NDC codes

FDA NDC Directory
Product NDC (as listed)0904-6994Labeler and product segments. Claims need a package NDC.
Product NDC at billing width00904-6994Add 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
0904-6994-460090469944630 BLISTER PACK in 1 CARTON (0904-6994-46) / 1 CAPSULE, LIQUID FILLED in 1 BLISTER PACKMarketed from Jun 30, 2019

How the 11-digit form is made: The labeler segment has 4 digits, so one leading zero is added to it (4-4-2 → 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)
Gas Relief Extra StrengthSuffix: Extra Strength
Generic name (nonproprietary)
simethicone
Active ingredients
Dimethicone125 mg/1
Dosage form
Capsule, Liquid filled
Route
Oral
Product type
Over-the-counter drug
Marketing category
OTC monograph drugApplication M 002
Marketing start
Listing expires
Other FDA classes
Skin Barrier Activity (Physiologic effect)
Identifiers
Product ID 0904-6994_95ba630a-b236-454f-9f29-e872a27d3103SPL ID 95ba630a-b236-454f-9f29-e872a27d3103SPL set ID 4f445be1-220d-4660-abb2-c24cd33e7ca7RxCUI 198852UNII 92RU3N3Y1OUPC 0309046994466

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

N400904699446 followed by a unit qualifier and the quantity

Package 00904-6994-46. 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)

Uses for the relief of pressure, bloating, and fullness commonly referred to as gas

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under M 002

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

FDA NDC Directory listings under M 002
ProductStrengthForm · routeLabelerProduct NDC
meijer EXTRA STRENGTH Gas Relief SOFTGELsimethiconeDimethicone, Unspecified 125 mg/1Capsule, Liquid filledOralMeijer, Inc.79481-0791
Gas ReliefsimethiconeDimethicone 125 mg/1Tablet, ChewableOralHeartland Pharma Co.80136-859
Recuren Plus Antifungal Creammiconazole nitrate 2%Miconazole nitrate 20 mg/gCreamTopicalREGENEREN PLUS LTD87014-001
Gas Reliefsimethicone 125 mgDimethicone 125 mg/1Capsule, Liquid filledOralPioneer Life Sciences, LLC72090-045
Mag-AL Plus XSaluminum hydroxide, magnesium hydroxide, and dimethiconeAluminum hydroxide 400 mg/5mL + 2 more ingredientsSuspensionOralPAI Holdings, LLC dba PAI Pharma0121-1762
Gas ReliefsimethiconeDimethicone 180 mg/1Capsule, Liquid filledOralRugby Laboratories0536-1421
InfantssimethiconeDimethicone 20 mg/.3mLSuspension/ dropsOralATLANTIC BIOLOGICALS CORP.17856-1303
Firstcare Gas Relief Simethicone 250 mg Anti-gassimethicone 250 mgDimethicone 250 mg/1Tablet, ChewableOralUSpharma Ltd71594-711
Gas Reliefsimethicone 125 mgDimethicone 125 mg/1Capsule, Liquid filledOralPioneer Life Sciences, LLC72090-014
Gas ReliefsimethiconeDimethicone 250 mg/1Capsule, Liquid filledOralAdvanced Rx LLC80513-112
Gas ReliefsimethiconeDimethicone 125 mg/1Capsule, Liquid filledOralAdvanced Rx LLC80513-117
Gas Relief Ultimate Strength SoftgelssimethiconeDimethicone, Unspecified 500 mg/1Capsule, Liquid filledOralAdvanced Rx LLC80513-119
Firstcare Gas Relief Simethicone 125 mg Anti-gassimethicone 125 mgDimethicone 125 mg/1Tablet, ChewableOralUSpharma Ltd71594-709
Pepto Gas plus BloatingsimethiconeDimethicone 125 mg/1Tablet, ChewableOralThe Procter & Gamble Manufacturing Company84126-378
Gas Reliefsimethicone 180 mgDimethicone 180 mg/1Capsule, Liquid filledOralPioneer Life Sciences, LLC72090-015
Anti-Gas StripsimethiconeDimethicone 62.5 mg/1StripOralCalmour82918-001
AntiflatulentsimethiconeDimethicone 80 mg/1Tablet, ChewableOralMajor Pharmaceuticals0904-7206
Discount Drugmart Gas Relief Extra Strength SoftgelssimethiconeDimethicone 125 mg/1Capsule, Liquid filledOralDiscount Drug Mart, Inc53943-823
Extra Strength Gas Relief CherrysimethiconeDimethicone 125 mg/1Tablet, ChewableOralRetail Business Services, LLC.72476-134
Gas Relief Extra StrengthsimethiconeDimethicone 125 mg/1Capsule, Liquid filledOralBest Choice (Valu Merchandisers Company)63941-897

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