NDC codes

FDA NDC Directory
Product NDC (as listed)21130-222Labeler and product segments. Claims need a package NDC.
Product NDC at billing width21130-0222Add 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
21130-222-24211300222244 BLISTER PACK in 1 CARTON (21130-222-24) / 6 TABLET in 1 BLISTER PACKMarketed from Jul 21, 2023
21130-222-76211300222763 BLISTER PACK in 1 CARTON (21130-222-76) / 6 TABLET in 1 BLISTER PACKMarketed from Jul 21, 2023

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

Generic name (nonproprietary)
loperamide hydrochloride and simethicone
Active ingredients
Loperamide hydrochloride — 2 mg/1Dimethicone — 125 mg/1
Dosage form
Tablet
Route
Oral
Labeler
Better Living Brands, LLCNDC labeler code 21130
Product type
Over-the-counter drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 211059
Marketing start
Listing expires
Other FDA classes
Opioid Agonists (Mechanism)Skin Barrier Activity (Physiologic effect)
Identifiers
Product ID 21130-222_d9e5ddb4-1b09-440f-82af-b3dd59ef3ec0SPL ID d9e5ddb4-1b09-440f-82af-b3dd59ef3ec0SPL set ID fad9a144-6d1e-be06-e053-6394a90a870cRxCUI 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

N421130022224 followed by a unit qualifier and the quantity

Package 21130-0222-24. 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 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 21130-222

What is NDC 21130-222?
21130-222 is the product NDC for Loperamide Hydrochloride and Simethicone, Loperamide hydrochloride 2 mg/1; Dimethicone 125 mg/1 tablet, listed with the FDA by Better Living Brands, LLC. It has 2 package NDCs, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Loperamide Hydrochloride and Simethicone.
What is the active ingredient?
Loperamide hydrochloride, Dimethicone.
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 Loperamide Hydrochloride and Simethicone?
13 other product NDCs are listed under this name. See all Loperamide Hydrochloride and Simethicone 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 Loperamide Hydrochloride and Simethicone NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
Loperamide hydrochloride and SimethiconeLoperamide hydrochloride 2 mg/1; Dimethicone 125 mg/1TabletOralBionpharma Inc.69452-53169452-0531-12
Loperamide Hydrochloride and SimethiconeDimethicone 125 mg/1; Loperamide hydrochloride 2 mg/1TabletOralIMO-GEN LABS LLC84441-71384441-0713-10
Loperamide Hydrochloride and SimethiconeLoperamide hydrochloride 2 mg/1; Dimethicone 125 mg/1TabletOralFSA store INC81522-32581522-0325-24
Loperamide Hydrochloride and SimethiconeLoperamide hydrochloride 2 mg/1; Dimethicone 125 mg/1TabletOralWALMART INC.79903-22379903-0223-1279903-0223-24
Loperamide Hydrochloride and SimethiconeLoperamide hydrochloride 2 mg/1; Dimethicone 125 mg/1TabletOralFamily Dollar Stores, LLC55319-05255319-0052-75
Loperamide Hydrochloride and SimethiconeLoperamide hydrochloride 2 mg/1; Dimethicone 125 mg/1TabletOralGranules India Ltd62207-73962207-0739-69
Loperamide Hydrochloride and SimethiconeLoperamide hydrochloride 2 mg/1; Dimethicone 125 mg/1TabletOralWALGREEN CO.0363-960600363-9606-7500363-9606-76
Loperamide hydrochloride and SimethiconeLoperamide hydrochloride 2 mg/1; Dimethicone 125 mg/1TabletOralBionpharma Inc.69452-21069452-0210-0469452-0210-12
Loperamide Hydrochloride and SimethiconeLoperamide hydrochloride 2 mg/1; Dimethicone 125 mg/1TabletOralNORTHEAST PHARMA80136-38480136-0384-24
Loperamide Hydrochloride and SimethiconeLoperamide hydrochloride 2 mg/1; Dimethicone 125 mg/1TabletOralCamber Consumer Care Inc69230-32569230-0325-0469230-0325-0669230-0325-08+3 more

All 14 Loperamide Hydrochloride and Simethicone NDCs

Other NDCs under ANDA 211059

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

FDA NDC Directory listings under ANDA 211059
ProductStrengthForm · routeLabelerProduct NDC
Loperamide Hydrochloride and SimethiconeLoperamide hydrochloride 2 mg/1; Dimethicone 125 mg/1TabletOralWALGREEN CO.0363-9606
Loperamide Hydrochloride and SimethiconeLoperamide hydrochloride 2 mg/1; Dimethicone 125 mg/1TabletOralFamily Dollar Stores, LLC55319-052
Loperamide Hydrochloride and SimethiconeLoperamide hydrochloride 2 mg/1; Dimethicone 125 mg/1TabletOralAurohealth LLC58602-815
Loperamide Hydrochloride and SimethiconeLoperamide hydrochloride 2 mg/1; Dimethicone 125 mg/1TabletOralAurohealth LLC58602-868
Loperamide Hydrochloride and SimethiconeLoperamide hydrochloride 2 mg/1; Dimethicone 125 mg/1TabletOralAurohealth LLC58602-869
Loperamide Hydrochloride and SimethiconeLoperamide hydrochloride 2 mg/1; Dimethicone 125 mg/1TabletOralWALMART INC.79903-223
Loperamide Hydrochloride and SimethiconeLoperamide hydrochloride 2 mg/1; Dimethicone 125 mg/1TabletOralNORTHEAST PHARMA80136-384

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