Baclofen NDC 76420-242

NDC codes

FDA NDC Directory

Product NDC (as listed)76420-242Labeler and product segments. Claims need a package NDC.

Product NDC at billing width76420-0242Add 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
76420-242-12	76420024212	120 TABLET in 1 BOTTLE (76420-242-12)Marketed from Jan 15, 2025
76420-242-30	76420024230	30 TABLET in 1 BOTTLE (76420-242-30)Marketed from Jul 25, 2022
76420-242-60	76420024260	60 TABLET in 1 BOTTLE (76420-242-60)Marketed from Jul 25, 2022
76420-242-90	76420024290	90 TABLET in 1 BOTTLE (76420-242-90)Marketed from Jul 25, 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): Baclofen
Generic name (nonproprietary): baclofen
Active ingredients: Baclofen — 20 mg/1
Dosage form: Tablet
Route: Oral
Labeler: Asclemed USA, Inc.
Product type: Prescription drug
Marketing category: ANDA — Abbreviated New Drug Application (generic)Application ANDA 214099
Marketing start: Jul 13, 2021
Listing expires: Dec 31, 2026
Other FDA classes: GABA A Agonists (Mechanism)GABA B Agonists (Mechanism)
Identifiers: Product ID 76420-242_2bbe83e4-da09-81e7-e063-6394a90a1f8eSPL ID 2bbe83e4-da09-81e7-e063-6394a90a1f8eSPL set ID 687f48da-bc41-4700-9513-77a32fc86c93RxCUI 197391, 197392UNII H789N3FKE8
Pharmacologic class: gamma-Aminobutyric Acid-ergic Agonist

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

N476420024212 followed by a unit qualifier and the quantity

Package 76420-0242-12. 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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