Over-the-counter drug · OTC MONOGRAPH FINAL
Gas Relief (Simethicone) NDC 21130-135
Dimethicone 125 mg/1 · Tablet, Chewable · Oral · Safeway
NDC codes
FDA NDC Directory| Package NDC | 11-digit (billing) | Package | Copy |
|---|---|---|---|
| 21130-135-73 | 2113001357321130013573 | 2 BLISTER PACK in 1 CARTON (21130-135-73) / 9 TABLET, CHEWABLE in 1 BLISTER PACKMarketed from Nov 11, 2015 |
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)
- Gas Relief
- Generic name (nonproprietary)
- simethicone
- Active ingredients
- Dimethicone — 125 mg/1
- Dosage form
- Tablet, Chewable
- Route
- Oral
- Labeler
- SafewayNDC labeler code 21130
- Product type
- Over-the-counter drug
- Marketing category
- OTC monograph (final)Application part332
- Marketing start
- Listing expires
- Other FDA classes
- Skin Barrier Activity (Physiologic effect)
- Identifiers
- Product ID 21130-135_f3c5efc4-6e17-44e8-9bbc-2e2f46a4177aSPL ID f3c5efc4-6e17-44e8-9bbc-2e2f46a4177aSPL set ID 14a9fb00-707a-4b55-a060-82ad53a806e3RxCUI 314221UNII 92RU3N3Y1OUPC 0387730789536
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
N421130013573followed by a unit qualifier and the quantityPackage 21130-0135-73. 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 relieves: pressure bloating symptoms referred to as gas
Excerpt only. Read the full label for complete information.
About NDC 21130-135
- What is NDC 21130-135?
- 21130-135 is the product NDC for Gas Relief (simethicone), Dimethicone 125 mg/1 tablet, chewable, listed with the FDA by Safeway. It has 1 package NDC, shown above in 10- and 11-digit form.
- What drug is associated with this NDC?
- Gas Relief (Simethicone).
- What is the active ingredient?
- Dimethicone.
- Who is the labeler?
- Safeway, NDC labeler code 21130. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
- What other NDCs exist for Gas Relief?
- 46 other product NDCs are listed under this name. See all Gas Relief NDCs.
- Is there a related HCPCS / J-code?
- Not in Med-Code's curated HCPCS directory. See Billing references above.
Related NDCs: other Gas Relief products
Other finished products listed under the same name: strengths, forms and labelers.
| Product | Strength | Form · route | Labeler | Product NDC | Package NDCs (11-digit) |
|---|---|---|---|---|---|
| gas reliefsimethicone | Dimethicone 125 mg/1 | Capsule, Liquid filledOral | Amazon.com Services LLC | 72288-909 | 72288-0909-65 |
| gas reliefsimethicone | Dimethicone 500 mg/1 | Capsule, Liquid filledOral | BIONPHARMA INC. | 69452-581 | 69452-0581-24 |
| Gas Relief | Dimethicone 125 mg/1 | CapsuleOral | Chain Drug Marketing Association, Inc. | 83324-352 | 83324-0352-30 |
| gas reliefsimethicone | Dimethicone 125 mg/1 | Capsule, Liquid filledOral | BIONPHARMA INC. | 69452-542 | 69452-0542-28 |
| Gas Reliefsimethicone 125 mg | Dimethicone 125 mg/1 | Capsule, Liquid filledOral | Pioneer Life Sciences, LLC | 72090-060 | 72090-0060-01 |
| Gas Reliefsimethicone 180 mg | Dimethicone 180 mg/1 | Capsule, Liquid filledOral | Pioneer Life Sciences, LLC | 72090-015 | 72090-0015-01 |
| Gas Reliefsimethicone | Dimethicone 125 mg/1 | CapsuleOral | H-E-B | 37808-744 | 37808-0744-2037808-0744-30 |
| Gas Reliefsimethicone capsules usp, 125 mg | Dimethicone 125 mg/1 | Capsule, Liquid filledOral | Dr. Reddy's Laboratories Inc. | 75907-365 | 75907-0365-0175907-0365-30 |
| Gas Reliefsimethicone 125 mg | Dimethicone 125 mg/1 | Capsule, Liquid filledOral | Pioneer Life Sciences, LLC | 72090-014 | 72090-0014-01 |
| Gas Reliefsimethicone | Dimethicone 125 mg/1 | Tablet, ChewableOral | Chain Drug Marketing Association, Inc. | 83324-325 | 83324-0325-18 |
Other NDCs under part332
Products listed under the same FDA application: other strengths and forms, and repackagers who relabel the same product.
| Product | Strength | Form · route | Labeler | Product NDC |
|---|---|---|---|---|
| Antacidaluminum hydroxide, magnesium hydroxide and simethicone | Aluminum hydroxide 400 mg/5mL + 2 more ingredients | SuspensionOral | Safeway | 21130-508 |
| Antacidaluminum hydroxide, magnesium hydroxide and simethicone | Aluminum hydroxide 400 mg/5mL + 2 more ingredients | SuspensionOral | CVS | 69842-508 |
| Family Wellness Extra Strength Gas Relief Cherrysimethicone | Dimethicone 125 mg/1 | Tablet, ChewableOral | Family Dollar Services, Inc. | 55319-134 |
| Gas Reliefsimethicone | Dimethicone 80 mg/1 | Tablet, ChewableOral | Advance Pharmaceutical Inc. | 17714-019 |
| Infants Non-staining Gas reliefsimethicone | Dimethicone 20 mg/.3mL | Solution/ dropsOral | H E B | 37808-014 |
| Simethicone | Dimethicone 125 mg/1 | Tablet, ChewableOral | Advance Pharmaceutical Inc. | 17714-040 |
| Simethicone | Dimethicone 80 mg/1 | Tablet, ChewableOral | Richmond Pharmaceuticals, Inc. | 54738-518 |