NDC codes

FDA NDC Directory
Product NDC (as listed)21130-446Labeler and product segments. Claims need a package NDC.
Product NDC at billing width21130-0446Add 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
21130-446-6021130044660211300446601 BOTTLE, PLASTIC in 1 BOX (21130-446-60) / 60 CAPSULE, LIQUID FILLED in 1 BOTTLE, PLASTICMarketed from Dec 31, 2023

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 — 180 mg/1
Dosage form
Capsule, Liquid filled
Route
Oral
Labeler
Safeway, Inc.NDC labeler code 21130
Product type
Over-the-counter drug
Marketing category
OTC monograph drugApplication M 002
Marketing start
Marketing end
Other FDA classes
Skin Barrier Activity (Physiologic effect)
Identifiers
Product ID 21130-446_90f31baa-0507-4ae1-ada4-dbcb3a17ee15SPL ID 90f31baa-0507-4ae1-ada4-dbcb3a17ee15SPL set ID 7ecfe412-6a58-4dff-a52e-2e02a03426f9RxCUI 252294UNII 92RU3N3Y1OUPC 0321130789673

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

N421130044660 followed by a unit qualifier and the quantity

Package 21130-0446-60. 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 bloating, pressure, or fullness commonly referred to as gas

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 21130-446

What is NDC 21130-446?
21130-446 is the product NDC for Gas Relief (simethicone), Dimethicone 180 mg/1 capsule, liquid filled, listed with the FDA by Safeway, Inc.. 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, Inc., 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?
49 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.

Other finished products listed under the same name: strengths, forms and labelers.

Other Gas Relief NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
gas reliefsimethiconeDimethicone, Unspecified 250 mg/1Capsule, Liquid filledOralGLENMARK THERAPEUTICS INC., USA72657-48272657-0482-0172657-0482-15
gas reliefsimethiconeDimethicone, Unspecified 125 mg/1Capsule, Liquid filledOralGLENMARK THERAPEUTICS INC., USA72657-48072657-0480-15
gas reliefsimethiconeDimethicone, Unspecified 180 mg/1Capsule, Liquid filledOralGLENMARK THERAPEUTICS INC., USA72657-48172657-0481-15
gas reliefsimethiconeDimethicone 125 mg/1Capsule, Liquid filledOralAmazon.com Services LLC72288-90972288-0909-65
gas reliefsimethiconeDimethicone 500 mg/1Capsule, Liquid filledOralBIONPHARMA INC.69452-58169452-0581-24
Gas ReliefDimethicone 125 mg/1CapsuleOralChain Drug Marketing Association, Inc.83324-35283324-0352-30
gas reliefsimethiconeDimethicone 125 mg/1Capsule, Liquid filledOralBIONPHARMA INC.69452-54269452-0542-28
Gas Reliefsimethicone 125 mgDimethicone 125 mg/1Capsule, Liquid filledOralPioneer Life Sciences, LLC72090-06072090-0060-01
Gas Reliefsimethicone 180 mgDimethicone 180 mg/1Capsule, Liquid filledOralPioneer Life Sciences, LLC72090-01572090-0015-01
Gas ReliefsimethiconeDimethicone 125 mg/1CapsuleOralH-E-B37808-74437808-0744-2037808-0744-30

All 50 Gas Relief NDCs

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
PhazymesimethiconeDimethicone 250 mg/1Capsule, Gelatin coatedOralC.B. Fleet Company, Inc.0132-0211
GNP Stomach Reliefbismuth subsalicylate 525 mgBismuth subsalicylate 525 mg/30mLLiquidOralAmerisource Bergen46122-703
EXTRA STRENGTH gas reliefsimethiconeDimethicone, Unspecified 125 mg/5mLLiquidOralKRAMER LABORATORIES55505-225
SIMETHICONE INFANT Gas Relief DropssimethiconeDimethicone 20 mg/.3mLSuspensionOralAtlantic Biologicals Corp.17856-1017
good sense gas reliefsimethiconeDimethicone 180 mg/1Capsule, Liquid filledOralL. Perrigo Company0113-0657
Gencare-Gas Reliefsimethicone 180 mgDimethicone 180 mg/1Capsule, Liquid filledOralPIONEER LIFE SCIENCES, LLC72090-073
SimethiconeDimethicone 250 mg/1Capsule, Liquid filledOralWALMART INC.79903-020
Ultra Strength Gas ReliefsimethiconeDimethicone 180 mg/1CapsuleOralKROGER COMPANY41226-717
SIMETHICONE INFANT Gas Relief DropssimethiconeDimethicone 20 mg/.3mLSuspensionOralAtlantic Biologicals Corp.17856-1018
GNP Regular Strength Gas ReliefdimethiconeDimethicone 80 mg/1Tablet, ChewableOralATLANTIC BIOLOGICALS CORP.17856-1118
Simethicone 125 mgsimethiconeDimethicone 125 mg/1Tablet, ChewableOralProficient Rx LP82804-152
basic care gas reliefsimethiconeDimethicone 180 mg/1Capsule, Liquid filledOralAmazon.com Services LLC72288-657
InfantssimethiconeDimethicone, Unspecified 20 mg/.3mLSuspension/ dropsOralRUGBY LABORATORIES0536-1303
WinCo FOODS Extra Strength Gas ReliefsimethiconeDimethicone, Unspecified 125 mg/1Tablet, ChewableOralWINCO FOODS, LLC67091-361
Extra Strength Gas Relief Cherry FlavorsimethiconeDimethicone 125 mg/1Tablet, ChewableOralDiscount Drug Mart, Inc53943-134
Gas-AidsimethiconeDimethicone 125 mg/1Tablet, ChewableOralLeosons Overseas Corp69626-7197
Extra Strength Gas Reliefsimethicone antigasDimethicone, Unspecified 125 mg/1Tablet, ChewableOralSAFEWAY21130-441
Gas Relief Ultra StrengthsimethiconeDimethicone 180 mg/1Capsule, Liquid filledOralH E B37808-874
TopCare health EXTRA STRENGTH Gas Relief SOFTGELsimethiconeDimethicone, Unspecified 125 mg/1Capsule, Liquid filledOralTopco Associates LLC76162-538
Gas-Aid Drops for infantssimethiconeDimethicone 20 mg/.3mLEmulsionOralLeosons Overseas Corp69626-5200

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