Over-the-counter drug · OTC MONOGRAPH DRUG

Pepto-Bismol ULTRA (Bismuth subsalicylate) NDC 58933-478

Bismuth subsalicylate 525 mg/1 · Tablet · Oral · Procter & Gamble Manufactura, S. de R.L. de C.V.

NDC codes

FDA NDC Directory
Product NDC (as listed)58933-478Labeler and product segments. Claims need a package NDC.
Product NDC at billing width58933-0478Add 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
58933-478-1258933047812589330478121 BOTTLE in 1 CARTON (58933-478-12) / 12 TABLET in 1 BOTTLEMarketed from Feb 1, 2018
58933-478-2458933047824589330478241 BOTTLE in 1 CARTON (58933-478-24) / 24 TABLET in 1 BOTTLEMarketed from Feb 1, 2018

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)
Pepto-Bismol ULTRASuffix: ULTRA
Generic name (nonproprietary)
bismuth subsalicylate
Active ingredients
Bismuth subsalicylate — 525 mg/1
Dosage form
Tablet
Route
Oral
Product type
Over-the-counter drug
Marketing category
OTC monograph drugApplication M 008
Marketing start
Listing expires
Identifiers
Product ID 58933-478_5d1b5bf2-cd94-caa8-e063-6294a90a0316SPL ID 5d1b5bf2-cd94-caa8-e063-6294a90a0316

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

N458933047812 followed by a unit qualifier and the quantity

Package 58933-0478-12. 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

The FDA listing for this product does not reference a label (SPL) set.

About NDC 58933-478

What is NDC 58933-478?
58933-478 is the product NDC for Pepto-Bismol ULTRA (bismuth subsalicylate), Bismuth subsalicylate 525 mg/1 tablet, listed with the FDA by Procter & Gamble Manufactura, S. de R.L. de C.V.. It has 2 package NDCs, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Pepto-Bismol ULTRA (Bismuth subsalicylate).
What is the active ingredient?
Bismuth subsalicylate.
Who is the labeler?
Procter & Gamble Manufactura, S. de R.L. de C.V., NDC labeler code 58933. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Pepto-Bismol ULTRA?
2 other product NDCs are listed under this name. See all Pepto-Bismol 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 Pepto-Bismol ULTRA NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
Pepto Bismol Ultrabismuth subsalicylateBismuth subsalicylate 525 mg/15mLSuspensionOralThe Procter & Gamble Manufacturing Company69423-96669423-0966-12
Pepto-Bismol Ultrabismuth subsalicylateBismuth subsalicylate 525 mg/15mLSuspensionOralThe Procter & Gamble Manufacturing Company37000-44037000-0440-0437000-0440-0837000-0440-12+1 more

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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