NDC codes

FDA NDC Directory
Product NDC (as listed)84415-010Labeler and product segments. Claims need a package NDC.
Product NDC at billing width84415-0010Add 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
84415-010-018441500100184415001001100 CUP, UNIT-DOSE in 1 BOX, UNIT-DOSE (84415-010-01) / 30 mL in 1 CUP, UNIT-DOSEMarketed from Jan 16, 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

Generic name (nonproprietary)
aluminum hydroxide, magnesium hydroxide, and simethicone
Active ingredients
Aluminum hydroxide — 2400 mg/30mLMagnesium hydroxide — 2400 mg/30mLDimethicone — 240 mg/30mL
Dosage form
Suspension
Route
Oral
Labeler
Everpharm LLCNDC labeler code 84415
Product type
Over-the-counter drug
Marketing category
OTC monograph drugApplication M001.15
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 84415-010_2bda8639-5512-d3fd-e063-6294a90a04eeSPL ID 2bda8639-5512-d3fd-e063-6294a90a04eeSPL set ID 2bda74cb-e77d-46bb-e063-6394a90af580RxCUI 237870, 307746UNII NBZ3QY004S, 92RU3N3Y1O, 5QB0T2IUN0
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

N484415001001 followed by a unit qualifier and the quantity

Package 84415-0010-01. 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 • sour stomach • acid indigestion • the symptoms referred to as gas

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 84415-010

What is NDC 84415-010?
84415-010 is the product NDC for Aluminum Hydroxide, Magnesium Hydroxide and Simethicone, Aluminum hydroxide 2400 mg/30mL + 2 more ingredients suspension, listed with the FDA by Everpharm LLC. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Aluminum Hydroxide, Magnesium Hydroxide and Simethicone (Aluminum Hydroxide, Magnesium Hydroxide, and Simethicone).
What is the active ingredient?
Aluminum hydroxide, Magnesium hydroxide, Dimethicone.
Who is the labeler?
Everpharm LLC, NDC labeler code 84415. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Aluminum Hydroxide, Magnesium Hydroxide and Simethicone?
5 other product NDCs are listed under this name. See all Aluminum Hydroxide, Magnesium Hydroxide and Simethicone NDCs.
Is there a related HCPCS / J-code?
Not in Med-Code's curated HCPCS directory. See Billing references above.

Other finished products listed under the same name: strengths, forms and labelers.

Other Aluminum Hydroxide, Magnesium Hydroxide and Simethicone NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
Aluminum Hydroxide, Magnesium Hydroxide, and SimethiconeAluminum hydroxide 1200 mg/30mL + 2 more ingredientsSuspensionOralMajor Pharmaceuticals0904-755700904-7557-73
Aluminum Hydroxide, Magnesium Hydroxide, and SimethiconeAluminum hydroxide 200 mg/5mL + 2 more ingredientsSuspensionOralAmerican Health Packaging60687-87760687-0877-76
Aluminum Hydroxide, Magnesium Hydroxide and Simethiconealuminum hydroxide, magnesium hydroxide, and simethiconeAluminum hydroxide 1200 mg/30mL + 2 more ingredientsSuspensionOralEverpharm LLC84415-01784415-0017-01
Aluminum Hydroxide, Magnesium Hydroxide and Simethiconealuminum hydroxide, magnesium hydroxide, and simethiconeAluminum hydroxide 1200 mg/30mL + 2 more ingredientsSuspensionOralRising Pharma Holdings, Inc.57237-31657237-0316-31
Aluminum Hydroxide, Magnesium Hydroxide and Simethiconealuminum hydroxide, magnesium hydroxide, and simethiconeAluminum hydroxide 2400 mg/30mL + 2 more ingredientsSuspensionOralRising Pharma Holdings, Inc.57237-32457237-0324-31

Other NDCs under M001.15

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

FDA NDC Directory listings under M001.15
ProductStrengthForm · routeLabelerProduct NDC
Aluminum Hydroxide, Magnesium Hydroxide and Simethiconealuminum hydroxide, magnesium hydroxide, and simethiconeAluminum hydroxide 1200 mg/30mL + 2 more ingredientsSuspensionOralRising Pharma Holdings, Inc.57237-316
Aluminum Hydroxide, Magnesium Hydroxide and Simethiconealuminum hydroxide, magnesium hydroxide, and simethiconeAluminum hydroxide 2400 mg/30mL + 2 more ingredientsSuspensionOralRising Pharma Holdings, Inc.57237-324

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