Over-the-counter drug · OTC MONOGRAPH DRUG

Ultra Strength Gas Relief (Simethicone) NDC 0363-9941

Dimethicone 180 mg/1 · Capsule, Liquid filled · Oral · Walgreen Co.

NDC codes

FDA NDC Directory
Product NDC (as listed)0363-9941Labeler and product segments. Claims need a package NDC.
Product NDC at billing width00363-9941Add 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
0363-9941-09003639941095 BLISTER PACK in 1 CARTON (0363-9941-09) / 10 CAPSULE, LIQUID FILLED in 1 BLISTER PACKMarketed from Mar 27, 2018

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

Brand name (proprietary)
Ultra Strength Gas Relief
Generic name (nonproprietary)
simethicone
Active ingredients
Dimethicone — 180 mg/1
Dosage form
Capsule, Liquid filled
Route
Oral
Labeler
Walgreen Co.NDC labeler code 0363
Product type
Over-the-counter drug
Marketing category
OTC monograph drugApplication M 002
Marketing start
Listing expires
Other FDA classes
Skin Barrier Activity (Physiologic effect)
Identifiers
Product ID 0363-9941_27786f2b-a223-e82f-e063-6294a90a1e3bSPL ID 27786f2b-a223-e82f-e063-6294a90a1e3bSPL set ID b14b647f-d729-47df-879d-ca08a30b995eRxCUI 252294UNII 92RU3N3Y1OUPC 0311917200330

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

N400363994109 followed by a unit qualifier and the quantity

Package 00363-9941-09. 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 for the relief of pressure and bloating 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 0363-9941

What is NDC 0363-9941?
0363-9941 is the product NDC for Ultra Strength Gas Relief (simethicone), Dimethicone 180 mg/1 capsule, liquid filled, listed with the FDA by Walgreen Co.. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Ultra Strength Gas Relief (Simethicone).
What is the active ingredient?
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 Ultra Strength Gas Relief?
5 other product NDCs are listed under this name. See all Ultra Strength Gas Relief 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 Ultra Strength Gas Relief NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
ultra strength gas reliefsimethiconeDimethicone 180 mg/1Capsule, Liquid filledOralBIONPHARMA INC.69452-54369452-0543-83
Ultra Strength Gas ReliefsimethiconeDimethicone 180 mg/1CapsuleOralBETTER LIVING BRANDS, LLC21130-71721130-0717-06
Ultra Strength Gas ReliefsimethiconeDimethicone 180 mg/1CapsuleOralKROGER COMPANY41226-71741226-0717-30
Ultra Strength Gas ReliefsimethiconeDimethicone 180 mg/1Capsule, Liquid filledOralWalgreen Co.0363-994200363-9942-22
Ultra Strength Gas ReliefsimethiconeDimethicone 180 mg/1Capsule, Liquid filledOralWal-Mart Stores Inc49035-58549035-0585-21

Other NDCs under M 002

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

FDA NDC Directory listings under M 002
ProductStrengthForm · routeLabelerProduct NDC
Alcohol prep padIsopropyl alcohol 70 g/1001ClothTopicalTarget Corporation11673-139
Aluminum Hydroxide, Magnesium Hydroxide, and DimethiconeAluminum hydroxide 400 mg/5mL + 2 more ingredientsSuspensionOralAmerican Health Packaging60687-888
Amazon Extra StrengthsimethiconeDimethicone, Unspecified 125 mg/1Tablet, ChewableOralAMAZON.COM SERVICES LLC72288-101
Antacid Antigasaluminum hydroxide, magnesium hydroxide, simethiconeAluminum hydroxide 400 mg/10mL + 2 more ingredientsLiquidOralRetail Business Services, LLC.72476-503
Anti-GassimethiconeDimethicone 125 mg/1CapsuleOralMarc Glassman, Inc.68998-419
Anti-GassimethiconeDimethicone 125 mg/1CapsuleOralAllegiant Health69168-419
Anti-Gas StripsimethiconeDimethicone 62.5 mg/1StripOralCalmour82918-001
Anti-Gas Ultra StrengthsimethiconeDimethicone 180 mg/1Capsule, Liquid filledOralBest Choice (Valu Merchandisers Company)63941-773
AntiflatulentsimethiconeDimethicone 80 mg/1Tablet, ChewableOralMajor Pharmaceuticals0904-7206
AntiflatulentsimethiconeDimethicone 80 mg/1Tablet, ChewableOralAphena Pharma Solutions - Tennessee, LLC71610-650
basic care gas reliefsimethiconeDimethicone 125 mg/1Capsule, Liquid filledOralAmazon.com Services LLC72288-428
basic care gas reliefsimethiconeDimethicone 180 mg/1Capsule, Liquid filledOralAmazon.com Services LLC72288-657
Best ChoicesimethiconeDimethicone, Unspecified 20 mg/.3mLSuspension/ dropsOralBEST CHOICE (VALU MERCHANDISERS COMPANY)63941-709
Best Choice Extra StrengthsimethiconeDimethicone, Unspecified 125 mg/1Tablet, ChewableOralBEST CHOICE (VALU MERCHANDISERS COMPANY)63941-110
Cardinal Health Infants Gas ReliefsimethiconeDimethicone, Unspecified 20 mg/.3mLSuspension/ dropsOralCARDINAL HEALTH70000-0051
Care One Gas ReliefsimethiconeDimethicone 180 mg/1Capsule, Liquid filledOralAmerican Sales Company41520-657
Childrens Emetrol Multi Symptom Upset Stomach Reliefchildrens emetrol multi-symptom upset stomach reliefCalcium cation 400 mg/1; Dimethicone 40 mg/1Tablet, ChewableOralWellSpring Pharmaceutical Corporation65197-230
Childrens Mylicon All in One Tummy Relief for Kidsantacid and antigasCalcium carbonate 400 mg/5mL; Dimethicone 40 mg/5mLLiquidOralInfirst Healthcare Inc.62372-410
Childrens Mylicon Tummy Relief for Kidsantacid and antigasCalcium carbonate 400 mg/1; Dimethicone 40 mg/1Tablet, ChewableOralInfirst Healthcare Inc.62372-400
Childrens Simethicone DropsDimethicone 40 mg/.6mLLiquidOralPAI Holdings, LLC dba PAI Pharma0121-1095

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