NDC codes

FDA NDC Directory
Product NDC (as listed)62372-504Labeler and product segments. Claims need a package NDC.
Product NDC at billing width62372-0504Add 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
62372-504-1262372050412355 mL in 1 BOTTLE, PLASTIC (62372-504-12)Marketed from Mar 21, 2016

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)
Mylanta Maximum Strength Vanilla Caramel Flavor
Generic name (nonproprietary)
antacid and anti gas aluminum hydroxide magnesium hydroxide and simethicone
Active ingredients
Aluminum hydroxide800 mg/10mLMagnesium hydroxide800 mg/10mLDimethicone80 mg/10mL
Dosage form
Suspension
Route
Oral
Product type
Over-the-counter drug
Marketing category
OTC monograph drugApplication M 001
Marketing start
Listing expires
Other FDA classes
Increased Large Intestinal Motility (Physiologic effect)Inhibition Large Intestine Fluid/Electrolyte Absorption (Physiologic effect)Inhibition Small Intestine Fluid/Electrolyte Absorption (Physiologic effect)Magnesium Ion Exchange Activity (Mechanism)Osmotic Activity (Mechanism)Skin Barrier Activity (Physiologic effect)Stimulation Large Intestine Fluid/Electrolyte Secretion (Physiologic effect)
Identifiers
Product ID 62372-504_0bb0df3b-05ce-5c5b-e063-6394a90ab91aSPL ID 0bb0df3b-05ce-5c5b-e063-6394a90ab91aSPL set ID ace5cae4-3a78-41c3-987d-59ce22dca2acRxCUI 237870UNII 5QB0T2IUN0, NBZ3QY004S, 92RU3N3Y1O
Pharmacologic class
Calculi Dissolution Agent; Osmotic Laxative

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

N462372050412 followed by a unit qualifier and the quantity

Package 62372-0504-12. 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: heartburn pressure and bloating commonly referred to as gas acid indigestion sour stomach upset stomach due to these symptoms overindulgence in food and drink

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under M 001

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

FDA NDC Directory listings under M 001
ProductStrengthForm · routeLabelerProduct NDC
HEB Antacid Calcium Assorted Berrycalcium carbonateCalcium carbonate 1000 mg/1Tablet, ChewableOralHEB37808-103
GOODSENSE Ultra Strength Antacid Assorted Fruitcalcium carbonateCalcium carbonate 1000 mg/1Tablet, ChewableOralGoodSense50804-171
Sodium Bicarbonate 10 gr. (650 mg)sodium bicarbonateSodium bicarbonate 650 mg/1TabletOralGendose Pharmaceuticals, LLC77333-829
Rite Aid Extra Strengthaluminum hydroxide and magnesium carbonateAluminum hydroxide 160 mg/1; Magnesium carbonate 105 mg/1Tablet, ChewableOralRITE AID CORPORATION11822-1050
Extra Strengthantacid tabletsCalcium carbonate 750 mg/1Tablet, ChewableOralSAFEWAY21130-207
Tums Ultracalcium carbonateCalcium carbonate 1000 mg/1Tablet, ChewableOralHaleon US Holdings LLC0135-0118
Exchange Select Calcium Carbonate Antacid Smoothies Extra Strength Assorted Berriescalcium carbonateCalcium carbonate 750 mg/1TabletOralXiamen Kang Zhongyuan Biotechnology Co., Ltd.83698-590
Rite Aid Extra Strengthaluminum hydroxide and magnesium carbonateAluminum hydroxide 160 mg/1; Magnesium carbonate 105 mg/1Tablet, ChewableOralRITE AID CORPORATION11822-1051
Calcium CarbonateCalcium carbonate 1250 mg/5mLSuspensionOralPAI Holdings, LLC dba PAI Pharma0121-4766
HEB Regular strength Assorted Fruitcalcium carbonateCalcium carbonate 500 mg/1Tablet, ChewableOralHEB37808-101
Exchange Select Antacid Soft Chews Cherry Flavorcalcium carbonateCalcium carbonate 1177 mg/1Tablet, ChewableOralXiamen Kang Zhongyuan Biotechnology Co., Ltd.83698-591
Extra Strengthantacid tabletsCalcium carbonate 750 mg/1Tablet, ChewableOralSAFEWAY21130-209
Rolaids Advanced Antacid Anti-gas Wild Berrycalcium carbonate and magnesium hydroxide and simethiconeCalcium carbonate 1000 mg/1 + 2 more ingredientsTablet, ChewableOralChattem, Inc.41167-1041
Good Sense Antacid Soft Chewcalcium carbonateCalcium carbonate 1177 mg/1Tablet, ChewableOralGeiss, Destin Dunn50804-027
Ultra Strength Antacid Assorted Fruitcalcium carbonateCalcium carbonate 1000 mg/1Tablet, ChewableOralDiscount Drug Mart, Inc53943-171
Target Berry Lime HBG Chewscalcium carbonateDimethicone 80 mg/1; Calcium carbonate 750 mg/1Tablet, ChewableOralTarget11673-547
Regular Strength Assorted Flavorsantacid calcium carbonateCalcium carbonate 500 mg/1Tablet, ChewableOralAKRON PHARMA INC71399-9939
Rugby Extra Strength Assorted Berriesantacid tabletsCalcium carbonate 750 mg/1Tablet, ChewableOralRugby Laboratories0536-1050
Acid Gone Antacidaluminum hydroxide and magnesium carbonateAluminum hydroxide 95 mg/15mL; Magnesium carbonate 358 mg/15mLLiquidOralMajor Pharmaceuticals0904-7727
Rolaids Ultra Strength Antacid Strawberrycalcium carbonate and magnesium hydroxideCalcium carbonate 1330 mg/1; Magnesium hydroxide 235 mg/1Tablet, ChewableOralChattem, Inc.41167-1031

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