NDC codes

FDA NDC Directory
Product NDC (as listed)72865-214Labeler and product segments. Claims need a package NDC.
Product NDC at billing width72865-0214Add 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
72865-214-0172865021401100 TABLET, FILM COATED in 1 BOTTLE (72865-214-01)Marketed from Oct 15, 2021
72865-214-0572865021405500 TABLET, FILM COATED in 1 BOTTLE (72865-214-05)Marketed from Oct 15, 2021
72865-214-1872865021418180 TABLET, FILM COATED in 1 BOTTLE (72865-214-18)Marketed from Oct 15, 2021
72865-214-307286502143030 TABLET, FILM COATED in 1 BOTTLE (72865-214-30)Marketed from Oct 15, 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)
Famotidine
Generic name (nonproprietary)
famotidine
Active ingredients
Famotidine — 20 mg/1
Dosage form
Tablet, Film coated
Route
Oral
Labeler
XLCare Pharmaceuticals, Inc.NDC labeler code 72865
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 215689
Marketing start
Listing expires
Other FDA classes
Histamine H2 Receptor Antagonists (Mechanism)
Identifiers
Product ID 72865-214_b37fe9a5-6465-4518-823d-5d369a4c7793SPL ID b37fe9a5-6465-4518-823d-5d369a4c7793SPL set ID 7b550cf9-221f-4f28-ba99-414ad7d5612fRxCUI 284245, 310273UNII 5QZO15J2Z8UPC 0372865214015, 0372865214053, 0372865215180, 0372865215302, 0372865214305, 0372865215012, 0372865215050, 0372865214183

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

N472865021401 followed by a unit qualifier and the quantity

Package 72865-0214-01. 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)

Famotidine tablets are indicated in adult and pediatric patients 40 kg and greater for the treatment of: active duodenal ulcer (DU). active gastric ulcer (GU). symptomatic nonerosive gastroesophageal reflux disease (GERD). erosive esophagitis due to GERD, diagnosed by biopsy. Famotidine tablets are indicated in adults for the: treatment of pathological hypersecretory conditions (e.g., Zollinger-Ellison syndrome, multiple endocrine neoplasias). reduction of the risk of duodenal ulcer recurrence. Famotidine is a histamine-2 (H 2 ) receptor antagonist indicated (1): In adult and pediatric patients 40 kg and greater for the treatment of: active duodenal ulcer (DU). active gastric ulcer. symptoma…

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 72865-214

What is NDC 72865-214?
72865-214 is the product NDC for Famotidine, Famotidine 20 mg/1 tablet, film coated, listed with the FDA by XLCare Pharmaceuticals, Inc.. It has 4 package NDCs, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Famotidine.
What is the active ingredient?
Famotidine.
Who is the labeler?
XLCare Pharmaceuticals, Inc., NDC labeler code 72865. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Famotidine?
254 other product NDCs are listed under this name. See all Famotidine 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 Famotidine NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
FamotidineFamotidine 40 mg/5mLPowder, For suspensionOralNorthStar Rx LLC72603-56472603-0564-01
FamotidineFamotidine 40 mg/5mLPowder, For suspensionOralRISING PHARMA HOLDINGS, INC.64980-73764980-0737-50
FamotidineFamotidine 40 mg/1Tablet, Film coatedOralPreferred Pharmaceuticals Inc.68788-414468788-4144-0368788-4144-0468788-4144-06+1 more
FamotidineFamotidine 20 mg/1Tablet, Film coatedOralAdvanced Rx of Tennessee, LLC80425-058980425-0589-0180425-0589-0280425-0589-03
FamotidineFamotidine 20 mg/1Tablet, Film coatedOralFamily Dollar Stores, LLC55319-05755319-0057-1055319-0057-2555319-0057-50
FamotidineFamotidine 20 mg/1Tablet, Film coatedOralUnit Dose Solutions, Inc.87441-03087441-0030-01
FamotidineFamotidine 20 mg/1TabletOralPreferred Pharmaceuticals Inc.68788-411968788-4119-0168788-4119-0368788-4119-04+3 more
FamotidineFamotidine 20 mg/1Tablet, Film coatedOralSafecor Health, LLC48433-15048433-0150-20
FamotidineFamotidine 20 mg/1Tablet, CoatedOralPreferred Pharmaceuticals Inc.68788-408868788-4088-0368788-4088-0468788-4088-06+1 more
FamotidineFamotidine 20 mg/1Tablet, Film coatedOralREMEDYREPACK INC.70518-457470518-4574-0070518-4574-0170518-4574-02+1 more

All 255 Famotidine NDCs

Other NDCs under ANDA 215689

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

FDA NDC Directory listings under ANDA 215689
ProductStrengthForm · routeLabelerProduct NDC
FamotidineFamotidine 40 mg/1Tablet, Film coatedOralXLCare Pharmaceuticals, Inc.72865-215

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