Over-the-counter drug · OTC MONOGRAPH DRUG
CVS Health Stomach relief Cherry Flavor (Bismuth subsalicylate) NDC 69842-221
Bismuth subsalicylate 262 mg/1 · Tablet, Chewable · Oral · CVS PHARMACY,INC.
NDC codes
FDA NDC Directory| Package NDC | 11-digit (billing) | Package | Copy |
|---|---|---|---|
| 69842-221-12 | 6984202211269842022112 | 2 BOTTLE in 1 CARTON (69842-221-12) / 12 TABLET, CHEWABLE in 1 BOTTLEMarketed from Mar 19, 2019 | |
| 69842-221-30 | 6984202213069842022130 | 5 CELLO PACK in 1 CARTON (69842-221-30) / 6 TABLET, CHEWABLE in 1 CELLO PACKMarketed from Aug 6, 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)
- CVS Health Stomach relief Cherry FlavorSuffix: Cherry Flavor
- Generic name (nonproprietary)
- bismuth subsalicylate
- Active ingredients
- Bismuth subsalicylate — 262 mg/1
- Dosage form
- Tablet, Chewable
- Route
- Oral
- Labeler
- CVS PHARMACY,INC.NDC labeler code 69842
- Product type
- Over-the-counter drug
- Marketing category
- OTC monograph drugApplication M 008
- Marketing start
- Listing expires
- Identifiers
- Product ID 69842-221_cee3ba6c-2e07-42f8-a657-bb95a061ae7dSPL ID cee3ba6c-2e07-42f8-a657-bb95a061ae7dSPL set ID c0bb2b6e-8187-495e-8eac-2324fae86cf5RxCUI 308761UNII 62TEY51RR1UPC 0050428420324
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
N469842022112followed by a unit qualifier and the quantityPackage 69842-0221-12. 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: ▪ travelers’ diarrhea ▪ diarrhea ▪ upset stomach due to overindulgence in food and drink, including: ▪ heartburn ▪ indigestion ▪ nausea ▪ gas ▪ belching ▪ fullness
Excerpt only. Read the full label for complete information.
About NDC 69842-221
- What is NDC 69842-221?
- 69842-221 is the product NDC for CVS Health Stomach relief Cherry Flavor, Bismuth subsalicylate 262 mg/1 tablet, chewable, listed with the FDA by CVS PHARMACY,INC.. It has 2 package NDCs, shown above in 10- and 11-digit form.
- What drug is associated with this NDC?
- CVS Health Stomach relief Cherry Flavor (Bismuth Subsalicylate).
- What is the active ingredient?
- Bismuth subsalicylate.
- Who is the labeler?
- CVS PHARMACY,INC., NDC labeler code 69842. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
- What other NDCs exist for CVS Health Stomach relief Cherry Flavor?
- None: this is the only finished product listed under this name.
- Is there a related HCPCS / J-code?
- Not in Med-Code's curated HCPCS directory. See Billing references above.
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 |
|---|---|---|---|---|
| 5 Symptom Digestive Reliefbismuth subsalicylate | Bismuth subsalicylate 262 mg/1 | Tablet, ChewableOral | TARGET CORPORATION | 11673-723 |
| 5-Symptom Digestive Reliefbismuth subsalicylate | Bismuth subsalicylate 525 mg/30mL | SuspensionOral | TARGET CORPORATION | 11673-291 |
| 5-Symptom Digestive Reliefbismuth subsalicylate | Bismuth subsalicylate 262 mg/1 | TabletOral | TARGET CORPORATION | 11673-880 |
| AMAZON Digestive Reliefbismuth subsalicylate | Bismuth subsalicylate 262 mg/1 | TabletOral | AMAZON.COM SERVICES LLC | 72288-125 |
| AMAZON Regular Strengthbismuth subsalicylate | Bismuth subsalicylate 525 mg/30mL | SuspensionOral | AMAZON.COM SERVICES LLC | 72288-706 |
| Anti-Diarrhealbismuth subsalicylate | Bismuth subsalicylate 262 mg/1 | TabletOral | Lil' Drug Store Products, Inc. | 66715-6841 |
| Bismuthbismuth subsalicylate | Bismuth subsalicylate 262 mg/1 | TabletOral | Allegiant Health | 69168-046 |
| Bismuth Chewablebismuth subsalicylate 262 mg | Bismuth subsalicylate 262 mg/1 | Tablet, ChewableOral | Marc Glassman, Inc. | 68998-046 |
| Bismuth subsalicylate | Bismuth subsalicylate 262 mg/1 | Capsule, Liquid filledOral | Softgel Healthcare Pvt Ltd | 35916-0234 |
| Bismuth Subsalicylate | Bismuth subsalicylate 262 mg/1 | Tablet, Film coatedOral | LEADER/ Cardinal Health 110, Inc. | 70000-0594 |
| Bismuth Subsalicylate 262 mgbismuth subsalicylate | Bismuth subsalicylate 262 mg/1 | Tablet, ChewableOral | Preferred Pharmaceuticals Inc. | 68788-4116 |
| Bismuth Subsalicylate 262 mgbismuth subsalicylate | Bismuth subsalicylate 262 mg/1 | Tablet, ChewableOral | Reliable 1 Laboratories LLC | 69618-029 |
| Bismuth Subsalicylate Pink Bismuthbismuth subsalicylate | Bismuth subsalicylate 262 mg/1 | Tablet, ChewableOral | Hyvee Inc | 42507-267 |
| Bismuth Subsalicylate Suspension Regular Strengthbismuth subsalicylate | Bismuth subsalicylate 525 mg/30mL | SuspensionOral | AptaPharma Inc. | 76281-557 |
| Bismuth Subsalicylate Suspension Regular Strengthbismuth subsalicylate | Bismuth subsalicylate 525 mg/30mL | LiquidOral | FSA Store Inc. (Caring Mill) | 81522-557 |
| Careone Stomach Reliefbismuth subsalicylate | Bismuth subsalicylate 262 mg/1 | Tablet, ChewableOral | Retail Business Services, LLC. | 72476-173 |
| Chewable Stomach Reliefbismuth subsalicylate | Bismuth subsalicylate 262 mg/1 | Tablet, ChewableOral | PUBLIX SUPER MARKETS INC, | 41415-124 |
| CVS Health Anti-Diarrheal Vanillabismuth subsalicylate | Bismuth subsalicylate 262 mg/15mL | SuspensionOral | CVS Pharmacy,Inc. | 59779-883 |
| CVS Health Stomach Relief SOFTGELbismuth subsalicylate | Bismuth subsalicylate 262 mg/1 | Capsule, Liquid filledOral | CVS Pharmacy, Inc. | 51316-829 |
| CVS Stomach Reliefbismuth subsalicylate | Bismuth subsalicylate 262 mg/1 | TabletOral | CVS | 51316-124 |
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