Over-the-counter drug · OTC MONOGRAPH DRUG
CVS Health Anti-Diarrheal Vanilla NDC 59779-883
bismuth subsalicylate · Bismuth subsalicylate 262 mg/15mL · Suspension · Oral · CVS Pharmacy,Inc.
NDC codes
FDA NDC Directory| Package NDC | 11-digit (billing) | Package | Copy |
|---|---|---|---|
| 59779-883-12 | 59779088312 | 355 mL in 1 BOTTLE, PLASTIC (59779-883-12)Marketed from Aug 11, 2015 |
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)
- CVS Health Anti-Diarrheal Vanilla
- Generic name (nonproprietary)
- bismuth subsalicylate
- Active ingredients
- Bismuth subsalicylate — 262 mg/15mL
- Dosage form
- Suspension
- Route
- Oral
- Labeler
- CVS Pharmacy,Inc.
- Product type
- Over-the-counter drug
- Marketing category
- OTC monograph drugApplication M 008
- Marketing start
- Listing expires
- Identifiers
- Product ID 59779-883_09ba06ca-e638-4428-96fc-291ad02d3425SPL ID 09ba06ca-e638-4428-96fc-291ad02d3425SPL set ID ce1ed357-228b-452c-9bd4-6b0d20f41c1dRxCUI 308762UNII 62TEY51RR1UPC 0050428346440
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
N459779088312followed by a unit qualifier and the quantityPackage 59779-0883-12. 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
Current FDA label (SPL), effective .
Indications (excerpt from the label)
Uses relieves ▪ traveler’s diarrhea ▪ diarrhea ▪ upset stomach due to overindulgence in food and drink ▪ heartburn ▪ indigestion ▪ nausea ▪ gas
Excerpt only. Read the full label for complete information.
Other NDCs under M 008
Products listed under the same FDA application: other strengths and forms, and repackagers who relabel the same product.
| Product | Strength | Form · route | Labeler | Product NDC |
|---|---|---|---|---|
| Premier Value Diarrhea Relief Vanilla Flavorbismuth subsalicylate | Bismuth subsalicylate 262 mg/15mL | SuspensionOral | PHARMACY VALUE ALLIANCE, LLC | 68016-317 |
| Bismuthbismuth subsalicylate | Bismuth subsalicylate 262 mg/1 | TabletOral | Allegiant Health | 69168-046 |
| Pink-Bismuthbismuth subsalicylate | Bismuth subsalicylate 262 mg/15mL | LiquidOral | Guardian Drug Company | 53041-527 |
| meijer stomach relief regular strengthbismuth subsalicylate | Bismuth subsalicylate 525 mg/30mL | SuspensionOral | MEIJER DISTRIBUTION INC | 41250-670 |
| up and up digestive reliefbismuth subsalicylate | Bismuth subsalicylate 525 mg/30mL | SuspensionOral | Target Corporation | 11673-706 |
| meijer stomach relief regular strengthbismuth subsalicylate | Bismuth subsalicylate 525 mg/30mL | SuspensionOral | MEIJER DISTRIBUTION INC | 41250-671 |
| Pepto-Bismolbismuth subsalicylate | Bismuth subsalicylate 262 mg/1 | TabletOral | Procter & Gamble Manufactura S de RL de CV | 58933-476 |
| 5 Symptom Digestive Reliefbismuth subsalicylate | Bismuth subsalicylate 262 mg/1 | Tablet, ChewableOral | TARGET CORPORATION | 11673-723 |
| Soothebismuth subsalicylate | Bismuth subsalicylate 525 mg/30mL | LiquidOral | Walgreens | 0363-0073 |
| Premier Valuebismuth subsalicylate | Bismuth subsalicylate 262 mg/1 | Tablet, ChewableOral | CHAIN DRUG CONSORTIUM,LLC | 68016-124 |
| Digestive Relief Regular Strengthbismuth subsalicylate | Bismuth subsalicylate 525 mg/30mL | LiquidOral | TARGET Corporation | 11673-724 |
| Stomach Relief - Maximum Strengthbismuth subsalicylate | Bismuth subsalicylate 1050 mg/30mL | LiquidOral | AptaPharma Inc. | 76281-538 |
| Pepto-Bismolbismuth subsalicylate | Bismuth subsalicylate 525 mg/30mL | SuspensionOral | The Procter & Gamble Manufacturing Company | 37000-438 |
| nexmed multi symptom stomach reliefbismuth subsalicylate 262 mg | Bismuth subsalicylate 262 mg/1 | Capsule, Liquid filledOral | Shield Pharmaceuticals Corp | 83059-0092 |
| Pepto-Bismol ULTRAbismuth subsalicylate | Bismuth subsalicylate 525 mg/1 | TabletOral | Procter & Gamble Manufactura, S. de R.L. de C.V. | 58933-478 |
| HEB Stomach Reliefbismuth subsalicylate | Bismuth subsalicylate 262 mg/1 | Tablet, ChewableOral | H E B | 37808-937 |
| Good Neighbor Ultra Strength Stomach Reliefbismuth subsalicylate | Bismuth subsalicylate 525 mg/15mL | SuspensionOral | AMERISOURCE BERGEN | 46122-747 |
| Stomach Relief - Regular Strengthbismuth subsalicylate | Bismuth subsalicylate 525 mg/30mL | LiquidOral | AptaPharma Inc. | 76281-537 |
| nexmed multi symptom stomach reliefbismuth subsalicylate 262 mg | Bismuth subsalicylate 262 mg/1 | Capsule, Liquid filledOral | Shield Pharmaceuticals Corp | 83059-0093 |
| regular strength pink bismuthbismuth subsalicylate | Bismuth subsalicylate 525 mg/30mL | SuspensionOral | CVS PHARMACY, INC. | 69842-766 |
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