Over-the-counter drug · OTC MONOGRAPH DRUG

Extra Strength (Antacid tablets) NDC 21130-203

Calcium carbonate 750 mg/1 · Tablet, Chewable · Oral · SAFEWAY

NDC codes

FDA NDC Directory
Product NDC (as listed)21130-203Labeler and product segments. Claims need a package NDC.
Product NDC at billing width21130-0203Add 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
21130-203-96211300203962113002039696 TABLET, CHEWABLE in 1 BOTTLE, PLASTIC (21130-203-96)Marketed from Oct 5, 2020

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)
Extra Strength
Generic name (nonproprietary)
antacid tablets
Active ingredients
Calcium carbonate — 750 mg/1
Dosage form
Tablet, Chewable
Route
Oral
Labeler
SAFEWAYNDC labeler code 21130
Product type
Over-the-counter drug
Marketing category
OTC monograph drugApplication M 001
Marketing start
Listing expires
Identifiers
Product ID 21130-203_4249d15f-ba1a-9084-e063-6294a90a391bSPL ID 4249d15f-ba1a-9084-e063-6294a90a391bSPL set ID f91aa7da-8bdc-4fd2-a9de-fef21674e515RxCUI 308915UNII H0G9379FGKUPC 0321130779117

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

N421130020396 followed by a unit qualifier and the quantity

Package 21130-0203-96. 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 • heartburn • acid indigestion • sour stomach • upset stomach associated with these symptoms

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 21130-203

What is NDC 21130-203?
21130-203 is the product NDC for Extra Strength (antacid tablets), Calcium carbonate 750 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?
Extra Strength (Antacid Tablets).
What is the active ingredient?
Calcium carbonate.
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 Extra Strength?
6 other product NDCs are listed under this name. See all Extra Strength 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 Extra Strength NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
Extra Strengthantacid tabletsCalcium carbonate 750 mg/1Tablet, ChewableOralCVS PHARMACY51316-02151316-0021-96
Extra Strengthantacid tabletsCalcium carbonate 750 mg/1Tablet, ChewableOralSAFEWAY21130-20721130-0207-96
Extra Strengthantacid tabletsCalcium carbonate 750 mg/1Tablet, ChewableOralSAFEWAY21130-20921130-0209-96
Extra Strengthcalcium carbonateCalcium carbonate 750 mg/1Tablet, ChewableOralBETTER LIVING BRANDS, LLC21130-20121130-0201-0021130-0201-96
Extra Strengthmenthol and methyl salicylateMenthol 94.41 mg/mL; Methyl salicylate 123.74 mg/mLOilTopicalNATURES FORMULAE HEALTH PRODUCTS LTD.69204-02769204-0027-01
Extra Strengthmenthol and methyl salicylateMenthol 94.41 mg/mL; Methyl salicylate 123.74 mg/mLOilTopicalSaje Natural Business Inc.70983-02370983-0023-0170983-0023-02

Other NDCs under M 001

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

FDA NDC Directory listings under M 001
ProductStrengthForm · routeLabelerProduct NDC
Soothe Chewablecitric acidCitric acid monohydrate 1.5 g/108.27gChewable gelOralCarolina Cannabis Creations LLC82876-840
ultra strength antacidantacidCalcium carbonate 1000 mg/1Tablet, ChewableOralTarget Corporation11673-933
Rolaids Extra Strength Mintcalcium carbonate and magnesium hydroxideCalcium carbonate 675 mg/1; Magnesium hydroxide 135 mg/1Tablet, ChewableOralChattem, Inc.41167-1001
Extra Strength Antacidcalcium carbonateCalcium carbonate 750 mg/1Tablet, ChewableOralGrocery Outlet, Inc.85828-903
Medique Alcalakcalcium carbonateCalcium carbonate 420 mg/1Tablet, ChewableOralUnifirst First Aid Corporation47682-201
Ultra Strength Antacidcalcium carbonateCalcium carbonate 1000 mg/1Tablet, ChewableOralCVS51316-171
Kirkland Ultra Stregth Antacid 171ABcalcium carbonateCalcium carbonate 1000 mg/1TabletOralCOSTCO WHOLESALE COMPANY63981-171
Regular Strength Antacidcalcium carbonateCalcium carbonate 500 mg/1Tablet, ChewableOralHarris Teeter, LLC69256-138
Ultra Strength Antacidcalcium carbonateCalcium carbonate 1000 mg/1Tablet, ChewableOralGrocery Outlet, Inc.85828-905
Magnesium OxideMagnesium oxide 400 mg/1TabletOralA-S Medication Solutions50090-7432
Ultra Strength Assorted Berry Antacidcalcium carbonateCalcium carbonate 1000 mg/1Tablet, ChewableOralHarris Teeter, LLC69256-171
Antacid- Calcium Carbonatecalcium carbonateCalcium carbonate 1000 mg/1Tablet, ChewableOralAnhui Jiuhe Health Industry Co., Ltd87745-001
Tums Chewy Bitescalcium carbonateCalcium carbonate 1000 mg/1Tablet, ChewableOralHaleon US Holdings LLC0135-0183
De La Cruz Desempachosodium bicarbonateSodium bicarbonate 525 mg/15mLLiquidOralDLC LABORATORIES, INC.24286-1523
HEB Wild Berry Antacid Chewscalcium carbonateCalcium carbonate 750 mg/1Tablet, ChewableOralHEB37808-493
Unishield Antacidcalcium carbonateCalcium carbonate 420 mg/1Tablet, ChewableOralUnishield49314-1013
Calmicid AC Acid ReducerfamotidineFamotidine 20 mg/1Tablet, CoatedOralMelaleuca, Inc.54473-411
Exchange Select Antacid Tropical Fruitcalcium carbonateCalcium carbonate 750 mg/1Tablet, ChewableOralARMY AND AIR FORCE EXCHANGE SERVICE55301-102
Leader Extra Strength Sugar Free AntacidantacidCalcium carbonate 750 mg/1Tablet, ChewableOralCardinal Health70000-0460
Sodium Bicarbonate Antacidsodium bicarbonateSodium bicarbonate 650 mg/1TabletOralAphena Pharma Solutions - Tennessee, LLC71610-669

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