Over-the-counter drug · OTC MONOGRAPH DRUG

citroma (Magnesium citrate) NDC 21130-165

Magnesium citrate 1.745 g/29.6mL · Liquid · Oral · Better Living Brands, LLC

NDC codes

FDA NDC Directory
Product NDC (as listed)21130-165Labeler and product segments. Claims need a package NDC.
Product NDC at billing width21130-0165Add 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
21130-165-3821130016538296 mL in 1 BOTTLE, PLASTIC (21130-165-38)Marketed from Feb 18, 2018

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)
citroma
Generic name (nonproprietary)
magnesium citrate
Active ingredients
Magnesium citrate — 1.745 g/29.6mL
Dosage form
Liquid
Route
Oral
Labeler
Better Living Brands, LLCNDC labeler code 21130
Product type
Over-the-counter drug
Marketing category
OTC monograph drugApplication M 007
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)Stimulation Large Intestine Fluid/Electrolyte Secretion (Physiologic effect)
Identifiers
Product ID 21130-165_4b829e28-70de-6ee3-e063-6294a90a8f6eSPL ID 4b829e28-70de-6ee3-e063-6294a90a8f6eSPL set ID d8176ef6-cc68-4185-b5eb-e887562f6aaaUNII RHO26O1T9VUPC 0321130789710
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

N421130016538 followed by a unit qualifier and the quantity

Package 21130-0165-38. 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 occasional constipation (irregularity). Generally produces bowel movement in 1/2 to 6 hours

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 21130-165

What is NDC 21130-165?
21130-165 is the product NDC for citroma (magnesium citrate), Magnesium citrate 1.745 g/29.6mL liquid, listed with the FDA by Better Living Brands, LLC. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
citroma (Magnesium Citrate).
What is the active ingredient?
Magnesium citrate.
Who is the labeler?
Better Living Brands, LLC, 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 citroma?
31 other product NDCs are listed under this name. See all citroma 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 citroma NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
citromamagnesium citrateMagnesium citrate 1.745 g/29.6mLLiquidOralChain Drug Marketing Association83324-16983324-0169-10
Citromamagnesium citrateMagnesium citrate 1.745 g/29.6mLLiquidOralUpLift Brands, LLC83986-16283986-0162-38
Citromamagnesium citrateMagnesium citrate 1.745 g/29.6mLLiquidOralUpLift Brands, LLC83986-16483986-0164-38
Citromamagnesium citrateMagnesium citrate 1.745 g/29.6mLLiquidOralUpLift Brands, LLC83986-16683986-0166-38
Citromamagnesium citrateMagnesium citrate 1.745 g/29.6mLLiquidOralNice-Pak Products, LLC11344-16211344-0162-38
citromamagesium citrateMagnesium citrate 1.745 g/29.6mLLiquidOralValu Merchandisers Company63941-51663941-0516-38
citromamagnesium citrateMagnesium citrate 1.745 g/29.6mLLiquidOralValu Merchandisers Company63941-53363941-0533-38
citromamagesium citrateMagnesium citrate 1.745 g/29.6mLLiquidOralRite Aid Corporation11822-433011822-4330-02
citromamagnesium citrateMagnesium citrate 1.745 g/29.6mLLiquidOralChain Drug Marketing Association63868-92963868-0929-38
citromamagnesium citrateMagnesium citrate 1.745 g/29.6mLLiquidOralChain Drug Marketing Association63868-01863868-0018-38

All 32 citroma NDCs

Other NDCs under M 007

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

FDA NDC Directory listings under M 007
ProductStrengthForm · routeLabelerProduct NDC
Sennosides and Docusate Sodiumsennosides, docusate sodiumSennosides 8.6 mg/1; Docusate sodium 50 mg/1TabletOralAsclemed USA, Inc.76420-918
citromamagnesium citrateMagnesium citrate 1.745 g/29.6mLLiquidOralValu Merchandisers Company63941-533
Stool Softener Laxativedocusate sodiumDocusate sodium 100 mg/1Capsule, Liquid filledOralNuCare Pharmaceuticals, Inc.68071-3784
Sams Westpsyllium huskPsyllium husk .52 g/1CapsuleOralSAM'S WEST INC68196-119
Colon Detoxdocusate sodium and sennosidesDocusate sodium 50 mg/1; Sennosides 8.6 mg/1TabletOralOPMX LLC69729-151
Docusate SodiumDocusate sodium 100 mg/1Capsule, Liquid filledOralAsclemed USA, Inc.76420-225
citromamagnesium citrateMagnesium citrate 1.745 g/29.6mLLiquidOralNice-Pak Products, LLC11344-166
Senna-Sdocusate sodium and sennosidesSennosides 8.6 mg/1; Docusate sodium 50 mg/1Tablet, CoatedOralKROGER41226-192
Publix Fiber Therapy Sugar Freepsyllium huskPsyllium husk 3.4 g/5.8gPowderOralPUBLIX SUPER MARKETS, INC41415-515
Quality Choice Stool Softener laxativedocusate sodiumDocusate sodium 250 mg/1Capsule, Liquid filledOralChain Drug Marketing Association63868-662
Stool Softener Laxativedocusate sodiumDocusate sodium 100 mg/1Capsule, Liquid filledOralBJWC (Berkley & Jensen / BJ's)68391-041
Magnesium Citratemagnesium citrate oral solutionMagnesium citrate 1.745 g/29.6mLLiquidOralWALGREEN COMPANY0363-6350
Stool Softenermarc glassmanDocusate sodium 100 mg/1CapsuleOralMarc Glassman, Inc.68998-420
Reliefsodium phosphate, monobasic and sodium phosphate, dibasic, heptahydrateSodium phosphate, Monobasic 19 g/133mL; Sodium phosphate, Dibasic, Heptahydrate 7 g/133mLEnemaRectalLeosons Overseas Corp69626-0084
Womens Gentle LaxativebisacodylBisacodyl 5 mg/1Tablet, CoatedOralCVS HEALTH CORP69842-089
Epsom SaltMagnesium sulfate, Unspecified 1 g/gGranuleOral, TopicalStrategic Sourcing Services LLC70677-1210
LIDL Orange Smooth Fiber Powder Sugar Free Naturally and Artificially Flavorednatural psyllium huskPsyllium husk 3.4 g/5.8gPowderOralLIDL US, LLC71141-146
Docusate Mini Enemadocusate sodiumDocusate sodium 283 mg/5mLLiquidRectalMajor Pharmaceuticals0904-6920
Maximum Strength LaxativesennosidesSennosides 25 mg/1TabletOralKroger Company41226-195
Docusate SodiumDocusate sodium 100 mg/1Capsule, Liquid filledOralHumanwell PuraCap Pharmaceutical (Wuhan), Ltd.53345-008

Showing 20 of 39.

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