Over-the-counter drug · OTC MONOGRAPH DRUG

Stomach Relief Ultra (Bismuth subsalicylate) NDC 55910-837

Bismuth subsalicylate 525 mg/15mL · Liquid · Oral · Dolgencorp, Inc. (DOLLAR GENERAL & REXALL)

NDC codes

FDA NDC Directory
Product NDC (as listed)55910-837Labeler and product segments. Claims need a package NDC.
Product NDC at billing width55910-0837Add 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
55910-837-085591008370855910083708237 mL in 1 BOTTLE, PLASTIC (55910-837-08)Marketed from Mar 19, 2020
55910-837-125591008371255910083712355 mL in 1 BOTTLE, PLASTIC (55910-837-12)Marketed from Mar 19, 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)
Stomach Relief UltraSuffix: Ultra
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
Listing expires
Other FDA classes
Bismuth (Chemical structure)
Identifiers
Product ID 55910-837_8a34c49b-40b1-4035-a721-28f80a648ab1SPL ID 8a34c49b-40b1-4035-a721-28f80a648ab1SPL set ID 6f189c12-eb94-476e-a8f7-ea82f44c4aa5RxCUI 308763UNII 62TEY51RR1UPC 0349580896130
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

N455910083708 followed by a unit qualifier and the quantity

Package 55910-0837-08. 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 diarrhea travelers' diarrhea upset stomach due to overindulgence in food and drink, including heartburn gas indigestion nausea fullness belching

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 55910-837

What is NDC 55910-837?
55910-837 is the product NDC for Stomach Relief Ultra (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?
Stomach Relief Ultra (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 Stomach Relief Ultra?
5 other product NDCs are listed under this name. See all Stomach Relief Ultra 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 Stomach Relief Ultra NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
Stomach Relief Ultrabismuth subsalicylateBismuth subsalicylate 525 mg/15mLLiquidOralFamily Dollar (FAMILY WELLNESS)55319-94855319-0948-0855319-0948-12
Stomach Relief Ultrabismuth subsalicylateBismuth subsalicylate 525 mg/15mLLiquidOralRugby Laboratories, Inc.0536-128700536-1287-36
Stomach Relief Ultrabismuth subsalicylateBismuth subsalicylate 525 mg/15mLLiquidOralCARDINAL HEALTH 110, LLC. DBA LEADER 7000070000-004570000-0045-01
Stomach Relief Ultrabismuth subsalicylateBismuth subsalicylate 525 mg/15mLLiquidOralEQUATE (Wal-Mart Stores, Inc.) (see also WAL-MART INC)49035-29349035-0293-12
Stomach Relief Ultrabismuth subsalicylateBismuth subsalicylate 525 mg/15mLLiquidOralBest Choice (Valu Merchandisers Company)63941-73763941-0737-0463941-0737-0863941-0737-12

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
ProductStrengthForm · routeLabelerProduct NDC
5 Symptom Digestive Reliefbismuth subsalicylateBismuth subsalicylate 262 mg/1Tablet, ChewableOralTARGET CORPORATION11673-723
5-Symptom Digestive Reliefbismuth subsalicylateBismuth subsalicylate 525 mg/30mLSuspensionOralTARGET CORPORATION11673-291
5-Symptom Digestive Reliefbismuth subsalicylateBismuth subsalicylate 262 mg/1TabletOralTARGET CORPORATION11673-880
AMAZON Digestive Reliefbismuth subsalicylateBismuth subsalicylate 262 mg/1TabletOralAMAZON.COM SERVICES LLC72288-125
AMAZON Regular Strengthbismuth subsalicylateBismuth subsalicylate 525 mg/30mLSuspensionOralAMAZON.COM SERVICES LLC72288-706
Anti-Diarrhealbismuth subsalicylateBismuth subsalicylate 262 mg/1TabletOralLil' Drug Store Products, Inc.66715-6841
Bismuthbismuth subsalicylateBismuth subsalicylate 262 mg/1TabletOralAllegiant Health69168-046
Bismuth Chewablebismuth subsalicylate 262 mgBismuth subsalicylate 262 mg/1Tablet, ChewableOralMarc Glassman, Inc.68998-046
Bismuth subsalicylateBismuth subsalicylate 262 mg/1Capsule, Liquid filledOralSoftgel Healthcare Pvt Ltd35916-0234
Bismuth SubsalicylateBismuth subsalicylate 262 mg/1Tablet, Film coatedOralLEADER/ Cardinal Health 110, Inc.70000-0594
Bismuth Subsalicylate 262 mgbismuth subsalicylateBismuth subsalicylate 262 mg/1Tablet, ChewableOralPreferred Pharmaceuticals Inc.68788-4116
Bismuth Subsalicylate 262 mgbismuth subsalicylateBismuth subsalicylate 262 mg/1Tablet, ChewableOralReliable 1 Laboratories LLC69618-029
Bismuth Subsalicylate Pink Bismuthbismuth subsalicylateBismuth subsalicylate 262 mg/1Tablet, ChewableOralHyvee Inc42507-267
Bismuth Subsalicylate Suspension Regular Strengthbismuth subsalicylateBismuth subsalicylate 525 mg/30mLSuspensionOralAptaPharma Inc.76281-557
Bismuth Subsalicylate Suspension Regular Strengthbismuth subsalicylateBismuth subsalicylate 525 mg/30mLLiquidOralFSA Store Inc. (Caring Mill)81522-557
Careone Stomach Reliefbismuth subsalicylateBismuth subsalicylate 262 mg/1Tablet, ChewableOralRetail Business Services, LLC.72476-173
Chewable Stomach Reliefbismuth subsalicylateBismuth subsalicylate 262 mg/1Tablet, ChewableOralPUBLIX SUPER MARKETS INC,41415-124
CVS Health Anti-Diarrheal Vanillabismuth subsalicylateBismuth subsalicylate 262 mg/15mLSuspensionOralCVS Pharmacy,Inc.59779-883
CVS Health Stomach relief Cherry Flavorbismuth subsalicylateBismuth subsalicylate 262 mg/1Tablet, ChewableOralCVS PHARMACY,INC.69842-221
CVS Health Stomach Relief SOFTGELbismuth subsalicylateBismuth subsalicylate 262 mg/1Capsule, Liquid filledOralCVS Pharmacy, Inc.51316-829

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