Famotidine 20 mg Tablet, 30-count — NDC 63187-723-30 (Billing 63187-0723-30)
This is a package of 30 tablets of Famotidine 20 mg Tablet from Proficient Rx LP, marketed since Jan 2016 and currently FDA-listed.
Other active recalls for Famotidine (different manufacturers) — 2 · tap to view
Identity & classification
Regulatory identifiers FDA, NLM and CMS codes for this package
Drug-database identifiers Medi-Span GPI and First Databank GCN / HICL / AHFS classification
- GSN (GCN sequence number): 011677
- GCN: 46430
- GPI-14 (Medi-Span): 49200030000320
- HICL (First Databank): 004521
- AHFS class code: 04:92.00.00
- RxCUI (RxNorm): 310273
Where does this data come from?
- FDA openFDA NDC Directory · synced Oct 1, 2026
- FDA label on DailyMed · label index refreshed Oct 1, 2026
- RxNorm (NLM RxNav) · catalog refreshed Oct 1, 2026
- Medi-Span GPI (licensed)
- First Databank (licensed) · refreshed Oct 1, 2026
RxNorm drug class
This medicine belongs to the Histamine-2 Receptor Antagonist class.
Where does this data come from?
- RxClass (NLM) · catalog refreshed Oct 1, 2026
Clinical
- It reduces stomach acid. Over-the-counter versions relieve and prevent heartburn from acid indigestion and sour stomach. Prescription versions treat ulcers, GERD and erosive esopha...
- With the over-the-counter tablets, swallow one with water and do not chew it. To prevent heartburn, take it shortly before a food or drink that triggers it. Do not take more than 2...
- Headache, dizziness, constipation and diarrhea are the most common, and they are usually mild. Call your doctor if you have confusion, hallucinations, seizures, a rash with swellin...
- Not always. Famotidine can lower absorption of some drugs that need stomach acid and can raise tizanidine levels. Tell me or your doctor everything you take before you start.
Patient education
Supplement & herbal interactions
Some supplements/herbs that may interact with Famotidine — tap one for details:
Famotidine may be associated with lower levels of 6 nutrients — worth a chat with your pharmacist, not a cause for alarm.
Where does this data come from?
- MedlinePlus (NLM) · refreshed Oct 1, 2026
- FDA label on DailyMed · label index refreshed Oct 1, 2026
Ask a licensed pharmacist directly — free, answered by our team.
Pricing
A drug doesn't have one price. Each row is a different public payment system, and none is what you'd pay at the counter — that depends on your insurance. The ⓘ on each row explains what it measures.
| Price system | Per each | Per package |
|---|---|---|
| Retail pharmacies payNADAC · weekly | Not in the retail survey — common for institutional, discontinued, or low-volume packs. | |
| Medicaid paysCMS SDUD · 12 mo | No recent Medicaid claims on file for this NDC — rare and low-volume NDCs are suppressed in the public data. | |
| Medicare drug plans payPart D · Q2 2026 | $0.0827 | $2.48 / 30 tablets |
Where does this data come from?
- CMS NADAC weekly file
- CMS ASP pricing files · refreshed Sep 20, 2026
- CMS Medicaid State Drug Utilization Data · refreshed Oct 3, 2026
- CMS Part D plan pricing files · refreshed Sep 24, 2026
- VA National Acquisition Center price file
Packaging — all sizes for this product
| Package NDC | Description | Marketing start | Marketing end | Status |
|---|---|---|---|---|
| 63187-0723-00 63187-723-00 Main listing | 100 TABLET in 1 BOTTLE | 2016-06-01 | — | Active |
| 63187-0723-06 63187-723-06 | 6 TABLET in 1 BOTTLE | 2019-09-01 | — | Active |
| 63187-0723-10 63187-723-10 | 10 TABLET in 1 BOTTLE | 2016-11-01 | — | Active |
| 63187-0723-30 You're viewing this | 30 TABLET in 1 BOTTLE | 2016-06-01 | — | Active |
| 63187-0723-60 63187-723-60 | 60 TABLET in 1 BOTTLE | 2016-06-01 | — | Active |
| 63187-0723-90 63187-723-90 | 90 TABLET in 1 BOTTLE | 2016-06-01 | — | Active |
You're viewing one of 6 pack sizes for this product.
Pack size FAQ
What quantity is in this package?
How does this package differ from NDC 63187-0723-06?
What NDC number is used to bill for this package of Famotidine 20 mg Tablet?
Therapeutic equivalents
| Product | Labeler | Pack | NADAC/unit | TE | Status | Price vs. this |
|---|---|---|---|---|---|---|
| Famotidine 20 mg 00172-5728-60 | Teva | 100 tablets | $0.029 | AB | Availability likely | — |
| Famotidine 20 mg 00904-7193-06 | Major | 1 tablet | $0.029 | AB | Availability likely | — |
| Famotidine 20 mg 31722-0017-01 | Camber | 100 tablets | $0.029 | AB | Availability likely | — |
| Famotidine 20 mg 50268-0299-15 | AvPAK | 1 tablet | $0.029 | AB | Availability likely | — |
| Famotidine 20 mg 55111-0119-01 | Dr.Reddy's | 100 tablets | $0.029 | AB | Availability likely | — |
| Famotidine 20 mg 60687-0595-01 | American | 1 tablet | $0.029 | AB | Availability likely | — |
| Famotidine 20 mg 61442-0121-01 | Carlsbad | 2400 tablets | $0.029 | AB | Availability likely | — |
| famotidine 20 mg 62135-0807-90 | Chartwell | 90 tablets | $0.029 | AB | Availability likely | — |
| Famotidine 20 mg 64980-0623-01 | Rising | 100 tablets | $0.029 | AB | Availability likely | — |
| Famotidine 20 mg 65862-0859-01 | Aurobindo | 100 tablets | $0.029 | — | Availability likely | — |
| Famotidine 20 mg 67877-0842-01 | Ascend | 100 tablets | $0.029 | AB | Availability likely | — |
| Famotidine 20 mg 68001-0397-00 | BluePoint | 100 tablets | $0.029 | AB | Availability likely | — |
| Famotidine 20 mg 68645-0594-59 | Legacy | 60 tablets | $0.029 | AB | Availability likely | — |
| Famotidine 20 mg 69367-0400-10 | Westminster | 1000 tablets | $0.029 | AB | Availability likely | — |
| Famotidine 20 mg 70710-1683-00 | Zydus | 1000 tablets | $0.029 | AB | Availability likely | — |
| Famotidine 20 mg 70756-0051-11 | Lifestar | 100 tablets | $0.029 | AB | Availability likely | — |
| Famotidine 20 mg 72205-0145-05 | Novadoz | 500 tablets | $0.029 | AB | Availability likely | — |
| Good Sense Acid Reducer 20 mg 00113-0194-02 | L. | 1 tablet | $0.138 | — | Availability likely | — |
| Rugby Famotidine 20 mg 00536-1298-01 | Rugby | 100 tablets | $0.138 | — | Availability likely | — |
| Major Heartburn Relief Maximum Strength 20 mg 00904-5780-17 | Major | 1 tablet | $0.138 | — | Availability likely | — |
| Famotidine 20 mg 46122-0737-63 | Amerisource | 25 tablets | $0.138 | — | Availability likely | — |
| Famotidine 20 mg 68094-0054-65 | Precision | 10 tablets | $0.138 | — | Availability likely | — |
| famotidine 20 mg 69230-0327-01 | Camber | 100 tablets | $0.138 | — | Availability likely | — |
| Famotidine 20 mg 70000-0049-01 | LEADER/ | 25 tablets | $0.138 | — | Availability likely | — |
| Leader Acid Reducer 20 mg 70000-0654-01 | Cardinal | 50 tablets | $0.138 | — | Availability likely | — |
| Famotidine 20 mg 70000-0710-01 | LEADER/ | 200 tablets | $0.138 | — | Availability likely | — |
| foster and thrive acid reducer 20 mg 70677-1101-01 | Strategic | 1 tablet | $0.138 | — | Availability likely | — |
| famotidine 20 mg 83324-0008-50 | CHAIN | 50 tablets | $0.138 | — | Availability likely | — |
| Famotidine 20 mg 83324-0116-25 | Chain | 25 tablets | $0.138 | — | Availability likely | — |
| Pepcid 20 mg 00187-4420-10 | Bausch | 100 tablets | — | AB | FDA listed | — |
| Acid Controller 20 mg 00363-0701-01 | Walgreen | 85 tablets | — | — | Discontinued | — |
| acid controller 20 mg 00363-1203-71 | Walgreen | 50 tablets | — | — | FDA listed | — |
| Famotidine 20 mg 00363-1899-14 | WALGREEN | 50 tablets | — | — | FDA listed | — |
| Famotidine 20 mg 00363-5300-14 | WALGREEN | 50 tablets | — | — | FDA listed | — |
| Famotidine 20 mg 00615-8558-05 | NCS | 15 tablets | — | AB | FDA listed | — |
| Famotidine 20 mg 10267-5689-01 | Contract | 100 tablets | — | AB | FDA listed | — |
| Maximum Strength Acid Reducer 20 mg 11673-0697-01 | TARGET | 100 tablets | — | — | FDA listed | — |
| acid relief 20 mg 11822-1014-00 | Rite | 50 tablets | — | — | Discontinued | — |
| acid relief 20 mg 11822-1194-01 | Rite | 50 tablets | — | — | FDA listed | — |
| acid relief 20 mg 11822-6123-00 | Rite | 50 tablets | — | — | FDA listed | — |
| PEPCID AC Maximum Strength 20 mg 16837-0855-05 | Kenvue | 5 tablets | — | — | Discontinued | — |
| Maximum Strength PEPCID AC Icy Cool Mint 20 mg 16837-0889-20 | Kenvue | 20 tablets | — | — | FDA listed | — |
| Famotidine 20 mg 21130-0023-25 | Albertsons | 25 tablets | — | — | FDA listed | — |
| Maximum Strength Acid Controller 20 mg 21130-0027-05 | BETTER | 50 tablets | — | — | FDA listed | — |
| Famotidine 20 mg 21130-0033-14 | Better | 50 tablets | — | — | FDA listed | — |
| Famotidine 20 mg 21130-0191-20 | SAFEWAY | 200 tablets | — | — | FDA listed | — |
| acid controller 20 mg 21130-0521-82 | Safeway | 200 tablets | — | — | FDA listed | — |
| Signature Care Acid Controller maximum strength 20 mg 21130-0777-02 | Safeway | 1 tablet | — | — | Discontinued | — |
| Famotidine 20 mg 25000-0087-03 | MARKSANS | 30 tablets | — | — | FDA listed | — |
| Famotidine 20 mg 25000-0124-68 | MARKSANS | 300 tablets | — | — | FDA listed | — |
| heartburn prevention 20 mg 30142-0194-71 | Kroger | 50 tablets | — | — | FDA listed | — |
| TopCare Acid Reducer 20 mg 36800-0194-02 | Topco | 1 tablet | — | — | FDA listed | — |
| Acid Controller 20 mg 37808-0042-63 | H | 25 tablets | — | — | FDA listed | — |
| Famotidine 20 mg 37835-0165-50 | Bi-Mart | 50 tablets | — | — | FDA listed | — |
| equaline heartburn prevention 20 mg 41163-0001-02 | United | 1 tablet | — | — | FDA listed | — |
| Zantac 360 20 mg 41167-0361-00 | Chattem, | 8 tablets | — | — | FDA listed | — |
| Zantac 360 Cool Mint 20 mg 41167-0364-01 | Chattem, | 50 tablets | — | — | Discontinued | — |
| heartburn relief 20 mg 41250-0712-02 | Meijer | 1 tablet | — | — | FDA listed | — |
| CareOne Acid Relief 20 mg 41520-0707-02 | American | 1 tablet | — | — | Discontinued | — |
| Acid Reducer 20 mg 42507-0194-01 | HyVee | 1 tablet | — | — | FDA listed | — |
| Famotidine 20 mg 43063-0695-20 | PD-Rx | 20 tablets | — | AB | FDA listed | — |
| Acid Reducer Maximum Strength 20 mg 43598-0960-32 | Dr.Reddys | 170 tablets | — | — | FDA listed | — |
| Famotidine 20 mg 43602-0602-03 | Ascent | 300 tablets | — | — | FDA listed | — |
| Famotidine 20 mg 46708-0293-10 | Alembic | 100 tablets | — | AB | FDA listed | — |
| Famotidine 20 mg 48433-0150-20 | Safecor | 1 tablet | — | AB | FDA listed | — |
| Famotidine 20 mg 49035-0505-14 | Wal-Mart | 50 tablets | — | — | FDA listed | — |
| Equate Famotidine 20 mg 49035-0650-71 | Wal-Mart | 50 tablets | — | — | FDA listed | — |
| Maximum Strength Acid Reducer 20 mg 49483-0720-20 | TIME | 200 tablets | — | — | FDA listed | — |
| Famotidine 20 mg 50090-1044-00 | A-S | 30 tablets | — | AB | FDA listed | — |
| Famotidine 20 mg 50090-1045-00 | A-S | 30 tablets | — | AB | FDA listed | — |
| Famotidine 20 mg 50090-6582-00 | A-S | 30 tablets | — | AB | FDA listed | — |
| Famotidine 20 mg 50090-6932-00 | A-S | 90 tablets | — | AB | FDA listed | — |
| Famotidine 20 mg 50090-7178-00 | A-S | 30 tablets | — | AB | FDA listed | — |
| Famotidine 20 mg 50090-7180-00 | A-S | 90 tablets | — | AB | FDA listed | — |
| Famotidine 20 mg 50090-7829-00 | A-S | 90 tablets | — | AB | FDA listed | — |
| Zantac 360 1 per blister 6 blisters 20 mg 50269-0155-01 | JC | 1 tablet | — | — | FDA listed | — |
| Zantac 360 2 per blister 6 blisters 20 mg 50269-0156-01 | JC | 2 tablets | — | — | FDA listed | — |
| Acid Reducer 20 mg 51316-0511-63 | CVS | 25 tablets | — | — | FDA listed | — |
| Famotidine 20 mg 51407-0683-10 | Golden | 36000 tablets | — | AB | FDA listed | — |
| Famotidine 20 mg 51655-0233-25 | Northwind | 60 tablets | — | AB | FDA listed | — |
| Famotidine 20 mg 51655-0312-20 | Northwind | 20 tablets | — | AB | FDA listed | — |
| Famotidine 20 mg 53943-0101-25 | Discount | 25 tablets | — | — | FDA listed | — |
| Famotidine 20 mg 54257-0802-02 | Magno-Humphries, | 100 tablets | — | — | FDA listed | — |
| Calmicid AC Acid Reducer 20 mg 54473-0411-01 | Melaleuca, | 50 tablets | — | — | FDA listed | — |
| Famotidine 20 mg 55111-0396-08 | Dr.Reddys | 8 tablets | — | — | FDA listed | — |
| Famotidine 20 mg 55154-2628-00 | Cardinal | 1 tablet | — | AB | FDA listed | — |
| Famotidine 20 mg 55154-4313-00 | Cardinal | 1 tablet | — | AB | FDA listed | — |
| Famotidine 20 mg 55315-0435-53 | Fred's, | 25 tablets | — | — | FDA listed | — |
| Famotidine 20 mg 55319-0057-10 | Family | 100 tablets | — | — | FDA listed | — |
| Famotidine 20 mg 55319-0409-01 | FAMILY | 25 tablets | — | — | FDA listed | — |
| Famotidine 20 mg 55319-0427-10 | Family | 100 tablets | — | — | FDA listed | — |
| Famotidine 20 mg 55681-0342-03 | TWIN | 300 tablets | — | — | FDA listed | — |
| dg health heartburn prevention 20 mg 55910-0194-02 | Dolgencorp | 1 tablet | — | — | FDA listed | — |
| dg health heartburn prevention 20 mg 55910-0665-71 | Dolgencorp | 50 tablets | — | — | FDA listed | — |
| dg health acid reducer 20 mg 55910-0814-71 | Dolgencorp | 50 tablets | — | — | FDA listed | — |
| Acid Reducer 20 mg 56062-0088-02 | Publix | 1 tablet | — | — | FDA listed | — |
| maximum strength 20 mg 56062-0194-02 | Publix | 1 tablet | — | — | FDA listed | — |
| Famotidine 20 mg 57896-0319-01 | Geri-Care | 100 tablets | — | — | FDA listed | — |
| Famotidine 20 mg 58602-0706-14 | Aurohealth | 50 tablets | — | — | FDA listed | — |
| Famotidine 20 mg 58602-0829-21 | Aurohealth | 100 tablets | — | — | FDA listed | — |
| Famotidine 20 mg 58602-0859-34 | Aurohealth | 200 tablets | — | — | FDA listed | — |
| Acid Controller 20 mg 59640-0001-63 | H | 25 tablets | — | — | FDA listed | — |
| acid reducer 20 mg 59640-0023-71 | H | 50 tablets | — | — | FDA listed | — |
| acid controller 20 mg 59779-0194-63 | CVS | 25 tablets | — | — | FDA listed | — |
| Famotidine 20 mg 62332-0001-10 | Alembic | 100 tablets | — | AB | FDA listed | — |
| Famotidine 20 mg 63187-0129-10 | Proficient | 10 tablets | — | AB | FDA listed | — |
| Famotidine 20 mgthis 63187-0723-30 | Proficient | 30 tablets | — | AB | FDA listed | — |
| Famotidine 20 mg 63629-7013-01 | Bryant | 30 tablets | — | AB | FDA listed | — |
| Famotidine 20 mg 63868-0584-25 | Chain | 25 tablets | — | — | FDA listed | — |
| Famotidine 20 mg 63941-0011-53 | Best | 25 tablets | — | — | FDA listed | — |
| kirkland signature acid controller 20 mg 63981-0194-05 | Costco | 125 tablets | — | — | FDA listed | — |
| Zantac 360, Travel BASIX 20 mg 66715-6458-02 | Lil' | 2 tablets | — | — | FDA listed | — |
| Pepcid AC 20 mg 66715-9748-08 | Lil' | 1 tablet | — | — | FDA listed | — |
| Zantac 360 20 mg 66715-9758-05 | Lil' | 5 tablets | — | — | FDA listed | — |
| Famotidine 20 mg 67296-2133-03 | Redpharm | 30 tablets | — | AB | FDA listed | — |
| Famotidine 20 mg 67296-2186-03 | Redpharm | 30 tablets | — | AB | FDA listed | — |
| Zantac 360 20 mg 67751-0214-01 | Navajo | 1 tablet | — | — | FDA listed | — |
| Famotidine 20 mg 68016-0801-25 | Chain | 25 tablets | — | — | FDA listed | — |
| Famotidine 20 mg 68071-2306-03 | NuCare | 30 tablets | — | AB | FDA listed | — |
| Famotidine 20 mg 68071-3201-02 | NuCare | 20 tablets | — | AB | FDA listed | — |
| Famotidine 20 mg 68071-3420-03 | NuCare | 30 tablets | — | AB | FDA listed | — |
| Famotidine 20 mg 68071-3786-03 | NuCare | 30 tablets | — | AB | FDA listed | — |
| members mark acid pep 20 mg 68196-0121-00 | Sam's | 100 tablets | — | — | FDA listed | — |
| berkley and jensen famotidine 20 mg 68391-0300-78 | BJWC | 100 tablets | — | — | Discontinued | — |
| Famotidine 20 mg 68788-4021-03 | Preferred | 30 tablets | — | AB | FDA listed | — |
| Famotidine 20 mg 68788-4088-03 | Preferred | 30 tablets | — | AB | FDA listed | — |
| Famotidine 20 mg 68788-4119-01 | Preferred | 100 tablets | — | AB | FDA listed | — |
| Famotidine 20 mg 68788-8485-03 | Preferred | 30 tablets | — | AB | FDA listed | — |
| Famotidine 20 mg 68788-8889-01 | Preferred | 100 tablets | — | AB | FDA listed | — |
| Acid Reducer 20 mg 69168-0443-09 | Allegiant | 10 tablets | — | — | FDA listed | — |
| Acid Reducer 20 mg 69168-0445-32 | Allegiant | 100 tablets | — | AB | FDA listed | — |
| Famotidine 20 mg 69842-0087-14 | CVS | 50 tablets | — | — | FDA listed | — |
| acid reducer 20 mg 69842-0659-63 | CVS | 25 tablets | — | — | FDA listed | — |
| Famotidine 20 mg 69842-0924-14 | CVS | 50 tablets | — | — | FDA listed | — |
| Famotidine 20 mg 70518-3829-00 | REMEDYREPACK | 50 tablets | — | AB | Discontinued | — |
| Famotidine 20 mg 70518-4395-00 | REMEDYREPACK | 30 tablets | — | AB | FDA listed | — |
| Famotidine 20 mg 70518-4574-00 | REMEDYREPACK | 10 tablets | — | AB | FDA listed | — |
| Famotidine 20 mg 70771-1702-00 | Zydus | 1000 tablets | — | AB | FDA listed | — |
| Famotidine 20 mg 71205-0276-06 | Proficient | 6 tablets | — | AB | FDA listed | — |
| Famotidine 20 mg 71205-0535-06 | Proficient | 6 tablets | — | AB | FDA listed | — |
| Famotidine 20 mg 71205-0663-30 | Proficient | 30 tablets | — | — | FDA listed | — |
| Famotidine 20 mg 71335-0370-01 | Bryant | 30 tablets | — | AB | FDA listed | — |
| Famotidine 20 mg 71335-0409-01 | Bryant | 30 tablets | — | AB | Discontinued | — |
| Famotidine 20 mg 71335-1520-01 | Bryant | 30 tablets | — | AB | FDA listed | — |
| Famotidine 20 mg 71335-1950-01 | Bryant | 30 tablets | — | AB | FDA listed | — |
| Famotidine 20 mg 71335-2190-01 | Bryant | 30 tablets | — | AB | FDA listed | — |
| Famotidine 20 mg 71335-2805-00 | Bryant | 40 tablets | — | AB | FDA listed | — |
| Famotidine 20 mg 71335-9748-01 | Bryant | 30 tablets | — | AB | FDA listed | — |
| Famotidine 20 mg 71610-0399-30 | Aphena | 30 tablets | — | AB | FDA listed | — |
| Famotidine 20 mg 71610-0470-53 | Aphena | 60 tablets | — | AB | FDA listed | — |
| Famotidine 20 mg 71821-0010-12 | VKT | 144230 tablets | — | — | FDA listed | — |
| Famotidine 20 mg 72036-0026-14 | Harris | 50 tablets | — | — | FDA listed | — |
| Famotidine 20 mg 72189-0141-60 | direct | 60 tablets | — | AB | FDA listed | — |
| Famotidine 20 mg 72189-0543-20 | Direct_Rx | 20 tablets | — | AB | FDA listed | — |
| basic care heartburn prevention 20 mg 72288-0151-75 | Amazon.com | 90 tablets | — | — | FDA listed | — |
| basic care acid reducer 20 mg 72288-0194-00 | Amazon.com | 200 tablets | — | — | FDA listed | — |
| basic care acid reducer 20 mg 72288-0329-78 | Amazon.com | 100 tablets | — | — | FDA listed | — |
| Amazon Basic Care Acid Reducer 20 mg 72288-0363-14 | Amazon.com | 50 tablets | — | — | FDA listed | — |
| careone acid relief 20 mg 72476-0150-63 | Retail | 25 tablets | — | — | FDA listed | — |
| careone acid relief 20 mg 72476-0299-71 | Retail | 50 tablets | — | — | FDA listed | — |
| Curist Acid Relief 20 mg 72559-0032-23 | Little | 300 tablets | — | — | FDA listed | — |
| Famotidine 20 mg 72657-0113-20 | GLENMARK | 200 tablets | — | — | FDA listed | — |
| Famotidine 20 mg 72657-0132-01 | GLENMARK | 100 tablets | — | — | FDA listed | — |
| Famotidine 20 mg 72789-0331-20 | PD-Rx | 20 tablets | — | AB | FDA listed | — |
| Famotidine 20 mg 72865-0214-01 | XLCare | 100 tablets | — | AB | FDA listed | — |
| Welmate Famotidine 20mg 20 mg 73581-0109-01 | YYBA | 100 tablets | — | — | FDA listed | — |
| topcare acid reducer 20 mg 76162-0300-71 | Topco | 50 tablets | — | — | FDA listed | — |
| Famotidine 20 mg 76420-0712-01 | Asclemed | 100 tablets | — | AB | FDA listed | — |
| equate famotidine 20 mg 79903-0115-99 | WALMART | 100 tablets | — | — | FDA listed | — |
| Famotidine 20 mg 80425-0329-01 | Advanced | 30 tablets | — | AB | FDA listed | — |
| Famotidine 20 mg 82804-0194-06 | Proficient | 6 tablets | — | AB | FDA listed | — |
| Famotidine 20 mg 82804-0980-00 | Proficient | 100 tablets | — | AB | FDA listed | — |
| Famotidine 20 mg 82868-0077-30 | Northwind | 30 tablets | — | AB | FDA listed | — |
| Famotidine 20 mg 83008-0091-30 | Quality | 30 tablets | — | AB | FDA listed | — |
| Rolaids ACID DEFENSE 20 mg 84126-0367-25 | The | 25 tablets | — | — | FDA listed | — |
| Zantac 360 20 mg 85237-1926-01 | Select | 1 tablet | — | — | FDA listed | — |
| Acid Reducer Maximum Strength 20 mg 85828-0443-25 | Grocery | 25 tablets | — | — | FDA listed | — |
| Famotidine 20 mg 87441-0030-01 | Unit | 30 tablets | — | AB | FDA listed | — |
| Famotidine 20 mg 67296-2264-03 | Redpharm | 30 tablets | — | AB | FDA listed | — |
| Famotidine 20 mg 85766-0221-01 | Sportpharm | 100 tablets | — | AB | FDA listed | — |
| Famotidine 20 mg 80425-0589-01 | Advanced | 30 tablets | — | AB | FDA listed | — |
| Famotidine 20 mg 85534-0091-00 | HAWAII | 30 tablets | — | AB | FDA listed | — |
Where does this data come from?
- FDA openFDA NDC Directory · synced Oct 1, 2026
- FDA Orange Book · refreshed Sep 3, 2026
- CMS NADAC weekly file
Availability & generic status
This product is an FDA-approved generic. Other versions of the same drug are listed under Therapeutic equivalents, least expensive first.
Where does this data come from?
- FDA Orange Book · refreshed Sep 3, 2026
What it looks like
Where does this data come from?
- FDA label on DailyMed · label index refreshed Oct 1, 2026
Inactive Ingredients / Excipients
Inactive ingredients, also called excipients, are components of the drug product other than the active ingredient. They may include fillers, dyes, coatings, preservatives, flavors, or other formulation ingredients.
💡 Tap an ingredient (hover on desktop) to see what it is and why it’s used.
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UNII EX438O2MRT
Ferric oxide yellow is a naturally occurring iron compound used as a colorant in medications. It gives tablets, capsules, and other forms a yellow or golden hue for identification and appearance.
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UNII 1DI56QDM62
A natural fatty substance from soybeans that helps mix oil and water-based ingredients together. It acts as an emulsifier and lubricant in medicines to improve texture and help the product break down properly in your body.
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UNII 70097M6I30
Magnesium stearate is a salt made from magnesium and stearic acid, a fatty substance. It's used in tablets and capsules as a lubricant and glidant to help ingredients flow smoothly during manufacturing and prevent sticking.
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UNII OP1R32D61U
Microcrystalline cellulose is a purified form of cellulose, a natural fiber from plant sources. It acts as a binder and filler in tablets and capsules, helping hold ingredients together and give the medicine its shape and size.
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UNII G2M7P15E5P
Polyethylene glycol 3350 is a synthetic polymer used as a solvent, humectant, and thickening agent in medicines. It helps dissolve other ingredients, retain moisture in the product, and achieve the desired consistency.
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UNII 532B59J990
Polyvinyl alcohol is a synthetic polymer made from plant-derived materials. It's used as a binder to hold ingredients together, a film-former in coatings, and a thickener in liquid formulations.
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UNII ETJ7Z6XBU4
Silicon dioxide is a naturally occurring mineral used as a glidant and anti-caking agent. It helps powder ingredients flow smoothly and prevents clumping during manufacturing and storage.
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UNII O8232NY3SJ
A plant-based carbohydrate derived from corn kernels. It acts as a filler to add bulk, a binder to hold ingredients together, and a disintegrant to help the tablet break apart in your stomach for absorption.
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UNII 7SEV7J4R1U
A powder made from a naturally occurring mineral. In medicines, talc works as a glidant and anti-caking agent, helping tablets and capsules flow smoothly during manufacturing and preventing clumping.
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UNII 15FIX9V2JP
Titanium dioxide is a bright white mineral powder commonly used as a colorant and opacifying agent. It makes pills and tablets white or lighter in color and helps make coatings non-transparent.
10 inactive ingredients listed in the exact product block matched to this NDC.
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Full prescribing information FDA SPL
🎯 Indications and Usage ▾
INDICATIONS AND USAGE Famotidine is indicated in: 1. Short-term treatment of active duodenal ulcer. Most adult patients heal within 4 weeks; there is rarely reason to use famotidine at full dosage for longer than 6 to 8 weeks.
Studies have not assessed the safety of famotidine in uncomplicated active duodenal ulcer for periods of more than eight weeks. 2. Maintenance therapy for duodenal ulcer patients at reduced dosage after healing of an active ulcer.
Controlled studies in adults have not extended beyond one year. 3. Short-term treatment of active benign gastric ulcer.
Most adult patients heal within 6 weeks. Studies have not assessed the safety or efficacy of famotidine in uncomplicated active benign gastric ulcer for periods of more than 8 weeks. 4.
Short-term treatment of gastroesophageal reflux disease (GERD). Famotidine is indicated for short-term treatment of patients with symptoms of GERD (see CLINICAL PHARMACOLOGY IN ADULTS , Clinical Studies ). Famotidine is also indicated for the short-term treatment of esophagitis due to GERD including erosive or ulcerative disease diagnosed by endoscopy (see CLINICAL PHARMACOLOGY IN ADULTS , Clinical Studies ).
5. Treatment of pathological hypersecretory conditions (e.g., Zollinger-Ellison Syndrome, multiple endocrine adenomas) (see CLINICAL PHARMACOLOGY IN ADULTS , Clinical Studies ) .
⏱️ Dosage and Administration ▾
DOSAGE AND ADMINISTRATION Duodenal Ulcer Acute Therapy: The recommended adult oral dosage for active duodenal ulcer is 40 mg once a day at bedtime. Most patients heal within 4 weeks; there is rarely reason to use famotidine at full dosage for longer than 6 to 8 weeks. A regimen of 20 mg b.i.d. is also effective.
Maintenance Therapy: The recommended adult oral dose is 20 mg once a day at bedtime. Benign Gastric Ulcer Acute Therapy: The recommended adult oral dosage for active benign gastric ulcer is 40 mg once a day at bedtime. Gastroesophageal Reflux Disease (GERD) The recommended oral dosage for treatment of adult patients with symptoms of GERD is 20 mg b.i.d. for up to 6 weeks.
The recommended oral dosage for the treatment of adult patients with esophagitis including erosions and ulcerations and accompanying symptoms due to GERD is 20 or 40 mg b.i.d. for up to 12 weeks (see CLINICAL PHARMACOLOGY IN ADULTS , Clinical Studies ). Dosage for Pediatric Patients <1 year of age Gastroesophageal Reflux Disease (GERD) See PRECAUTIONS , Pediatric Patients <1 year of age. The studies described in PRECAUTIONS, Pediatric Patients <1 year of age suggest the following starting doses in pediatric patients <1 year of age: Gastroesophageal Reflux Disease (GERD) - 0.5 mg/kg/dose of famotidine oral suspension for the treatment of GERD for up to 8 weeks once daily in patients <3 months of age and 0.5 mg/kg/dose twice daily in patients 3 months to <1 year of age.
Patients should also be receiving conservative measures (e.g., thickened feedings). The use of intravenous famotidine in pediatric patients <1 year of age with GERD has not been adequately studied. Dosage for Pediatric Patients 1 to 16 years of age See PRECAUTIONS , Pediatric Patients 1 to 16 years of age.
The studies described in PRECAUTIONS, Pediatric Patients 1 to 16 years of age suggest the following starting doses in pediatric patients 1 to 16 years of age: Peptic ulcer - 0.5 mg/kg/day p.o. at bedtime or divided b.i.d. up to 40 mg/day. Gastroesophageal Reflux Disease with or without esophagitis including erosions and ulcerations - 1 mg/kg/day p.o. divided b.i.d. up to 40 mg b.i.d. While published uncontrolled studies suggest effectiveness of famotidine in the treatment of gastroesophageal reflux disease and peptic ulcer, data in pediatric patients are insufficient to establish percent response with dose and duration of therapy.
Therefore, treatment duration (initially based on adult duration recommendations) and dose should be individualized based on clinical response and/or pH determination (gastric or esophageal) and endoscopy. Published uncontrolled clinical studies in pediatric patients 1 to 16 years of age have employed doses up to 1 mg/kg/day for peptic ulcer and 2 mg/kg/day for GERD with or without esophagitis including erosions and ulcerations. Pathological Hypersecretory Conditions (e.g., Zollinger-Ellison Syndrome, Multiple Endocrine Adenomas) The dosage of famotidine in patients with pathological hypersecretory conditions varies with the individual patient.
The recommended adult oral starting dose for pathological hypersecretory conditions is 20 mg q 6 h. In some patients, a higher starting dose may be required. Doses should be adjusted to individual patient needs and should continue as long as clinically indicated.
Doses up to 160 mg q 6 h have been administered to some adult patients with severe Zollinger-Ellison Syndrome. Concomitant Use of Antacids Antacids may be given concomitantly if needed. Dosage Adjustment for Patients with Moderate or Severe Renal Insufficiency In adult patients with moderate (creatinine clearance <50 mL/min) or severe (creatinine clearance <10 mL/min) renal insufficiency, the elimination half-life of famotidine is increased.
For patients with severe renal insufficiency, it may exceed 20 hours, reaching approximately 24 hours in anuric patients. Since CNS adverse effects have been reported in patients with moderate and severe renal insufficienc… [Excerpted — this section continues on DailyMed.]
⛔ Contraindications ▾
CONTRAINDICATIONS Hypersensitivity to any component of these products. Cross sensitivity in this class of compounds has been observed. Therefore, famotidine should not be administered to patients with a history of hypersensitivity to other H 2 -receptor antagonists.
🤒 Adverse Reactions ▾
ADVERSE REACTIONS The adverse reactions listed below have been reported during domestic and international clinical trials in approximately 2500 patients. In those controlled clinical trials in which famotidine Tablets were compared to placebo, the incidence of adverse experiences in the group which received famotidine Tablets, 40 mg at bedtime, was similar to that in the placebo group. The following adverse reactions have been reported to occur in more than 1% of patients on therapy with famotidine in controlled clinical trials, and may be causally related to the drug: headache (4.7%), dizziness (1.3%), constipation (1.2%) and diarrhea (1.7%).
The following other adverse reactions have been reported infrequently in clinical trials or since the drug was marketed. The relationship to therapy with Famotidine has been unclear in many cases. Within each category the adverse reactions are listed in order of decreasing severity: Body as a Whole: fever, asthenia, fatigue Cardiovascular: arrhythmia, AV block, palpitation.
Prolonged QT interval, in patients with impaired renal function, has been reported very rarely. Gastrointestinal: cholestatic jaundice, hepatitis, liver enzyme abnormalities, vomiting, nausea, abdominal discomfort, anorexia, dry mouth Hematologic: rare cases of agranulocytosis, pancytopenia, leukopenia, thrombocytopenia Hypersensitivity: anaphylaxis, angioedema, orbital or facial edema, urticaria, rash, conjunctival injection Musculoskeletal: musculoskeletal pain including muscle cramps, arthralgia Nervous System/Psychiatric : grand mal seizure; psychic disturbances, which were reversible in cases for which follow-up was obtained, including hallucinations, confusion, agitation, depression, anxiety, decreased libido; paresthesia; insomnia; somnolence.
Convulsions, in patients with impaired renal function, have been reported very rarely. Respiratory: bronchospasm, interstitial pneumonia Skin: toxic epidermal necrolysis / Stevens Johnson syndrome (very rare), alopecia, acne, pruritus, dry skin, flushing Special Senses: tinnitus, taste disorder Other: rare cases of impotence and rare cases of gynecomastia have been reported; however, in controlled clinical trials, the incidences were not greater than those seen with placebo. Pediatric Patients In a clinical study in 35 pediatric patients <1 year of age with GERD symptoms [e.g., vomiting (spitting up), irritability (fussing)], agitation was observed in 5 patients on famotidine that resolved when the medication was discontinued.
🔄 Drug Interactions ▾
Drug Interactions No drug interactions have been identified. Studies with famotidine in man, in animal models, and in vitro have shown no significant interference with the disposition of compounds metabolized by the hepatic microsomal enzymes, e.g., cytochrome P450 system. Compounds tested in man include warfarin, theophylline, phenytoin, diazepam, aminopyrine and antipyrine.
Indocyanine green as an index of hepatic drug extraction has been tested and no significant effects have been found.
🤰 Pregnancy ▾
Pregnancy Pregnancy Category B Reproductive studies have been performed in rats and rabbits at oral doses of up to 2000 and 500 mg/kg/day, respectively, and in both species at I.V. doses of up to 200 mg/kg/day, and have revealed no significant evidence of impaired fertility or harm to the fetus due to famotidine. While no direct fetotoxic effects have been observed, sporadic abortions occurring only in mothers displaying marked decreased food intake were seen in some rabbits at oral doses of 200 mg/kg/day (250 times the usual human dose) or higher.
There are, however, no adequate or well controlled studies in pregnant women. Because animal reproductive studies are not always predictive of human response, this drug should be used during pregnancy only if clearly needed.
🧓 Geriatric Use ▾
Geriatric Use Of the 4,966 subjects in clinical studies who were treated with famotidine, 488 subjects (9.8%) were 65 and older, and 88 subjects (1.7%) were greater than 75 years of age. No overall differences in safety or effectiveness were observed between these subjects and younger subjects. However, greater sensitivity of some older individuals cannot be ruled out.
No dosage adjustment is required based on age (see CLINICAL PHARMACOLOGY IN ADULTS , Pharmacokinetics ). This drug is known to be substantially excreted by the kidney, and the risk of toxic reactions to this drug may be greater in patients with impaired renal function. Because elderly patients are more likely to have decreased renal function, care should be taken in dose selection, and it may be useful to monitor renal function.
Dosage adjustment in the case of moderate or severe renal impairment is necessary (see PRECAUTIONS , Patients with Moderate or Severe Renal Insufficiency and DOSAGE AND ADMINISTRATION , Dosage Adjustment forPatients with Moderate or Severe Renal Insufficiency ).
🆘 Overdosage ▾
OVERDOSAGE The adverse reactions in overdose cases are similar to the adverse reactions encountered in normal clinical experience (see ADVERSE REACTIONS ). Oral doses of up to 640 mg/day have been given to adult patients with pathological hypersecretory conditions with no serious adverse effects. In the event of overdosage, treatment should be symptomatic and supportive.
Unabsorbed material should be removed from the gastrointestinal tract, the patient should be monitored, and supportive therapy should be employed. The oral LD 50 of famotidine in male and female rats and mice was greater than 3000 mg/kg and the minimum lethal acute oral dose in dogs exceeded 2000 mg/kg. Famotidine did not produce overt effects at high oral doses in mice, rats, cats and dogs, but induced significant anorexia and growth depression in rabbits starting with 200 mg/kg/day orally.
The intravenous LD 50 of famotidine for mice and rats ranged from 254 to 563 mg/kg and the minimum lethal single I.V. dose in dogs was approximately 300 mg/kg. Signs of acute intoxication in I.V. treated dogs were emesis, restlessness, pallor of mucous membranes or redness of mouth and ears, hypotension, tachycardia and collapse.
🧬 Clinical Pharmacology ▾
CLINICAL PHARMACOLOGY IN ADULTS GI Effects Famotidine is a competitive inhibitor of histamine H 2 -receptors. The primary clinically important pharmacologic activity of famotidine is inhibition of gastric secretion. Both the acid concentration and volume of gastric secretion are suppressed by famotidine, while changes in pepsin secretion are proportional to volume output.
In normal volunteers and hypersecretors, famotidine inhibited basal and nocturnal gastric secretion, as well as secretion stimulated by food and pentagastrin. After oral administration, the onset of the antisecretory effect occurred within one hour; the maximum effect was dose-dependent, occurring within one to three hours. Duration of inhibition of secretion by doses of 20 and 40 mg was 10 to 12 hours.
Single evening oral doses of 20 and 40 mg inhibited basal and nocturnal acid secretion in all subjects; mean nocturnal gastric acid secretion was inhibited by 86% and 94%, respectively, for a period of at least 10 hours. The same doses given in the morning suppressed food-stimulated acid secretion in all subjects. The mean suppression was 76% and 84%, respectively, 3 to 5 hours after administration, and 25% and 30%, respectively, 8 to 10 hours after administration.
In some subjects who received the 20 mg dose, however, the antisecretory effect was dissipated within 6 to 8 hours. There was no cumulative effect with repeated doses. The nocturnal intragastric pH was raised by evening doses of 20 and 40 mg of famotidine to mean values of 5 and 6.4, respectively.
When famotidine was given after breakfast, the basal daytime interdigestive pH at 3 and 8 hours after 20 or 40 mg of famotidine was raised to about 5. Famotidine had little or no effect on fasting or postprandial serum gastrin levels. Gastric emptying and exocrine pancreatic function were not affected by famotidine.
Other Effects Systemic effects of famotidine in the CNS, cardiovascular, respiratory or endocrine systems were not noted in clinical pharmacology studies. Also, no antiandrogenic effects were noted. (See ADVERSE REACTIONS .) Serum hormone levels, including prolactin, cortisol, thyroxine (T 4 ), and testosterone, were not altered after treatment with famotidine.
Pharmacokinetics Famotidine is incompletely absorbed. The bioavailability of oral doses is 40 to 45%. Bioavailability may be slightly increased by food, or slightly decreased by antacids; however, these effects are of no clinical consequence.
Famotidine undergoes minimal first-pass metabolism. After oral doses, peak plasma levels occur in 1 to 3 hours. Plasma levels after multiple doses are similar to those after single doses.
Fifteen to 20% of famotidine in plasma is protein bound. Famotidine has an elimination half-life of 2.5 to 3.5 hours. Famotidine is eliminated by renal (65 to 70%) and metabolic (30 to 35%) routes.
Renal clearance is 250 to 450 mL/min, indicating some tubular excretion. Twenty-five to 30% of an oral dose and 65 to 70% of an intravenous dose are recovered in the urine as unchanged compound. The only metabolite identified in man is the S-oxide.
There is a close relationship between creatinine clearance values and the elimination half-life of famotidine. In patients with severe renal insufficiency, i.e., creatinine clearance less than 10 mL/min, the elimination half-life of famotidine may exceed 20 hours and adjustment of dose or dosing intervals in moderate and severe renal insufficiency may be necessary (see PRECAUTIONS , DOSAGE AND ADMINISTRATION ). In elderly patients, there are no clinically significant age-related changes in the pharmacokinetics of famotidine.
However, in elderly patients with decreased renal function, the clearance of the drug may be decreased (see PRECAUTIONS , Geriatric Use ). Clinical Studies Duodenal Ulcer In a U.S. multicenter, double-blind study in outpatients with endoscopically confirmed duodenal ulcer, orally administered famotidine was compared to placebo. As shown in Table 1, 70% of… [Excerpted — this section continues on DailyMed.]
📦 How Supplied / Storage and Handling ▾
HOW SUPPLIED Famotidine Tablets, USP, 20 mg, are yellow colored, circular, biconvex film-coated tablets embossed with 'L113'on one side and '20' on the other side. NDC 63187-723-06 bottles of 6 NDC 63187-723-10 bottles of 10 NDC 63187-723-30 bottles of 30.. NDC 63187-723-60 bottles of 60.
NDC 63187-723-90 bottles of 90. NDC 63187-723-00 bottles of 100. Storage Store at 25°C (77°F); excursions permitted to 15° to 30°C (59° to 86°F) [see USP Controlled Room Temperature].
Preserve in well-closed, light-resistant containers. Call your doctor for medical advice about side effects. You may report side effects to Alembic Pharmaceuticals Limited at 1-866 210 9797 or FDA at 1-800-FDA-1088.
Manufactured for: Alembic Pharmaceuticals, Inc. 750 Route 202, Bridgewater, NJ 08807 USA Repackaged by: Proficient Rx LP Thousand Oaks, CA 91320 USA Made in India. Revised: 10/2015
📋 Description ▾
DESCRIPTION The active ingredient in famotidine tablets, USP is a histamine H 2 -receptor antagonist. Famotidine is N '-(aminosulfonyl)-3-[[[2-[(diaminomethylene)amino]-4-thiazolyl]methyl] thio]propanimidamide. The empirical formula of famotidine is C 8 H 15 N 7 O 2 S 3 and its molecular weight is 337.43.
Its structural formula is: Famotidine is a white to pale yellow crystalline compound that is freely soluble in glacial acetic acid, slightly soluble in methanol, very slightly soluble in water, and practically insoluble in ethanol. Each tablet for oral administration contains either 20 mg or 40 mg of famotidine and the following inactive ingredients: colloidal silicon dioxide, yellow iron oxide and red iron oxide, Lecithin, macrogel/PEG 3350, magnesium stearate, microcrystalline cellulose, polyvinyl alcohol, pregelatinized starch, talc and titanium dioxide.
Structure
⚠️ Precautions ▾
PRECAUTIONS General Symptomatic response to therapy with famotidine does not preclude the presence of gastric malignancy. Patients with Moderate or Severe Renal Insufficiency Since CNS adverse effects have been reported in patients with moderate and severe renal insufficiency, longer intervals between doses or lower doses may need to be used in patients with moderate (creatinine clearance <50 mL/min) or severe (creatinine clearance <10 mL/min) renal insufficiency to adjust for the longer elimination half life of famotidine (see CLINICAL PHARMACOLOGY IN ADULTS and DOSAGE AND ADMINISTRATION ).
Prolonged QT interval has been reported very rarely in patients with impaired renal function whose dose/dosing interval of famotidine may not have been adjusted appropriately. Drug Interactions No drug interactions have been identified. Studies with famotidine in man, in animal models, and in vitro have shown no significant interference with the disposition of compounds metabolized by the hepatic microsomal enzymes, e.g., cytochrome P450 system.
Compounds tested in man include warfarin, theophylline, phenytoin, diazepam, aminopyrine and antipyrine. Indocyanine green as an index of hepatic drug extraction has been tested and no significant effects have been found. Carcinogenesis, Mutagenesis, Impairment of Fertility In a 106-week study in rats and a 92-week study in mice given oral doses of up to 2000 mg/kg/day (approximately 2500 times the recommended human dose for active duodenal ulcer), there was no evidence of carcinogenic potential for famotidine.
Famotidine was negative in the microbial mutagen test (Ames test) using Salmonella typhimurium and Escherichia coli with or without rat liver enzyme activation at concentrations up to 10,000 mcg/plate. In in vivo studies in mice, with a micronucleus test and a chromosomal aberration test, no evidence of a mutagenic effect was observed. In studies with rats given oral doses of up to 2000 mg/kg/day or intravenous doses of up to 200 mg/kg/day, fertility and reproductive performance were not affected.
Pregnancy Pregnancy Category B Reproductive studies have been performed in rats and rabbits at oral doses of up to 2000 and 500 mg/kg/day, respectively, and in both species at I.V. doses of up to 200 mg/kg/day, and have revealed no significant evidence of impaired fertility or harm to the fetus due to famotidine. While no direct fetotoxic effects have been observed, sporadic abortions occurring only in mothers displaying marked decreased food intake were seen in some rabbits at oral doses of 200 mg/kg/day (250 times the usual human dose) or higher.
There are, however, no adequate or well controlled studies in pregnant women. Because animal reproductive studies are not always predictive of human response, this drug should be used during pregnancy only if clearly needed. Nursing Mothers Studies performed in lactating rats have shown that famotidine is secreted into breast milk.
Transient growth depression was observed in young rats suckling from mothers treated with maternotoxic doses of at least 600 times the usual human dose. Famotidine is detectable in human milk. Because of the potential for serious adverse reactions in nursing infants from famotidine, a decision should be made whether to discontinue nursing or discontinue the drug, taking into account the importance of the drug to the mother.
Pediatric Patients <1 year of age Use of famotidine in pediatric patients <1 year of age is supported by evidence from adequate and well-controlled studies of famotidine in adults, and by the following studies in pediatric patients <1 year of age. Two pharmacokinetic studies in pediatric patients <1 year of age (N=48) demonstrated that clearance of famotidine in patients >3 months to 1 year of age is similar to that seen in older pediatric patients (1 to 5 years of age) and adults. In contrast, pediatric patients 0 to 3 months of age had famotidine clearance values that were 2- to 4-fold less than those in… [Excerpted — this section continues on DailyMed.]
🍼 Nursing Mothers ▾
Nursing Mothers Studies performed in lactating rats have shown that famotidine is secreted into breast milk. Transient growth depression was observed in young rats suckling from mothers treated with maternotoxic doses of at least 600 times the usual human dose. Famotidine is detectable in human milk.
Because of the potential for serious adverse reactions in nursing infants from famotidine, a decision should be made whether to discontinue nursing or discontinue the drug, taking into account the importance of the drug to the mother. Pediatric Patients <1 year of age Use of famotidine in pediatric patients <1 year of age is supported by evidence from adequate and well-controlled studies of famotidine in adults, and by the following studies in pediatric patients <1 year of age. Two pharmacokinetic studies in pediatric patients <1 year of age (N=48) demonstrated that clearance of famotidine in patients >3 months to 1 year of age is similar to that seen in older pediatric patients (1 to 5 years of age) and adults.
In contrast, pediatric patients 0 to 3 months of age had famotidine clearance values that were 2- to 4-fold less than those in older pediatric patients and adults. These studies also show that the mean bioavailability in pediatric patients <1 year of age after oral dosing is similar to older pediatric patients and adults. Pharmacodynamic data in pediatric patients 0 to 3 months of age suggest that the duration of acid suppression is longer compared with older pediatric patients, consistent with the longer famotidine half-life in pediatric patients 0 to 3 months of age.
(See CLINICAL PHARMACOLOGY IN PEDIATRIC PATIENTS , Pharmacokinetics and Pharmacodynamics .) In a double-blinded, randomized, treatment-withdrawal study, 35 pediatric patients <1 year of age who were diagnosed as having gastroesophageal reflux disease were treated for up to 4 weeks with famotidine oral suspension (0.5 mg/kg/dose or 1 mg/kg/dose). Although an intravenous famotidine formulation was available, no patients were treated with intravenous famotidine in this study. Also, caregivers were instructed to provide conservative treatment including thickened feedings.
Enrolled patients were diagnosed primarily by history of vomiting (spitting up) and irritability (fussiness). The famotidine dosing regimen was once daily for patients <3 months of age and twice daily for patients ≥3 months of age. After 4 weeks of treatment, patients were randomly withdrawn from the treatment and followed an additional 4 weeks for adverse events and symptomatology.
Patients were evaluated for vomiting (spitting up), irritability (fussiness) and global assessments of improvement. The study patients ranged in age at entry from 1.3 to 10.5 months (mean 5.6 ± 2.9 months), 57% were female, 91% were white and 6% were black. Most patients (27/35) continued into the treatment-withdrawal phase of the study.
Two patients discontinued famotidine due to adverse events. Most patients improved during the initial treatment phase of the study. Results of the treatment-withdrawal phase were difficult to interpret because of small numbers of patients.
Of the 35 patients enrolled in the study, agitation was observed in 5 patients on famotidine that resolved when the medication was discontinued; agitation was not observed in patients on placebo (see ADVERSE REACTIONS , Pediatric Patients ). These studies suggest that a starting dose of 0.5 mg/kg/dose of famotidine oral suspension may be of benefit for the treatment of GERD for up to 4 weeks once daily in patients <3 months of age and twice daily in patients 3 months to <1 year of age; the safety and benefit of famotidine treatment beyond 4 weeks have not been established.
Famotidine should be considered for the treatment of GERD only if conservative measures (e.g., thickened feedings) are used concurrently and if the potential benefit outweighs the risk. Pediatric Patients 1 to 16 years of age Use of famotidine in pediatric patients 1 to 16 years… [Excerpted — this section continues on DailyMed.]
🔬 Clinical Studies ▾
CLINICAL PHARMACOLOGY IN PEDIATRIC PATIENTS Pharmacokinetics Table 6 presents pharmacokinetic data from clinical trials and a published study in pediatric patients (<1 year of age; N=27) given famotidine I.V. 0.5 mg/kg and from published studies of small numbers of pediatric patients (1 to 15 years of age) given famotidine intravenously. Areas under the curve (AUCs) are normalized to a dose of 0.5 mg/kg I.V. for pediatric patients 1 to 15 years of age and compared with an extrapolated 40 mg intravenous dose in adults (extrapolation based on results obtained with a 20 mg I.V. adult dose).
Table 6 Pharmacokinetic Parameters a of Intravenous Famotidine Age (N= number of patients) Area Under the Curve (AUC)(ng-hr/mL) Total Clearance(Cl) (L/hr/kg) Volume of Distribution (V d ) (L/kg) Elimination Half-life (T 1/2 ) (hours) 0 to 1 months c (N=10) NA 0.13±0.06 1.4±0.4 10.5±5.4 0 to 3 months d (N=6) 2688±847 0.21±0.06 1.8±0.3 8.1±3.5 >3 to 12 months d (N=11) 1160±474 0.49±0.17 2.3±0.7 4.5±1.1 1 to 11 yrs (N=20) 1089±834 0.54±0.34 2.07±1.49 3.38±2.60 11 to 15 yrs (N=6) 1140±320 0.48±0.14 1.5±0.4 2.3±0.4 Adult (N=16) 1726 b 0.39±0.14 1.3±0.2 2.83±0.99 a Values are presented as means ± SD unless indicated otherwise. b Mean value only. c Single center study. d Multicenter study.
Plasma clearance is reduced and elimination half-life is prolonged in pediatric patients 0 to 3 months of age compared to older pediatric patients. The pharmacokinetic parameters for pediatric patients, ages >3 months-15 years, are comparable to those obtained for adults. Bioavailability studies of 8 pediatric patients (11 to 15 years of age) showed a mean oral bioavailability of 0.5 compared to adult values of 0.42 to 0.49.
Oral doses of 0.5 mg/kg achieved AUCs of 645 ± 249 ng-hr/mL and 580 ± 60 ng-hr/mL in pediatric patients <1 year of age (N=5) and in pediatric patients 11 to 15 years of age, respectively, compared to 482 ± 181 ng-hr/mL in adults treated with 40 mg orally. Pharmacodynamics Pharmacodynamics of famotidine were evaluated in 5 pediatric patients 2 to 13 years of age using the sigmoid E max model. These data suggest that the relationship between serum concentration of famotidine and gastric acid suppression is similar to that observed in one study of adults (Table 7).
Table 7 Pharmacodynamics of famotidine using the sigmoid E max model Pediatric Patients EC 50 (ng/mL)* 26 ± 13 Data from one study a) healthy adult subjects 26.5 ± 10.3 b) adult patients with upper GI bleeding 18.7 ± 10.8 * Serum concentration of famotidine associated with 50% maximum gastric acid reduction. Values are presented as means ± SD. Five published studies (Table 8) examined the effect of famotidine on gastric pH and duration of acid suppression in pediatric patients.
While each study had a different design, acid suppression data over time are summarized as follows: Table 8 Dosage Route Effect a Number of Patients (age range) 0.5 mg/kg, single dose I.V. gastric pH >4 for 19.5 hours(17.3, 21.8) c 11 (5 to 19 days) 0.3 mg/kg, single dose I.V. gastric pH >3.5 for 8.7 ± 4.7 b hours 6 (2 to 7 years) 0.4 to 0.8 mg/kg I.V. gastric pH >4 for 6 to 9 hours 18 (2 to 69 months) 0.5 mg/kg, single dose I.V. a >2 pH unit increase above baseline in gastric pH for >8 hours 9 (2 to 13 years) 0.5 mg/kg b.i.d I.V. gastric pH >5 for 13.5 ± 1.8 b hours 4 (6 to 15 years) 0.5 mg/kg b.i.d oral gastric pH >5 for 5 ± 1.1 b hours 4 (11 to 15 years) a values reported in published literature. b Means ± SD c Mean (95% confidence interval).
The duration of effect of famotidine I.V. 0.5 mg/kg on gastric pH and acid suppression was shown in one study to be longer in pediatric patients <1 month of age than in older pediatric patients. This longer duration of gastric acid suppression is consistent with the decreased clearance in pediatric patients <3 months of age (see Table 6).
📄 Carcinogenesis, Mutagenesis, Impairment of Fertility ▾
Carcinogenesis, Mutagenesis, Impairment of Fertility In a 106-week study in rats and a 92-week study in mice given oral doses of up to 2000 mg/kg/day (approximately 2500 times the recommended human dose for active duodenal ulcer), there was no evidence of carcinogenic potential for famotidine. Famotidine was negative in the microbial mutagen test (Ames test) using Salmonella typhimurium and Escherichia coli with or without rat liver enzyme activation at concentrations up to 10,000 mcg/plate. In in vivo studies in mice, with a micronucleus test and a chromosomal aberration test, no evidence of a mutagenic effect was observed.
In studies with rats given oral doses of up to 2000 mg/kg/day or intravenous doses of up to 200 mg/kg/day, fertility and reproductive performance were not affected.
📄 Package Label / Principal Display Panel ▾
PACKAGE LABEL.PRINCIPAL DISPLAY PANEL-20 mg Famotidine Tablets USP 20 mg (10 Tablets in 1 Bottle) Each Film Coated Tablet Contains: Famotidine USP 20 mg 63187-723-10 63187-723-10
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