NDC codes

FDA NDC Directory
Product NDC (as listed)69256-265Labeler and product segments. Claims need a package NDC.
Product NDC at billing width69256-0265Add 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
69256-265-31692560265312 BLISTER PACK in 1 CARTON (69256-265-31) / 6 TABLET in 1 BLISTER PACKMarketed from Feb 5, 2025
69256-265-33692560265334 BLISTER PACK in 1 CARTON (69256-265-33) / 6 TABLET in 1 BLISTER PACKMarketed from Feb 5, 2025
69256-265-73692560265733 BLISTER PACK in 1 CARTON (69256-265-73) / 6 TABLET in 1 BLISTER PACKMarketed from Feb 5, 2025

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)
Anti-Diarrheal/Anti-Gas
Generic name (nonproprietary)
loperamide hydrochloride, simethicone
Active ingredients
Loperamide hydrochloride — 2 mg/1Dimethicone — 125 mg/1
Dosage form
Tablet
Route
Oral
Product type
Over-the-counter drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 214541
Marketing start
Listing expires
Other FDA classes
Opioid Agonists (Mechanism)Skin Barrier Activity (Physiologic effect)
Identifiers
Product ID 69256-265_2f55bd8b-0976-4984-98a9-8e372dfce3e8SPL ID 2f55bd8b-0976-4984-98a9-8e372dfce3e8SPL set ID 2c4f882b-89d5-42ce-e063-6294a90a5fbeRxCUI 978001UNII 77TI35393C, 92RU3N3Y1OUPC 0072036737229, 0072036737243, 0072036737236
Pharmacologic class
Opioid Agonist

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

N469256026531 followed by a unit qualifier and the quantity

Package 69256-0265-31. 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 ANDA 214541

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

FDA NDC Directory listings under ANDA 214541
ProductStrengthForm · routeLabelerProduct NDC
Loperamide Hydrochloride, SimethiconeLoperamide hydrochloride 2 mg/1; Dimethicone 125 mg/1TabletOralGuardian Drug Company53041-263
Anti-Diarrheal/Anti-Gas Multi-Symptom Reliefloperamide hydrochloride 2mg, simethicone 125mgLoperamide hydrochloride 2 mg/1; Dimethicone 125 mg/1TabletOralWal-Mart Stores, Inc.79903-116
Equate Anti Diarrheal Anti Gas Multi-Symptom Reliefloperamide hydrochloride, simethiconeLoperamide hydrochloride 2 mg/1; Dimethicone 125 mg/1TabletOralWALMART INC.79903-302
Anti-Diarrheal/Anti-Gasloperamide hydrochloride, simethiconeLoperamide hydrochloride 2 mg/1; Dimethicone 125 mg/1TabletOralDiscount Drug Mart, Inc53943-263

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