NDC codes

FDA NDC Directory
Product NDC (as listed)80425-0174Labeler and product segments. Claims need a package NDC.
Product NDC at billing width80425-0174Add 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
80425-0174-18042501740130 CAPSULE, DELAYED RELEASE in 1 BOTTLE (80425-0174-1)Marketed from Jun 4, 2018

How the 11-digit form is made: The package segment has 1 digit, so one leading zero is added to it (5-4-1 → 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 DRSuffix: DR
Generic name (nonproprietary)
lansoprazole
Active ingredients
Lansoprazole — 30 mg/1
Dosage form
Capsule, Delayed release
Route
Oral
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 205868
Marketing start
Listing expires
Other FDA classes
Inhibition Gastric Acid Secretion (Physiologic effect)Proton Pump Inhibitors (Mechanism)
Identifiers
Product ID 80425-0174_2a99b1dd-bed3-79f9-e063-6394a90a35f3SPL ID 2a99b1dd-bed3-79f9-e063-6394a90a35f3SPL set ID ce1a4f32-da65-29d3-e053-2995a90a42eeRxCUI 311277UNII 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

N480425017401 followed by a unit qualifier and the quantity

Package 80425-0174-01. 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)

Indications and Usage 1.1 Treatment of Active Duodenal Ulcer Lansoprazole delayed-release capsules are indicated in adults for short-term treatment (for four weeks ) for healing and symptom relief of active duodenal ulcer [see Clinical Studies ( 14.1]. 1.2 Eradication of H. pylori to Reduce the Risk of Duodenal Ulcer Recurrence Triple Therapy: Lansoprazole /amoxicillin /clarithromycin Lansoprazole delayed-release capsules in combination with amoxicillin plus clarithromycin as triple therapy is indicated in adults for the treatment of patients with H. pylori infection and duodenal ulcer disease (active or one year history of a duodenal ulcer) to eradicate H. pylori. Eradication of H. pylori h…

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under ANDA 205868

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

FDA NDC Directory listings under ANDA 205868
ProductStrengthForm · routeLabelerProduct NDC
LansoprazoleLansoprazole 15 mg/1Capsule, Delayed releaseOralNuCare Pharmaceuticals,Inc.68071-3633
LansoprazoleLansoprazole 30 mg/1Capsule, Delayed releaseOralNuCare Pharmaceuticals,Inc.68071-5119
LansoprazoleLansoprazole 30 mg/1Capsule, Delayed releaseOralBryant Ranch Prepack71335-1425
LansoprazoleLansoprazole 15 mg/1Capsule, Delayed releaseOralNuCare Pharmaceuticals,Inc.68071-2274
LansoprazoleLansoprazole 15 mg/1Capsule, Delayed releaseOralA-S Medication Solutions50090-6079
LansoprazoleLansoprazole 30 mg/1Capsule, Delayed releaseOralPreferred Pharmaceuticals, Inc.68788-7742
LansoprazoleLansoprazole 15 mg/1Capsule, Delayed releaseOralLifestar Pharma LLC.70756-806
LansoprazoleLansoprazole 30 mg/1Capsule, Delayed releaseOralLifestar Pharma LLC.70756-807
Lansoprazole DRLansoprazole 30 mg/1Capsule, Delayed releaseOralDirect_Rx72189-370

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