NDC codes

FDA NDC Directory
Product NDC (as listed)87519-003Labeler and product segments. Claims need a package NDC.
Product NDC at billing width87519-0003Add 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
87519-003-908751900039090 PACKET in 1 CARTON (87519-003-90) / 1 GRANULE in 1 PACKETMarketed from Sep 1, 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)
Lyvispah
Generic name (nonproprietary)
baclofen
Active ingredients
Baclofen — 10 mg/1
Dosage form
Granule
Route
Oral
Labeler
Anvi Pharmaceuticals IncNDC labeler code 87519
Product type
Prescription drug
Marketing category
NDA — New Drug ApplicationApplication NDA 215422
Marketing start
Listing expires
Other FDA classes
GABA A Agonists (Mechanism)GABA B Agonists (Mechanism)
Identifiers
Product ID 87519-003_5c18f6d4-5f52-0cb7-e063-6294a90a835eSPL ID 5c18f6d4-5f52-0cb7-e063-6294a90a835e
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

N487519000390 followed by a unit qualifier and the quantity

Package 87519-0003-90. 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 87519-003

What is NDC 87519-003?
87519-003 is the product NDC for Lyvispah (baclofen), Baclofen 10 mg/1 granule, listed with the FDA by Anvi Pharmaceuticals Inc. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Lyvispah (Baclofen).
What is the active ingredient?
Baclofen.
Who is the labeler?
Anvi Pharmaceuticals Inc, NDC labeler code 87519. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Lyvispah?
3 other product NDCs are listed under this name. See all Lyvispah 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 Lyvispah NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
LyvispahbaclofenBaclofen 5 mg/1GranuleOralAmneal Pharmaceuticals LLC64896-07664896-0076-09
LyvispahbaclofenBaclofen 10 mg/1GranuleOralAmneal Pharmaceuticals LLC64896-07764896-0077-09
LyvispahbaclofenBaclofen 20 mg/1GranuleOralAmneal Pharmaceuticals LLC64896-07864896-0078-09

Other NDCs under NDA 215422

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

FDA NDC Directory listings under NDA 215422
ProductStrengthForm · routeLabelerProduct NDC
LyvispahbaclofenBaclofen 5 mg/1GranuleOralAmneal Pharmaceuticals LLC64896-076
LyvispahbaclofenBaclofen 10 mg/1GranuleOralAmneal Pharmaceuticals LLC64896-077
LyvispahbaclofenBaclofen 20 mg/1GranuleOralAmneal Pharmaceuticals LLC64896-078

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