Over-the-counter drug · OTC MONOGRAPH DRUG
Aluminum Hydroxide, Magnesium Hydroxide and Simethicone NDC 84415-017
aluminum hydroxide, magnesium hydroxide, and simethicone · Aluminum hydroxide 1200 mg/30mL + 2 more ingredients · Suspension · Oral · Everpharm LLC
NDC codes
FDA NDC DirectoryProduct NDC (as listed)84415-017Labeler and product segments. Claims need a package NDC.
Product NDC at billing width84415-0017Add the package segment from the table below.
| Package NDC | 11-digit (billing) | Package | Copy |
|---|---|---|---|
| 84415-017-01 | 8441500170184415001701 | 100 CUP, UNIT-DOSE in 1 BOX, UNIT-DOSE (84415-017-01) / 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
- Brand name (proprietary)
- Aluminum Hydroxide, Magnesium Hydroxide and Simethicone
- Generic name (nonproprietary)
- aluminum hydroxide, magnesium hydroxide, and simethicone
- Active ingredients
- Aluminum hydroxide — 1200 mg/30mLMagnesium hydroxide — 1200 mg/30mLDimethicone — 120 mg/30mL
- Dosage form
- Suspension
- Route
- Oral
- Labeler
- Everpharm LLCNDC labeler code 84415
- Product type
- Over-the-counter drug
- Marketing category
- OTC monograph drugApplication M 001
- 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 84415-017_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
N484415001701followed by a unit qualifier and the quantityPackage 84415-0017-01. 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.
About NDC 84415-017
- What is NDC 84415-017?
- 84415-017 is the product NDC for Aluminum Hydroxide, Magnesium Hydroxide and Simethicone, Aluminum hydroxide 1200 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.
Related NDCs: other Aluminum Hydroxide, Magnesium Hydroxide and Simethicone products
Other finished products listed under the same name: strengths, forms and labelers.
| Product | Strength | Form · route | Labeler | Product NDC | Package NDCs (11-digit) |
|---|---|---|---|---|---|
| Aluminum Hydroxide, Magnesium Hydroxide, and Simethicone | Aluminum hydroxide 1200 mg/30mL + 2 more ingredients | SuspensionOral | Major Pharmaceuticals | 0904-7557 | 00904-7557-73 |
| Aluminum Hydroxide, Magnesium Hydroxide, and Simethicone | Aluminum hydroxide 200 mg/5mL + 2 more ingredients | SuspensionOral | American Health Packaging | 60687-877 | 60687-0877-76 |
| Aluminum Hydroxide, Magnesium Hydroxide and Simethiconealuminum hydroxide, magnesium hydroxide, and simethicone | Aluminum hydroxide 2400 mg/30mL + 2 more ingredients | SuspensionOral | Everpharm LLC | 84415-010 | 84415-0010-01 |
| Aluminum Hydroxide, Magnesium Hydroxide and Simethiconealuminum hydroxide, magnesium hydroxide, and simethicone | Aluminum hydroxide 1200 mg/30mL + 2 more ingredients | SuspensionOral | Rising Pharma Holdings, Inc. | 57237-316 | 57237-0316-31 |
| Aluminum Hydroxide, Magnesium Hydroxide and Simethiconealuminum hydroxide, magnesium hydroxide, and simethicone | Aluminum hydroxide 2400 mg/30mL + 2 more ingredients | SuspensionOral | Rising Pharma Holdings, Inc. | 57237-324 | 57237-0324-31 |
Other NDCs under M 001
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 |
|---|---|---|---|---|
| Soothe Chewablecitric acid | Citric acid monohydrate 1.5 g/108.27g | Chewable gelOral | Carolina Cannabis Creations LLC | 82876-840 |
| ultra strength antacidantacid | Calcium carbonate 1000 mg/1 | Tablet, ChewableOral | Target Corporation | 11673-933 |
| Rolaids Extra Strength Mintcalcium carbonate and magnesium hydroxide | Calcium carbonate 675 mg/1; Magnesium hydroxide 135 mg/1 | Tablet, ChewableOral | Chattem, Inc. | 41167-1001 |
| Extra Strength Antacidcalcium carbonate | Calcium carbonate 750 mg/1 | Tablet, ChewableOral | Grocery Outlet, Inc. | 85828-903 |
| Medique Alcalakcalcium carbonate | Calcium carbonate 420 mg/1 | Tablet, ChewableOral | Unifirst First Aid Corporation | 47682-201 |
| Ultra Strength Antacidcalcium carbonate | Calcium carbonate 1000 mg/1 | Tablet, ChewableOral | CVS | 51316-171 |
| Kirkland Ultra Stregth Antacid 171ABcalcium carbonate | Calcium carbonate 1000 mg/1 | TabletOral | COSTCO WHOLESALE COMPANY | 63981-171 |
| Regular Strength Antacidcalcium carbonate | Calcium carbonate 500 mg/1 | Tablet, ChewableOral | Harris Teeter, LLC | 69256-138 |
| Ultra Strength Antacidcalcium carbonate | Calcium carbonate 1000 mg/1 | Tablet, ChewableOral | Grocery Outlet, Inc. | 85828-905 |
| Magnesium Oxide | Magnesium oxide 400 mg/1 | TabletOral | A-S Medication Solutions | 50090-7432 |
| Ultra Strength Assorted Berry Antacidcalcium carbonate | Calcium carbonate 1000 mg/1 | Tablet, ChewableOral | Harris Teeter, LLC | 69256-171 |
| Antacid- Calcium Carbonatecalcium carbonate | Calcium carbonate 1000 mg/1 | Tablet, ChewableOral | Anhui Jiuhe Health Industry Co., Ltd | 87745-001 |
| Tums Chewy Bitescalcium carbonate | Calcium carbonate 1000 mg/1 | Tablet, ChewableOral | Haleon US Holdings LLC | 0135-0183 |
| De La Cruz Desempachosodium bicarbonate | Sodium bicarbonate 525 mg/15mL | LiquidOral | DLC LABORATORIES, INC. | 24286-1523 |
| HEB Wild Berry Antacid Chewscalcium carbonate | Calcium carbonate 750 mg/1 | Tablet, ChewableOral | HEB | 37808-493 |
| Unishield Antacidcalcium carbonate | Calcium carbonate 420 mg/1 | Tablet, ChewableOral | Unishield | 49314-1013 |
| Calmicid AC Acid Reducerfamotidine | Famotidine 20 mg/1 | Tablet, CoatedOral | Melaleuca, Inc. | 54473-411 |
| Exchange Select Antacid Tropical Fruitcalcium carbonate | Calcium carbonate 750 mg/1 | Tablet, ChewableOral | ARMY AND AIR FORCE EXCHANGE SERVICE | 55301-102 |
| Leader Extra Strength Sugar Free Antacidantacid | Calcium carbonate 750 mg/1 | Tablet, ChewableOral | Cardinal Health | 70000-0460 |
| Sodium Bicarbonate Antacidsodium bicarbonate | Sodium bicarbonate 650 mg/1 | TabletOral | Aphena Pharma Solutions - Tennessee, LLC | 71610-669 |
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