What is NDC 55910-637?

55910-637 is the product NDC for Ultra Bismuth (bismuth subsalicylate), Bismuth subsalicylate 525 mg/15mL liquid, listed with the FDA by Dolgencorp, Inc. (DOLLAR GENERAL & REXALL). It has 2 package NDCs, shown above in 10- and 11-digit form.

What drug is associated with this NDC?

Ultra Bismuth (Bismuth subsalicylate).

Dolgencorp, Inc. (DOLLAR GENERAL & REXALL), NDC labeler code 55910. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.

What other NDCs exist for Ultra Bismuth?

None: this is the only finished product listed under this name.

Is there a related HCPCS / J-code?

Not in Med-Code's curated HCPCS directory.

Ultra Bismuth NDC 55910-637 | National Drug Code

NDC codes

FDA NDC Directory

Product NDC (as listed)55910-637Labeler and product segments. Claims need a package NDC.

Product NDC at billing width55910-0637Add 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 NDC	11-digit (billing)	Package	Copy
55910-637-04	5591006370455910063704	118 mL in 1 BOTTLE, PLASTIC (55910-637-04)Marketed from Nov 29, 2019
55910-637-12	5591006371255910063712	355 mL in 1 BOTTLE, PLASTIC (55910-637-12)Marketed from Nov 29, 2019

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): Ultra Bismuth
Generic name (nonproprietary): bismuth subsalicylate
Active ingredients: Bismuth subsalicylate — 525 mg/15mL
Dosage form: Liquid
Route: Oral
Labeler: Dolgencorp, Inc. (DOLLAR GENERAL & REXALL)NDC labeler code 55910
Product type: Over-the-counter drug
Marketing category: OTC monograph drugApplication M 008
Marketing start: Nov 29, 2019
Listing expires: Dec 31, 2027
Other FDA classes: Bismuth (Chemical structure)
Identifiers: Product ID 55910-637_c751324d-47d9-49f0-b941-a526747e71c3SPL ID c751324d-47d9-49f0-b941-a526747e71c3SPL set ID 0fc01a1a-4b1d-4c78-9955-220984a8019cRxCUI 308763UNII 62TEY51RR1
Pharmacologic class: Bismuth

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

N455910063704 followed by a unit qualifier and the quantity

Package 55910-0637-04. 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 Aug 30, 2024.

Indications (excerpt from the label)

Uses relieves travelers' diarrhea diarrhea upset stomach due to overindulgence in food and drink, including: heartburn indigestion nausea gas fullness belching

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 55910-637

What is NDC 55910-637?: 55910-637 is the product NDC for Ultra Bismuth (bismuth subsalicylate), Bismuth subsalicylate 525 mg/15mL liquid, listed with the FDA by Dolgencorp, Inc. (DOLLAR GENERAL & REXALL). It has 2 package NDCs, shown above in 10- and 11-digit form.
What drug is associated with this NDC?: Ultra Bismuth (Bismuth subsalicylate).
What is the active ingredient?: Bismuth subsalicylate.
Who is the labeler?: Dolgencorp, Inc. (DOLLAR GENERAL & REXALL), NDC labeler code 55910. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Ultra Bismuth?: None: this is the only finished product listed under this name.
Is there a related HCPCS / J-code?: Not in Med-Code's curated HCPCS directory. See Billing references above.

Other NDCs under M 008

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

FDA NDC Directory listings under M 008
Product	Strength	Form · route	Labeler	Product NDC
5 Symptom Digestive Reliefbismuth subsalicylate	Bismuth subsalicylate 262 mg/1	Tablet, ChewableOral	TARGET CORPORATION	11673-723
5-Symptom Digestive Reliefbismuth subsalicylate	Bismuth subsalicylate 525 mg/30mL	SuspensionOral	TARGET CORPORATION	11673-291
5-Symptom Digestive Reliefbismuth subsalicylate	Bismuth subsalicylate 262 mg/1	TabletOral	TARGET CORPORATION	11673-880
AMAZON Digestive Reliefbismuth subsalicylate	Bismuth subsalicylate 262 mg/1	TabletOral	AMAZON.COM SERVICES LLC	72288-125
AMAZON Regular Strengthbismuth subsalicylate	Bismuth subsalicylate 525 mg/30mL	SuspensionOral	AMAZON.COM SERVICES LLC	72288-706
Anti-Diarrhealbismuth subsalicylate	Bismuth subsalicylate 262 mg/1	TabletOral	Lil' Drug Store Products, Inc.	66715-6841
Bismuthbismuth subsalicylate	Bismuth subsalicylate 262 mg/1	TabletOral	Allegiant Health	69168-046
Bismuth Chewablebismuth subsalicylate 262 mg	Bismuth subsalicylate 262 mg/1	Tablet, ChewableOral	Marc Glassman, Inc.	68998-046
Bismuth subsalicylate	Bismuth subsalicylate 262 mg/1	Capsule, Liquid filledOral	Softgel Healthcare Pvt Ltd	35916-0234
Bismuth Subsalicylate	Bismuth subsalicylate 262 mg/1	Tablet, Film coatedOral	LEADER/ Cardinal Health 110, Inc.	70000-0594
Bismuth Subsalicylate 262 mgbismuth subsalicylate	Bismuth subsalicylate 262 mg/1	Tablet, ChewableOral	Preferred Pharmaceuticals Inc.	68788-4116
Bismuth Subsalicylate 262 mgbismuth subsalicylate	Bismuth subsalicylate 262 mg/1	Tablet, ChewableOral	Reliable 1 Laboratories LLC	69618-029
Bismuth Subsalicylate Pink Bismuthbismuth subsalicylate	Bismuth subsalicylate 262 mg/1	Tablet, ChewableOral	Hyvee Inc	42507-267
Bismuth Subsalicylate Suspension Regular Strengthbismuth subsalicylate	Bismuth subsalicylate 525 mg/30mL	SuspensionOral	AptaPharma Inc.	76281-557
Bismuth Subsalicylate Suspension Regular Strengthbismuth subsalicylate	Bismuth subsalicylate 525 mg/30mL	LiquidOral	FSA Store Inc. (Caring Mill)	81522-557
Careone Stomach Reliefbismuth subsalicylate	Bismuth subsalicylate 262 mg/1	Tablet, ChewableOral	Retail Business Services, LLC.	72476-173
Chewable Stomach Reliefbismuth subsalicylate	Bismuth subsalicylate 262 mg/1	Tablet, ChewableOral	PUBLIX SUPER MARKETS INC,	41415-124
CVS Health Anti-Diarrheal Vanillabismuth subsalicylate	Bismuth subsalicylate 262 mg/15mL	SuspensionOral	CVS Pharmacy,Inc.	59779-883
CVS Health Stomach relief Cherry Flavorbismuth subsalicylate	Bismuth subsalicylate 262 mg/1	Tablet, ChewableOral	CVS PHARMACY,INC.	69842-221
CVS Health Stomach Relief SOFTGELbismuth subsalicylate	Bismuth subsalicylate 262 mg/1	Capsule, Liquid filledOral	CVS Pharmacy, Inc.	51316-829

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Ultra Bismuth (Bismuth subsalicylate) NDC 55910-637