NDC codes

FDA NDC Directory
Product NDC (as listed)84677-081Labeler and product segments. Claims need a package NDC.
Product NDC at billing width84677-0081Add 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
84677-081-30846770081308467700813030 TABLET, FILM COATED, EXTENDED RELEASE in 1 BOTTLE (84677-081-30)Marketed from Sep 9, 2026

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)
Tofacitinib Citrate
Generic name (nonproprietary)
tofacitinib citrate
Active ingredients
Tofacitinib citrate — 11 mg/1
Dosage form
Tablet, Film coated, Extended release
Route
Oral
Labeler
Golden State Medical Supply, Inc.NDC labeler code 84677
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 220972
Marketing start
Listing expires
Other FDA classes
Janus Kinase Inhibitors (Mechanism)
Identifiers
Product ID 84677-081_5dd4349f-edf9-2aec-e063-6394a90ab7a0SPL ID 5dd4349f-edf9-2aec-e063-6394a90ab7a0
Pharmacologic class
Janus Kinase 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

N484677008130 followed by a unit qualifier and the quantity

Package 84677-0081-30. 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

The FDA listing for this product does not reference a label (SPL) set.

About NDC 84677-081

What is NDC 84677-081?
84677-081 is the product NDC for Tofacitinib Citrate, Tofacitinib citrate 11 mg/1 tablet, film coated, extended release, listed with the FDA by Golden State Medical Supply, Inc.. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Tofacitinib Citrate.
What is the active ingredient?
Tofacitinib citrate.
Who is the labeler?
Golden State Medical Supply, Inc., NDC labeler code 84677. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Tofacitinib Citrate?
4 other product NDCs are listed under this name. See all Tofacitinib Citrate 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 Tofacitinib Citrate NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
Tofacitinib CitrateTofacitinib citrate 8.08 mg/1Tablet, Film coatedOralStellon Biotech Inc.85972-12185972-0121-60
Tofacitinib CitrateTofacitinib citrate 16.16 mg/1Tablet, Film coatedOralStellon Biotech Inc.85972-12285972-0122-60
Tofacitinib CitrateTofacitinib citrate 11 mg/1Tablet, Film coated, Extended releaseOralScieGen Pharmaceuticals, INC.50228-56750228-0567-1050228-0567-30
Tofacitinib CitrateTofacitinib citrate 11 mg/1Tablet, Film coated, Extended releaseOralRadha Pharmaceuticals, Inc.77771-56777771-0567-30
Tofacitinib CitrateTofacitinib citrate 11 mg/1Tablet, Film coated, Extended releaseOralPadagis US LLC0574-181100574-1811-30

Other NDCs under ANDA 220972

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

FDA NDC Directory listings under ANDA 220972
ProductStrengthForm · routeLabelerProduct NDC
Tofacitinib CitrateTofacitinib citrate 11 mg/1Tablet, Film coated, Extended releaseOralScieGen Pharmaceuticals, INC.50228-567
Tofacitinib CitrateTofacitinib citrate 11 mg/1Tablet, Film coated, Extended releaseOralRadha Pharmaceuticals, Inc.77771-567

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