Over-the-counter drug · OTC MONOGRAPH DRUG

Extra Strength Gas Relief (Simethicone) NDC 57896-694

Dimethicone 125 mg/1 · Tablet, Chewable · Oral · Geri-Care Pharmaceuticals, Corp

NDC codes

FDA NDC Directory
Product NDC (as listed)57896-694Labeler and product segments. Claims need a package NDC.
Product NDC at billing width57896-0694Add 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
57896-694-03578960694035789606940330 TABLET, CHEWABLE in 1 BOTTLE (57896-694-03)Marketed from Mar 1, 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 Gas Relief
Generic name (nonproprietary)
simethicone
Active ingredients
Dimethicone — 125 mg/1
Dosage form
Tablet, Chewable
Route
Oral
Labeler
Geri-Care Pharmaceuticals, CorpNDC labeler code 57896
Product type
Over-the-counter drug
Marketing category
OTC monograph drugApplication M 002
Marketing start
Listing expires
Other FDA classes
Skin Barrier Activity (Physiologic effect)
Identifiers
Product ID 57896-694_33da3116-9098-6158-e063-6294a90aed1fSPL ID 33da3116-9098-6158-e063-6294a90aed1fSPL set ID b6223134-8a2e-d1ec-e053-2995a90a9077RxCUI 314221UNII 92RU3N3Y1OUPC 0357896694036

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

N457896069403 followed by a unit qualifier and the quantity

Package 57896-0694-03. 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, and 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 57896-694

What is NDC 57896-694?
57896-694 is the product NDC for Extra Strength Gas Relief (simethicone), Dimethicone 125 mg/1 tablet, chewable, listed with the FDA by Geri-Care Pharmaceuticals, Corp. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Extra Strength Gas Relief (Simethicone).
What is the active ingredient?
Dimethicone.
Who is the labeler?
Geri-Care Pharmaceuticals, Corp, NDC labeler code 57896. 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 Gas Relief?
16 other product NDCs are listed under this name. See all Extra Strength 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 Extra Strength Gas Relief NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
Extra Strength Gas ReliefsimethiconeDimethicone 125 mg/1Capsule, Liquid filledOralShield Pharmaceuticals Corp83059-0076—
Extra Strength Gas ReliefsimethiconeDimethicone 125 mg/1Capsule, Liquid filledOralShield Pharmaceuticals Corp83059-016983059-0169-01
Extra Strength Gas ReliefsimethiconeDimethicone 125 mg/1Tablet, ChewableOralHyvee Inc42507-70142507-0701-3442507-0701-73
Extra Strength Gas ReliefsimethiconeDimethicone 125 mg/1CapsuleOralGrocery Outlet, Inc.85828-72285828-0722-30
Extra Strength Gas ReliefsimethiconeDimethicone 125 mg/1Capsule, Liquid filledOralShield Pharmaceuticals Corp83059-0118—
Extra Strength Gas ReliefsimethiconeDimethicone 125 mg/1Tablet, ChewableOralHarris Teeter, LLC69256-13569256-0135-73
Extra Strength Gas ReliefsimethiconeDimethicone 125 mg/1Capsule, Liquid filledOralTARGET CORPORATION11673-49511673-0495-71
Extra strength gas reliefsimethiconeDimethicone 125 mg/1CapsuleOralKROGER COMPANY41226-72241226-0722-30
Extra Strength Gas Reliefsimethicone antigasDimethicone, Unspecified 125 mg/1Tablet, ChewableOralWALGREENS CO.0363-011900363-0119-18
Extra Strength Gas ReliefsimethiconeDimethicone, Unspecified 125 mg/1Tablet, ChewableOralSAFEWAY21130-11021130-0110-1821130-0110-48

All 17 Extra Strength 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
Extra Strength Gas ReliefsimethiconeDimethicone 125 mg/1Tablet, ChewableOralHarris Teeter, LLC69256-135
Gas Relief Extra StrengthsimethiconeDimethicone 125 mg/1Capsule, Liquid filledOralCardinal Health (Leader) 7000070000-0529
QUITA COLICOS Gas RELIEF DropssimethiconeDimethicone 20 mg/.3mLLiquidOralDLC Laboratories, Inc.24286-1533
Gas Relief Extra StrengthsimethiconeDimethicone 125 mg/1Capsule, Liquid filledOralBest Choice (Valu Merchandisers Company)63941-897
Simethicone 80 mgsimethiconeDimethicone 80 mg/1Tablet, ChewableOralProficient Rx LP82804-043
Gas Relief Ultra StrengthsimethiconeDimethicone 180 mg/1Capsule, Liquid filledOralWalgreens0363-8730
gas reliefsimethiconeDimethicone, Unspecified 250 mg/1Capsule, Liquid filledOralGLENMARK THERAPEUTICS INC., USA72657-482
SimethiconeDimethicone 250 mg/1Capsule, Liquid filledOralWALGREEN CO.0363-9945
gas reliefsimethiconeDimethicone, Unspecified 125 mg/1Capsule, Liquid filledOralGLENMARK THERAPEUTICS INC., USA72657-480
Target Gas Relief Chews Mixed Berry and StrawberrysimethiconeDimethicone 250 mg/1; Calcium carbonate 750 mg/1Tablet, ChewableOralTarget11673-548
Ultra Strength Gas ReliefsimethiconeDimethicone 180 mg/1CapsuleOralBETTER LIVING BRANDS, LLC21130-717
Simethicone 80MgsimethiconeDimethicone, Unspecified 80 mg/1Tablet, ChewableOralCardinal Health 107, LLC55154-2606
gas reliefsimethiconeDimethicone, Unspecified 180 mg/1Capsule, Liquid filledOralGLENMARK THERAPEUTICS INC., USA72657-481
extra strength Gas Relief cherry cremesimethiconeDimethicone 125 mg/1Tablet, ChewableOralAmerisource Bergen46122-811
Alcohol prep padIsopropyl alcohol 70 g/1001ClothTopicalTarget Corporation11673-139
Maximum Strength Gas ReliefsimethiconeDimethicone, Unspecified 250 mg/1Capsule, Liquid filledOralChain Drug Marketing Association, Inc.63868-975
Gas ReliefsimethiconeDimethicone 125 mg/1Tablet, ChewableOralRite Aid Corporation11822-6080
simethicone gas reliefsimethiconeDimethicone 20 mg/.3mLSuspension/ dropsOralMOM Enterprises, LCC71444-788
Gas ReliefsimethiconeDimethicone 125 mg/1Tablet, ChewableOralChain Drug Marketing Association, Inc.83324-325
AntiflatulentsimethiconeDimethicone 80 mg/1Tablet, ChewableOralMajor Pharmaceuticals0904-7206

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