Over-the-counter drug · OTC MONOGRAPH DRUG
Extra Strength Gas Relief (Simethicone) NDC 21130-110
Dimethicone, Unspecified 125 mg/1 · Tablet, Chewable · Oral · SAFEWAY
NDC codes
FDA NDC DirectoryProduct NDC (as listed)21130-110Labeler and product segments. Claims need a package NDC.
Product NDC at billing width21130-0110Add the package segment from the table below.
| Package NDC | 11-digit (billing) | Package | Copy |
|---|---|---|---|
| 21130-110-18 | 21130011018 | 3 BLISTER PACK in 1 CARTON (21130-110-18) / 6 TABLET, CHEWABLE in 1 BLISTER PACKMarketed from Oct 2, 2020 | |
| 21130-110-48 | 21130011048 | 12 CARTON in 1 CARTON (21130-110-48) / 4 TABLET, CHEWABLE in 1 CARTONMarketed from Oct 2, 2020 |
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)
- Extra Strength Gas Relief
- Generic name (nonproprietary)
- simethicone
- Active ingredients
- Dimethicone, Unspecified — 125 mg/1
- Dosage form
- Tablet, Chewable
- Route
- Oral
- Labeler
- SAFEWAYNDC labeler code 21130
- 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 21130-110_424a14de-b71e-3bfe-e063-6294a90a9422SPL ID 424a14de-b71e-3bfe-e063-6294a90a9422SPL set ID c8946bd2-6351-40e4-a139-d8214889bb4eRxCUI 314221UNII 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
N421130011018followed by a unit qualifier and the quantityPackage 21130-0110-18. 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 relief of pressure, bloating and fullness commonly referred to as gas.
Excerpt only. Read the full label for complete information.
About NDC 21130-110
- What is NDC 21130-110?
- 21130-110 is the product NDC for Extra Strength Gas Relief (simethicone), Dimethicone, Unspecified 125 mg/1 tablet, chewable, listed with the FDA by SAFEWAY. It has 2 package NDCs, shown above in 10- and 11-digit form.
- What drug is associated with this NDC?
- Extra Strength Gas Relief (Simethicone).
- What is the active ingredient?
- Dimethicone, Unspecified.
- Who is the labeler?
- SAFEWAY, NDC labeler code 21130. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
- What other NDCs exist for Extra Strength Gas Relief?
- 16 other product NDCs are listed under this name. See all Extra Strength Gas Relief NDCs.
- Is there a related HCPCS / J-code?
- Not in Med-Code's curated HCPCS directory. See Billing references above.
Related NDCs: other Extra Strength Gas Relief products
Other finished products listed under the same name: strengths, forms and labelers.
| Product | Strength | Form · route | Labeler | Product NDC | Package NDCs (11-digit) |
|---|---|---|---|---|---|
| Extra Strength Gas Reliefsimethicone | Dimethicone 125 mg/1 | Capsule, Liquid filledOral | Shield Pharmaceuticals Corp | 83059-0076 | — |
| Extra Strength Gas Reliefsimethicone | Dimethicone 125 mg/1 | Capsule, Liquid filledOral | Shield Pharmaceuticals Corp | 83059-0169 | 83059-0169-01 |
| Extra Strength Gas Reliefsimethicone | Dimethicone 125 mg/1 | Tablet, ChewableOral | Hyvee Inc | 42507-701 | 42507-0701-3442507-0701-73 |
| Extra Strength Gas Reliefsimethicone | Dimethicone 125 mg/1 | CapsuleOral | Grocery Outlet, Inc. | 85828-722 | 85828-0722-30 |
| Extra Strength Gas Reliefsimethicone | Dimethicone 125 mg/1 | Capsule, Liquid filledOral | Shield Pharmaceuticals Corp | 83059-0118 | — |
| Extra Strength Gas Reliefsimethicone | Dimethicone 125 mg/1 | Tablet, ChewableOral | Harris Teeter, LLC | 69256-135 | 69256-0135-73 |
| Extra Strength Gas Reliefsimethicone | Dimethicone 125 mg/1 | Capsule, Liquid filledOral | TARGET CORPORATION | 11673-495 | 11673-0495-71 |
| Extra strength gas reliefsimethicone | Dimethicone 125 mg/1 | CapsuleOral | KROGER COMPANY | 41226-722 | 41226-0722-30 |
| Extra Strength Gas Reliefsimethicone antigas | Dimethicone, Unspecified 125 mg/1 | Tablet, ChewableOral | WALGREENS CO. | 0363-0119 | 00363-0119-18 |
| Extra Strength Gas Reliefsimethicone antigas | Dimethicone, Unspecified 125 mg/1 | Tablet, ChewableOral | SAFEWAY | 21130-441 | 21130-0441-18 |
Other NDCs under M 002
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 |
|---|---|---|---|---|
| meijer ULTRA STRENGTH Gas Relief SOFTGELsimethicone | Dimethicone, Unspecified 180 mg/1 | Capsule, Liquid filledOral | Meijer, Inc. | 79481-0814 |
| Anti-Gas Ultra Strengthsimethicone | Dimethicone 180 mg/1 | Capsule, Liquid filledOral | Best Choice (Valu Merchandisers Company) | 63941-773 |
| Gas Relief SIMETHICONE 250 mg Anti-gassimethicone | Dimethicone 250 mg/1 | Tablet, ChewableOral | CVS Pharmacy, Inc. | 51316-702 |
| Gas Relief Ultra Strengthdimethicone | Dimethicone, Unspecified 180 mg/1 | Capsule, Liquid filledOral | TOPCO ASSOCIATES LLC | 36800-324 |
| basic care gas reliefsimethicone | Dimethicone 125 mg/1 | Capsule, Liquid filledOral | Amazon.com Services LLC | 72288-428 |
| Gas Reliefsimethicone | Dimethicone 125 mg/1 | Capsule, Liquid filledOral | Family Dollar (FAMILY WELLNESS) | 55319-555 |
| Gas Reliefsimethicone | Dimethicone 125 mg/1 | Tablet, ChewableOral | Meijer Distribution, Inc. | 79481-0608 |
| Pepto Gas plus Bloatingsimethicone | Dimethicone 125 mg/1 | Tablet, ChewableOral | The Procter & Gamble Manufacturing Company | 84126-378 |
| Gas Relief Extra Strengthsimethicone | Dimethicone 125 mg/1 | Capsule, Liquid filledOral | H E B | 37808-797 |
| Ultrastrength Gas Reliefsimethicone soft gelatin capsules | Dimethicone 180 mg/1 | CapsuleOral | CVS PHARMACY, INC | 51316-621 |
| up and up extra strength gas relief chewables Extra Strengthsimethicone | Dimethicone, Unspecified 125 mg/1 | Tablet, ChewableOral | Target Corporation | 11673-610 |
| mylanta gassimethicone | Dimethicone 125 mg/1 | Capsule, Liquid filledOral | Infirst Healthcare | 62372-554 |
| Simethicone | Dimethicone 250 mg/1 | Capsule, Liquid filledOral | Humanwell PuraCap Pharmaceutical (Wuhan) Co., Ltd. | 53345-032 |
| Extra Strength Gas Reliefsimethicone | Dimethicone 125 mg/1 | Capsule, Liquid filledOral | Geri-Care Pharmaceuticals, Corp | 57896-292 |
| Mylicon Infants Gas Relief Originalsimethicone | Dimethicone 20 mg/.3mL | EmulsionOral | Infirst Healthcare | 62372-630 |
| Simethicone | Dimethicone 250 mg/1 | Capsule, Liquid filledOral | Humanwell PuraCap Pharmaceutical (Wuhan) Co., Ltd | 53345-032 |
| Mylicon Infants Gas Relief Dye Freesimethicone | Dimethicone 20 mg/.3mL | EmulsionOral | Infirst Healthcare | 62372-650 |
| Simethicone | Dimethicone 125 mg/1 | Capsule, Liquid filledOral | Humanwell PuraCap Pharmaceutical (Wuhan) Co., Ltd. | 53345-033 |
| Gas Relief Extra Strengthsimethicone | Dimethicone 125 mg/1 | Capsule, Liquid filledOral | P & L Development, LLC | 59726-897 |
| HEB Gas Relief Extra Strength Peppermintsimethicone | Dimethicone 125 mg/1 | Tablet, ChewableOral | H E B | 37808-155 |
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