NDC codes

FDA NDC Directory
Product NDC (as listed)21130-515Labeler and product segments. Claims need a package NDC.
Product NDC at billing width21130-0515Add 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
21130-515-602113005156060 TABLET, CHEWABLE in 1 BOTTLE, PLASTIC (21130-515-60)Marketed from Oct 5, 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 Smooth
Generic name (nonproprietary)
calcium carbonate
Active ingredients
Calcium carbonate — 750 mg/1
Dosage form
Tablet, Chewable
Route
Oral
Labeler
SAFEWAY
Product type
Over-the-counter drug
Marketing category
OTC monograph drugApplication M 001
Marketing start
Listing expires
Other FDA classes
Calcium (Chemical structure)Divalent (Chemical structure)Increased Coagulation Factor Activity (Physiologic effect)Phosphate Chelating Activity (Mechanism)
Identifiers
Product ID 21130-515_4249d15f-ba26-9084-e063-6294a90a391bSPL ID 4249d15f-ba26-9084-e063-6294a90a391bSPL set ID 4314ac58-03aa-479c-a711-4818cc332531RxCUI 308915UNII H0G9379FGKUPC 0321130798088
Pharmacologic class
Blood Coagulation Factor; Phosphate Binder

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

N421130051560 followed by a unit qualifier and the quantity

Package 21130-0515-60. 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

Label details couldn’t be retrieved right now. Open the label on DailyMed.

Other NDCs under M 001

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

FDA NDC Directory listings under M 001
ProductStrengthForm · routeLabelerProduct NDC
Sodium BicarbonateSodium bicarbonate 1000 mg/gPowderOralPharma Nobis, LLC82645-904
Regular Strength Antacid And Antigasaluminum hydroxide, magnesium hydroxide, dimethiconeAluminum hydroxide 200 mg/5mL + 2 more ingredientsSuspensionOralSTRATEGIC SOURCING SERVICES LLC70677-1063
Antacidaluminum hydroxide, magnesium hydroxide, simethiconeAluminum hydroxide 400 mg/10mL + 2 more ingredientsLiquidOralRugby Laboratories0536-1293
Calcium CarbonateCalcium carbonate 420 mg/1Tablet, ChewableOralAllegiant Health69168-036
Antacidaluminum hydroxide, magnesium hydroxide, simethiconeAluminum hydroxide 400 mg/10mL + 2 more ingredientsLiquidOralGuardian Drug Company53041-509
Bismuth SubsalicylateBismuth subsalicylate 262 mg/1Tablet, Film coatedOralCVS Pharmacy, Inc.69842-346
Unishield Antacidcalcium carbonateCalcium carbonate 420 mg/1Tablet, ChewableOralUnishield49314-1013
up and up extra strength smooth dissolving antacid Assorted Fruitcalcium carbonateCalcium carbonate 750 mg/1Tablet, ChewableOralTarget corporation11673-715
Good Neighbor Pharmacy Antacid Regular Strengthcalcium carbonateCalcium carbonate 500 mg/1Tablet, ChewableOralAmerisourceBergen Drug Corporation24385-485
Sanar Baking Soda 8oz 100% puresodium bicarbonateSodium bicarbonate 616 mg/gPowderOralEvi Labs84178-104
D-D Sudium Bicarbonate U.S.P. Bicarbonato De Soda Purosodium bicarbonateSodium bicarbonate 315 mg/gPowderOralEvi Labs84178-105
Regular Strength Antacid Assorted Fruit Regular strength Antacidcalcium carbonateCalcium carbonate 500 mg/1Tablet, ChewableOralHyvee Inc42507-350
Antacid And Antigascalcium carbonate, magnesium hydroxide, simethiconeCalcium carbonate 800 mg/10mL + 2 more ingredientsLiquidOralGeri-Care Pharmaceuticals, Corp57896-655
Premier Value Extra Strength Original Flavoraluminum hydroxide and magnesium carbonateAluminum hydroxide 160 mg/1; Magnesium carbonate 105 mg/1Tablet, ChewableOralPHARMACY VALUE ALLIANCE, LLC68016-105
Genexa Antacid Maximum Strengthcalcium carbonateCalcium carbonate 1000 mg/1Tablet, ChewableOralGenexa Inc.69676-0072
ADRIAN BICARBONATO SODIUM BICARBONATE USP-4 oz, 8 oz and 16 ozsodium bicarbonateSodium bicarbonate 315 mg/gPowderOralEvi Labs84178-106
meijer extra strength Wintergreen Flavorcalcium carbonateCalcium carbonate 750 mg/1Tablet, ChewableOralMEIJER DISTRIBUTION INC41250-669
Magnesium OxideMagnesium oxide 400 mg/1TabletOralMethod Pharmaceuticals, LLC58657-120
Humco Sodium Bicarbonatesodium bicarbonateSodium bicarbonate 1000 mg/gPowderOralHumco Holding Group, Inc.0395-2685
Dr Sana Alivio Digestivo Naranja UPSET STOMACHeffervescent antacidBicarbonate ion 2485 mg/5000mgGranule, EffervescentOralEVI LABS84178-112

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