NDC codes

FDA NDC Directory
Product NDC (as listed)63868-622Labeler and product segments. Claims need a package NDC.
Product NDC at billing width63868-0622Add 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
63868-622-306386806223030 TABLET in 1 CELLO PACK (63868-622-30)Marketed from Jun 16, 2021

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
Generic name (nonproprietary)
bismuth subsalicylate
Active ingredients
Bismuth subsalicylate — 262 mg/1
Dosage form
Tablet
Route
Oral
Labeler
CDMA- QC
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 63868-622_25788bd2-f666-4c2f-9977-b343388c0c08SPL ID 25788bd2-f666-4c2f-9977-b343388c0c08SPL set ID fe3cd0ce-933b-4ad3-a34f-c057a9356158RxCUI 308761UNII 62TEY51RR1
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

N463868062230 followed by a unit qualifier and the quantity

Package 63868-0622-30. 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

Label details couldn’t be retrieved right now. Open the label on DailyMed.

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
Premier Value Diarrhea Relief Vanilla Flavorbismuth subsalicylateBismuth subsalicylate 262 mg/15mLSuspensionOralPHARMACY VALUE ALLIANCE, LLC68016-317
Bismuthbismuth subsalicylateBismuth subsalicylate 262 mg/1TabletOralAllegiant Health69168-046
Pink-Bismuthbismuth subsalicylateBismuth subsalicylate 262 mg/15mLLiquidOralGuardian Drug Company53041-527
meijer stomach relief regular strengthbismuth subsalicylateBismuth subsalicylate 525 mg/30mLSuspensionOralMEIJER DISTRIBUTION INC41250-670
up and up digestive reliefbismuth subsalicylateBismuth subsalicylate 525 mg/30mLSuspensionOralTarget Corporation11673-706
meijer stomach relief regular strengthbismuth subsalicylateBismuth subsalicylate 525 mg/30mLSuspensionOralMEIJER DISTRIBUTION INC41250-671
Pepto-Bismolbismuth subsalicylateBismuth subsalicylate 262 mg/1TabletOralProcter & Gamble Manufactura S de RL de CV58933-476
5 Symptom Digestive Reliefbismuth subsalicylateBismuth subsalicylate 262 mg/1Tablet, ChewableOralTARGET CORPORATION11673-723
Soothebismuth subsalicylateBismuth subsalicylate 525 mg/30mLLiquidOralWalgreens0363-0073
Premier Valuebismuth subsalicylateBismuth subsalicylate 262 mg/1Tablet, ChewableOralCHAIN DRUG CONSORTIUM,LLC68016-124
Digestive Relief Regular Strengthbismuth subsalicylateBismuth subsalicylate 525 mg/30mLLiquidOralTARGET Corporation11673-724
Stomach Relief - Maximum Strengthbismuth subsalicylateBismuth subsalicylate 1050 mg/30mLLiquidOralAptaPharma Inc.76281-538
Pepto-Bismolbismuth subsalicylateBismuth subsalicylate 525 mg/30mLSuspensionOralThe Procter & Gamble Manufacturing Company37000-438
nexmed multi symptom stomach reliefbismuth subsalicylate 262 mgBismuth subsalicylate 262 mg/1Capsule, Liquid filledOralShield Pharmaceuticals Corp83059-0092
Pepto-Bismol ULTRAbismuth subsalicylateBismuth subsalicylate 525 mg/1TabletOralProcter & Gamble Manufactura, S. de R.L. de C.V.58933-478
HEB Stomach Reliefbismuth subsalicylateBismuth subsalicylate 262 mg/1Tablet, ChewableOralH E B37808-937
Good Neighbor Ultra Strength Stomach Reliefbismuth subsalicylateBismuth subsalicylate 525 mg/15mLSuspensionOralAMERISOURCE BERGEN46122-747
Stomach Relief - Regular Strengthbismuth subsalicylateBismuth subsalicylate 525 mg/30mLLiquidOralAptaPharma Inc.76281-537
nexmed multi symptom stomach reliefbismuth subsalicylate 262 mgBismuth subsalicylate 262 mg/1Capsule, Liquid filledOralShield Pharmaceuticals Corp83059-0093
regular strength pink bismuthbismuth subsalicylateBismuth subsalicylate 525 mg/30mLSuspensionOralCVS PHARMACY, INC.69842-766

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