SodiumRabeprazole sodium 20 mg/1Tablet, Delayed releaseOralA-S Medication Solutions50090-4751
Rabeprazole SodiumRabeprazole sodium 20 mg/1Tablet, Delayed releaseOralSt. Mary's Medical Park Pharmacy60760-560
Rabeprazole SodiumRabeprazole sodium 20 mg/1Tablet, Delayed releaseOralAscend Laboratories, LLC67877-443
Rabeprazole SodiumRabeprazole sodium 20 mg/1Tablet, Delayed releaseOralPreferred Pharmaceuticals, Inc.68788-7459
Rabeprazole SodiumRabeprazole sodium 20 mg/1Tablet, Delayed releaseOralREMEDYREPACK INC.70518-2590
Rabeprazole SodiumRabeprazole sodium 20 mg/1Tablet, Delayed releaseOralProficient Rx LP71205-292
Rabeprazole SodiumRabeprazole sodium 20 mg/1Tablet, Delayed releaseOralBryant Ranch Prepack71335-1100
Rabeprazole SodiumRabeprazole sodium 20 mg/1Tablet, Delayed releaseOralBryant Ranch Prepack72162-2367
Rabeprazole SodiumRabeprazole sodium 20 mg/1Tablet, Delayed releaseOralAsclemed USA, Inc.76420-818
Rabeprazole SodiumRabeprazole sodium 20 mg/1Tablet, Delayed releaseOralPHOENIX RX LLC85509-1443
Rabeprazole Sodium DRrabeprazole sodiumRabeprazole sodium 20 mg/1Tablet, Delayed releaseOralAdvanced Rx of Tennessee, LLC80425-0094
Rabeprazole Sodium DRrabeprazole sodiumRabeprazole sodium 20 mg/1Tablet, Delayed releaseOralAdvanced Rx Pharmacy of Tennessee, LLC80425-0134

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