Over-the-counter drug · OTC MONOGRAPH DRUG

Infants (Simethicone) NDC 17856-1303

Dimethicone 20 mg/.3mL · Suspension/ drops · Oral · ATLANTIC BIOLOGICALS CORP.

NDC codes

FDA NDC Directory
Product NDC (as listed)17856-1303Labeler and product segments. Claims need a package NDC.
Product NDC at billing width17856-1303Add 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
17856-1303-11785613030117856130301120 SYRINGE in 1 BOX, UNIT-DOSE (17856-1303-1) / .3 mL in 1 SYRINGEMarketed from Jun 30, 2021
17856-1303-21785613030217856130302120 SYRINGE in 1 BOX, UNIT-DOSE (17856-1303-2) / .3 mL in 1 SYRINGEMarketed from Jun 30, 2021
17856-1303-31785613030317856130303120 SYRINGE in 1 BOX, UNIT-DOSE (17856-1303-3) / .6 mL in 1 SYRINGEMarketed from Jun 30, 2021
17856-1303-41785613030417856130304120 SYRINGE in 1 BOX, UNIT-DOSE (17856-1303-4) / .6 mL in 1 SYRINGEMarketed from Jun 30, 2021
17856-1303-5178561303051785613030560 SYRINGE in 1 BOX, UNIT-DOSE (17856-1303-5) / 1.2 mL in 1 SYRINGEMarketed from Jun 30, 2021

How the 11-digit form is made: The package segment has 1 digit, so one leading zero is added to it (5-4-1 → 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)
Infants
Generic name (nonproprietary)
simethicone
Active ingredients
Dimethicone — 20 mg/.3mL
Dosage form
Suspension/ drops
Route
Oral
Labeler
ATLANTIC BIOLOGICALS CORP.NDC labeler code 17856
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 17856-1303_3288018d-5d72-4792-e063-6294a90a2c8cSPL ID 3288018d-5d72-4792-e063-6294a90a2c8cSPL set ID 27fce442-e328-41d2-bab9-87ab21550c04RxCUI 198857UNII 92RU3N3Y1O

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

N417856130301 followed by a unit qualifier and the quantity

Package 17856-1303-01. 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 the discomfort of infant gas frequently caused by air swallowing or certain formulas or foods

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 17856-1303

What is NDC 17856-1303?
17856-1303 is the product NDC for Infants (simethicone), Dimethicone 20 mg/.3mL suspension/ drops, listed with the FDA by ATLANTIC BIOLOGICALS CORP.. It has 5 package NDCs, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Infants (Simethicone).
What is the active ingredient?
Dimethicone.
Who is the labeler?
ATLANTIC BIOLOGICALS CORP., NDC labeler code 17856. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Infants?
1 other product NDC are listed under this name. See all Infants 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 Infants NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
InfantssimethiconeDimethicone, Unspecified 20 mg/.3mLSuspension/ dropsOralRUGBY LABORATORIES0536-130300536-1303-75

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
Extra Strength Gas Relief CherrysimethiconeDimethicone 125 mg/1Tablet, ChewableOralHarris Teeter, LLC69256-134
Gas Relief Extra StrengthsimethiconeDimethicone 125 mg/1Capsule, Liquid filledOralCardinal Health (Leader) 7000070000-0529
Extra Strength Gas ReliefsimethiconeDimethicone, Unspecified 125 mg/1Tablet, ChewableOralSAFEWAY21130-110
Simethicone 250mgDimethicone 250 mg/1Capsule, Liquid filledOralAMZ789 LLC73629-006
FEVIA Gas ControlsimethiconeDimethicone, Unspecified 250 mg/1Capsule, Liquid filledOralVIVUNT PHARMA LLC82706-031
Mylicon Infants Gas Relief OriginalsimethiconeDimethicone 20 mg/.3mLEmulsionOralInfirst Healthcare62372-630
SimethiconeDimethicone 180 mg/1Capsule, Liquid filledOralAMZ789 LLC73629-002
CVS PHARMACY Gas reliefsimethiconeDimethicone, Unspecified 80 mg/1Tablet, ChewableOralCVS51316-111
Curist Gas ReliefsimethiconeDimethicone 180 mg/180mgCapsule, Liquid filledOralLittle Pharma. Inc.72559-041
Gas ReliefsimethiconeDimethicone 125 mg/1Tablet, ChewableOralChain Drug Marketing Association, Inc.83324-325
Gas ReliefsimethiconeDimethicone 125 mg/1Capsule, Liquid filledOralFamily Dollar (FAMILY WELLNESS)55319-555
Gas Relief Extra StrengthsimethiconeDimethicone 125 mg/1Capsule, Liquid filledOralCare One (Retail Business Services, LLC.)72476-897
Curist Gas ReliefsimethiconeDimethicone 250 mg/250mgCapsule, Liquid filledOralLittle Pharma. Inc.72559-042
mylanta gassimethiconeDimethicone 125 mg/1Capsule, Liquid filledOralInfirst Healthcare62372-554
Ultra Strength Gas ReliefsimethiconeDimethicone 180 mg/1CapsuleOralBETTER LIVING BRANDS, LLC21130-717
SimethiconeDimethicone 80 mg/1Tablet, ChewableOralAphena Pharma Solutions - Tennessee, LLC71610-649
FEVIA Gas ControlsimethiconeDimethicone, Unspecified 250 mg/1Capsule, Liquid filledOralVIVUNT PHARMA LLC82706-031
Mylicon Infants Gas Relief Dye FreesimethiconeDimethicone 20 mg/.3mLEmulsionOralInfirst Healthcare62372-650
QUITA COLICOS Gas RELIEF DropssimethiconeDimethicone 20 mg/.3mLLiquidOralDLC Laboratories, Inc.24286-1533
AntiflatulentsimethiconeDimethicone 80 mg/1Tablet, ChewableOralAphena Pharma Solutions - Tennessee, LLC71610-650

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