What is NDC 21130-183?

21130-183 is the product NDC for signature care anti diarrheal anti gas, Loperamide hydrochloride 2 mg/1; Dimethicone 125 mg/1 tablet, 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?

signature care anti diarrheal anti gas (Loperamide hydrochloride, simethicone).

What is the active ingredient?

Loperamide hydrochloride, Dimethicone.

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 signature care anti diarrheal anti gas?

None: this is the only finished product listed under this name.

Is there a related HCPCS / J-code?

Not in Med-Code's curated HCPCS directory.

signature care anti diarrheal anti gas NDC 21130-183

NDC codes

FDA NDC Directory

Product NDC (as listed)21130-183Labeler and product segments. Claims need a package NDC.

Product NDC at billing width21130-0183Add 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 NDC	11-digit (billing)	Package	Copy
21130-183-62	2113001836221130018362	24 BLISTER PACK in 1 CARTON (21130-183-62) / 1 TABLET in 1 BLISTER PACKMarketed from Jun 25, 2019
21130-183-89	2113001838921130018389	18 BLISTER PACK in 1 CARTON (21130-183-89) / 1 TABLET in 1 BLISTER PACKMarketed from Oct 10, 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): signature care anti diarrheal anti gas
Generic name (nonproprietary): loperamide hydrochloride, simethicone
Active ingredients: Loperamide hydrochloride — 2 mg/1Dimethicone — 125 mg/1
Dosage form: Tablet
Route: Oral
Labeler: SafewayNDC labeler code 21130
Product type: Over-the-counter drug
Marketing category: ANDA — Abbreviated New Drug Application (generic)Application ANDA 209837
Marketing start: Oct 10, 2018
Listing expires: Dec 31, 2026
Other FDA classes: Opioid Agonists (Mechanism)Skin Barrier Activity (Physiologic effect)
Identifiers: Product ID 21130-183_22865692-fb31-425b-ac78-2d3cd7998c04SPL ID 22865692-fb31-425b-ac78-2d3cd7998c04SPL set ID 53829e72-d22c-434d-a108-1972081a6efbRxCUI 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

N421130018362 followed by a unit qualifier and the quantity

Package 21130-0183-62. 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 Jul 22, 2024.

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 21130-183

What is NDC 21130-183?: 21130-183 is the product NDC for signature care anti diarrheal anti gas, Loperamide hydrochloride 2 mg/1; Dimethicone 125 mg/1 tablet, 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?: signature care anti diarrheal anti gas (Loperamide hydrochloride, simethicone).
What is the active ingredient?: Loperamide hydrochloride, Dimethicone.
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 signature care anti diarrheal anti gas?: None: this is the only finished product listed under this name.
Is there a related HCPCS / J-code?: Not in Med-Code's curated HCPCS directory. See Billing references above.

Other NDCs under ANDA 209837

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

FDA NDC Directory listings under ANDA 209837
Product	Strength	Form · route	Labeler	Product NDC
anti diarrheal and anti gasloperamide hydrochloride, simethicone	Loperamide hydrochloride 2 mg/1; Dimethicone 125 mg/1	TabletOral	Walgreen Company	0363-1830
anti diarrheal and anti gasloperamide hydrochloride, simethicone	Loperamide hydrochloride 2 mg/1; Dimethicone 125 mg/1	TabletOral	CVS Pharmacy	69842-644
anti diarrheal anti gasloperamide hydrochloride, simethicone	Loperamide hydrochloride 2 mg/1; Dimethicone 125 mg/1	TabletOral	Rite Aid Corporation	11822-1003
Anti Diarrheal Anti Gasloperamide hydrochloride, simethicone	Loperamide hydrochloride 2 mg/1; Dimethicone 125 mg/1	TabletOral	Kroger Company	30142-581
anti diarrheal anti gasloperamide hydrochloride, simethicone	Loperamide hydrochloride 2 mg/1; Dimethicone 125 mg/1	TabletOral	H E B	37808-714
anti diarrheal anti gasloperamide hydrochloride, simethicone	Loperamide hydrochloride 2 mg/1; Dimethicone 125 mg/1	TabletOral	HyVee Inc	42507-699
anti diarrheal plus anti gasloperamide hydrochloride, simethicone	Loperamide hydrochloride 2 mg/1; Dimethicone 125 mg/1	TabletOral	Meijer Distribution Inc	41250-375
Basic Care Loperamide Hydrochloride and Simethiconeloperamide hydrochloride, simethicone	Loperamide hydrochloride 2 mg/1; Dimethicone 125 mg/1	TabletOral	Amazon.com Services LLC	72288-001
CareOne Diarrhea and Gas Controlloperamide hydrochloride, simethicone	Loperamide hydrochloride 2 mg/1; Dimethicone 125 mg/1	TabletOral	American Sales Company	41520-772
dg health anti diarrheal anti gasloperamide hydrochloride, simethicone	Loperamide hydrochloride 2 mg/1; Dimethicone 125 mg/1	TabletOral	Dolgencorp, LLC	55910-383
equaline anti diarrheal plus anti gasloperamide hydrochloride, simethicone	Loperamide hydrochloride 2 mg/1; Dimethicone 125 mg/1	TabletOral	United Natural Foods, Inc. dba UNFI	41163-553
foster and thrive anti diarrheal anti gasloperamide hydrochloride, simethicone	Loperamide hydrochloride 2 mg/1; Dimethicone 125 mg/1	TabletOral	Strategic Sourcing Services LLC	70677-1105
good neighbor pharmacy anti diarrheal anti gasloperamide hydrochloride, simethicone	Loperamide hydrochloride 2 mg/1; Dimethicone 125 mg/1	TabletOral	Amerisource Bergen	46122-620
good sense anti diarrheal anti gasloperamide hydrochloride, simethicone	Loperamide hydrochloride 2 mg/1; Dimethicone 125 mg/1	TabletOral	L. Perrigo Company	0113-0087
Good Sense Anti Diarrheal Anti Gasloperamide hydrochloride, simethicone	Loperamide hydrochloride 2 mg/1; Dimethicone 125 mg/1	TabletOral	L. Perrigo Company	0113-1087
loperamide hydrochloride and simethiconeloperamide hydrochloride, simethicone	Loperamide hydrochloride 2 mg/1; Dimethicone 125 mg/1	TabletOral	Amazon.com Services LLC	72288-728
up and up anti diarrheal anti gasloperamide hydrochloride, simethicone	Loperamide hydrochloride 2 mg/1; Dimethicone 125 mg/1	TabletOral	Target Corporation	11673-646

signature care anti diarrheal anti gas (Loperamide hydrochloride, simethicone) NDC 21130-183