NDC codes

FDA NDC Directory
Product NDC (as listed)0363-9606Labeler and product segments. Claims need a package NDC.
Product NDC at billing width00363-9606Add 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
0363-9606-75003639606752 BLISTER PACK in 1 CARTON (0363-9606-75) / 6 TABLET in 1 BLISTER PACKMarketed from Aug 3, 2022
0363-9606-76003639606764 BLISTER PACK in 1 CARTON (0363-9606-76) / 6 TABLET in 1 BLISTER PACKMarketed from Aug 3, 2022

How the 11-digit form is made: The labeler segment has 4 digits, so one leading zero is added to it (4-4-2 → 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)
loperamide hydrochloride and simethicone
Active ingredients
Loperamide hydrochloride — 2 mg/1Dimethicone — 125 mg/1
Dosage form
Tablet
Route
Oral
Labeler
WALGREEN CO.NDC labeler code 0363
Product type
Over-the-counter drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 211059
Marketing start
Listing expires
Other FDA classes
Opioid Agonists (Mechanism)Skin Barrier Activity (Physiologic effect)
Identifiers
Product ID 0363-9606_e84eb987-3ed0-42d3-87f4-f14d699ad745SPL ID e84eb987-3ed0-42d3-87f4-f14d699ad745SPL set ID e22b6c3c-3547-b507-e053-2995a90a714fRxCUI 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

N400363960675 followed by a unit qualifier and the quantity

Package 00363-9606-75. 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 symptoms of diarrhea plus bloating, pressure and cramps, commonly referred to as gas

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 0363-9606

What is NDC 0363-9606?
0363-9606 is the product NDC for Loperamide Hydrochloride and Simethicone, Loperamide hydrochloride 2 mg/1; Dimethicone 125 mg/1 tablet, listed with the FDA by WALGREEN CO.. It has 2 package NDCs, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Loperamide Hydrochloride and Simethicone.
What is the active ingredient?
Loperamide hydrochloride, Dimethicone.
Who is the labeler?
WALGREEN CO., NDC labeler code 0363. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Loperamide Hydrochloride and Simethicone?
13 other product NDCs are listed under this name. See all Loperamide Hydrochloride 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 Loperamide Hydrochloride and Simethicone NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
Loperamide hydrochloride and SimethiconeLoperamide hydrochloride 2 mg/1; Dimethicone 125 mg/1TabletOralBionpharma Inc.69452-53169452-0531-12
Loperamide Hydrochloride and SimethiconeDimethicone 125 mg/1; Loperamide hydrochloride 2 mg/1TabletOralIMO-GEN LABS LLC84441-71384441-0713-10
Loperamide Hydrochloride and SimethiconeLoperamide hydrochloride 2 mg/1; Dimethicone 125 mg/1TabletOralFSA store INC81522-32581522-0325-24
Loperamide Hydrochloride and SimethiconeLoperamide hydrochloride 2 mg/1; Dimethicone 125 mg/1TabletOralWALMART INC.79903-22379903-0223-1279903-0223-24
Loperamide Hydrochloride and SimethiconeLoperamide hydrochloride 2 mg/1; Dimethicone 125 mg/1TabletOralFamily Dollar Stores, LLC55319-05255319-0052-75
Loperamide Hydrochloride and SimethiconeLoperamide hydrochloride 2 mg/1; Dimethicone 125 mg/1TabletOralBetter Living Brands, LLC21130-22221130-0222-2421130-0222-76
Loperamide Hydrochloride and SimethiconeLoperamide hydrochloride 2 mg/1; Dimethicone 125 mg/1TabletOralGranules India Ltd62207-73962207-0739-69
Loperamide hydrochloride and SimethiconeLoperamide hydrochloride 2 mg/1; Dimethicone 125 mg/1TabletOralBionpharma Inc.69452-21069452-0210-0469452-0210-12
Loperamide Hydrochloride and SimethiconeLoperamide hydrochloride 2 mg/1; Dimethicone 125 mg/1TabletOralNORTHEAST PHARMA80136-38480136-0384-24
Loperamide Hydrochloride and SimethiconeLoperamide hydrochloride 2 mg/1; Dimethicone 125 mg/1TabletOralCamber Consumer Care Inc69230-32569230-0325-0469230-0325-0669230-0325-08+3 more

All 14 Loperamide Hydrochloride and Simethicone NDCs

Other NDCs under ANDA 211059

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

FDA NDC Directory listings under ANDA 211059
ProductStrengthForm · routeLabelerProduct NDC
Loperamide Hydrochloride and SimethiconeLoperamide hydrochloride 2 mg/1; Dimethicone 125 mg/1TabletOralBetter Living Brands, LLC21130-222
Loperamide Hydrochloride and SimethiconeLoperamide hydrochloride 2 mg/1; Dimethicone 125 mg/1TabletOralFamily Dollar Stores, LLC55319-052
Loperamide Hydrochloride and SimethiconeLoperamide hydrochloride 2 mg/1; Dimethicone 125 mg/1TabletOralAurohealth LLC58602-815
Loperamide Hydrochloride and SimethiconeLoperamide hydrochloride 2 mg/1; Dimethicone 125 mg/1TabletOralAurohealth LLC58602-868
Loperamide Hydrochloride and SimethiconeLoperamide hydrochloride 2 mg/1; Dimethicone 125 mg/1TabletOralAurohealth LLC58602-869
Loperamide Hydrochloride and SimethiconeLoperamide hydrochloride 2 mg/1; Dimethicone 125 mg/1TabletOralWALMART INC.79903-223
Loperamide Hydrochloride and SimethiconeLoperamide hydrochloride 2 mg/1; Dimethicone 125 mg/1TabletOralNORTHEAST PHARMA80136-384

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