NDC codes

FDA NDC Directory
Product NDC (as listed)82804-242Labeler and product segments. Claims need a package NDC.
Product NDC at billing width82804-0242Add 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 NDC11-digit (billing)PackageCopy
82804-242-208280402422020 TABLET in 1 BOTTLE (82804-242-20)Marketed from Dec 29, 2025
82804-242-308280402423030 TABLET in 1 BOTTLE (82804-242-30)Marketed from Nov 7, 2025
82804-242-608280402426060 TABLET in 1 BOTTLE (82804-242-60)Marketed from Oct 28, 2025
82804-242-7282804024272120 TABLET in 1 BOTTLE (82804-242-72)Marketed from Oct 9, 2025
82804-242-7882804024278180 TABLET in 1 BOTTLE (82804-242-78)Marketed from Oct 28, 2025
82804-242-908280402429090 TABLET in 1 BOTTLE (82804-242-90)Marketed from Sep 5, 2025

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 — 10 mg/1
Dosage form
Tablet
Route
Oral
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 209102
Marketing start
Listing expires
Other FDA classes
GABA A Agonists (Mechanism)GABA B Agonists (Mechanism)
Identifiers
Product ID 82804-242_417434af-df40-42f0-9a34-9127ddafd503SPL ID 417434af-df40-42f0-9a34-9127ddafd503SPL set ID 0680301a-1649-46c4-b74e-ab03967945d0RxCUI 197391UNII H789N3FKE8UPC 0382804242900
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

N482804024220 followed by a unit qualifier and the quantity

Package 82804-0242-20. 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

Label details couldn’t be retrieved right now. Open the label on DailyMed.

Other NDCs under ANDA 209102

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

FDA NDC Directory listings under ANDA 209102
ProductStrengthForm · routeLabelerProduct NDC
BaclofenBaclofen 10 mg/1TabletOralAdvagen Pharma Limited72888-010
BaclofenBaclofen 20 mg/1TabletOralAdvagen Pharma Limited72888-011
BaclofenBaclofen 20 mg/1TabletOralPD-Rx Pharmaceuticals, Inc.72789-312
BaclofenBaclofen 20 mg/1TabletOralBryant Ranch Prepack71335-0949
BaclofenBaclofen 5 mg/1TabletOralAdvagen Pharma Limited72888-009
BaclofenBaclofen 20 mg/1TabletOralREMEDYREPACK INC.70518-4290
BaclofenBaclofen 20 mg/1TabletOralREMEDYREPACK INC.70518-4530
BaclofenBaclofen 15 mg/1TabletOralAsclemed USA, Inc.76420-358
BaclofenBaclofen 5 mg/1TabletOralAsclemed USA, Inc.76420-356
BaclofenBaclofen 20 mg/1TabletOralDirect_Rx72189-504
BaclofenBaclofen 10 mg/1TabletOralAsclemed USA, Inc.76420-357
BaclofenBaclofen 20 mg/1TabletOralAsclemed USA, Inc.76420-359
BaclofenBaclofen 5 mg/1TabletOralProficient Rx LP82804-219
BaclofenBaclofen 5 mg/1TabletOralTruPharma LLC52817-319
BaclofenBaclofen 15 mg/1TabletOralTruPharma LLC52817-318
BaclofenBaclofen 10 mg/1TabletOralTruPharma LLC52817-320
BaclofenBaclofen 10 mg/1TabletOralBryant Ranch Prepack71335-9638
BaclofenBaclofen 20 mg/1TabletOralTruPharma LLC52817-321
BaclofenBaclofen 10 mg/1TabletOralAdvanced Rx of Tennessee, LLC80425-0568
BaclofenBaclofen 10 mg/1TabletOralSOLA Pharmaceuticals, LLC70512-782

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