Over-the-counter drug · ANDA
Anti-Diarrheal/Anti-Gas Multi-Symptom Relief NDC 79903-116
loperamide hydrochloride 2mg, simethicone 125mg · Loperamide hydrochloride 2 mg/1; Dimethicone 125 mg/1 · Tablet · Oral · Wal-Mart Stores, Inc.
NDC codes
FDA NDC Directory| Package NDC | 11-digit (billing) | Package | Copy |
|---|---|---|---|
| 79903-116-33 | 79903011633 | 4 BLISTER PACK in 1 CARTON (79903-116-33) / 6 TABLET in 1 BLISTER PACKMarketed from Jul 15, 2022 |
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 Multi-Symptom Relief
- Generic name (nonproprietary)
- loperamide hydrochloride 2mg, simethicone 125mg
- Active ingredients
- Loperamide hydrochloride — 2 mg/1Dimethicone — 125 mg/1
- Dosage form
- Tablet
- Route
- Oral
- Labeler
- Wal-Mart Stores, Inc.
- 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 79903-116_f6ae2fa7-3ea7-4643-8bce-75b3a4f2558fSPL ID f6ae2fa7-3ea7-4643-8bce-75b3a4f2558fSPL set ID a4d5dd69-22cf-4d00-b539-133886c09e37RxCUI 978001UNII 77TI35393C, 92RU3N3Y1O
- 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
N479903011633followed by a unit qualifier and the quantityPackage 79903-0116-33. 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)
USE(S) relieves symptoms of diarrhea plus bloating, pressure and cramps, commonly referred to as gas
Excerpt only. Read the full label for complete information.
Other NDCs under ANDA 214541
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 |
|---|---|---|---|---|
| Loperamide Hydrochloride, Simethicone | Loperamide hydrochloride 2 mg/1; Dimethicone 125 mg/1 | TabletOral | Guardian Drug Company | 53041-263 |
| Anti-Diarrheal/Anti-Gasloperamide hydrochloride, simethicone | Loperamide hydrochloride 2 mg/1; Dimethicone 125 mg/1 | TabletOral | Harris Teeter, LLC | 69256-265 |
| Equate Anti Diarrheal Anti Gas Multi-Symptom Reliefloperamide hydrochloride, simethicone | Loperamide hydrochloride 2 mg/1; Dimethicone 125 mg/1 | TabletOral | WALMART INC. | 79903-302 |
| Anti-Diarrheal/Anti-Gasloperamide hydrochloride, simethicone | Loperamide hydrochloride 2 mg/1; Dimethicone 125 mg/1 | TabletOral | Discount Drug Mart, Inc | 53943-263 |