NDC codes

FDA NDC Directory
Product NDC (as listed)30142-581Labeler and product segments. Claims need a package NDC.
Product NDC at billing width30142-0581Add 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
30142-581-533014205815312 BLISTER PACK in 1 CARTON (30142-581-53) / 1 TABLET in 1 BLISTER PACKMarketed from Apr 24, 2019
30142-581-623014205816224 BLISTER PACK in 1 CARTON (30142-581-62) / 1 TABLET in 1 BLISTER PACKMarketed from Feb 7, 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)
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
Product type
Over-the-counter drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 209837
Marketing start
Listing expires
Other FDA classes
Opioid Agonists (Mechanism)Skin Barrier Activity (Physiologic effect)
Identifiers
Product ID 30142-581_4353cc11-0cef-4191-bbfb-cfe98cc26b51SPL ID 4353cc11-0cef-4191-bbfb-cfe98cc26b51SPL set ID 9c7db942-c8cb-493a-a96f-452b8dfebfc6RxCUI 978001UNII 77TI35393C, 92RU3N3Y1OUPC 0041260003165
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

N430142058153 followed by a unit qualifier and the quantity

Package 30142-0581-53. 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)

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
ProductStrengthForm · routeLabelerProduct NDC
dg health anti diarrheal anti gasloperamide hydrochloride, simethiconeLoperamide hydrochloride 2 mg/1; Dimethicone 125 mg/1TabletOralDolgencorp, LLC55910-383
Basic Care Loperamide Hydrochloride and Simethiconeloperamide hydrochloride, simethiconeLoperamide hydrochloride 2 mg/1; Dimethicone 125 mg/1TabletOralAmazon.com Services LLC72288-001
anti diarrheal anti gasloperamide hydrochloride, simethiconeLoperamide hydrochloride 2 mg/1; Dimethicone 125 mg/1TabletOralHyVee Inc42507-699
CareOne Diarrhea and Gas Controlloperamide hydrochloride, simethiconeLoperamide hydrochloride 2 mg/1; Dimethicone 125 mg/1TabletOralAmerican Sales Company41520-772
foster and thrive anti diarrheal anti gasloperamide hydrochloride, simethiconeLoperamide hydrochloride 2 mg/1; Dimethicone 125 mg/1TabletOralStrategic Sourcing Services LLC70677-1105
Good Sense Anti Diarrheal Anti Gasloperamide hydrochloride, simethiconeLoperamide hydrochloride 2 mg/1; Dimethicone 125 mg/1TabletOralL. Perrigo Company0113-1087
anti diarrheal plus anti gasloperamide hydrochloride, simethiconeLoperamide hydrochloride 2 mg/1; Dimethicone 125 mg/1TabletOralMeijer Distribution Inc41250-375
equaline anti diarrheal plus anti gasloperamide hydrochloride, simethiconeLoperamide hydrochloride 2 mg/1; Dimethicone 125 mg/1TabletOralUnited Natural Foods, Inc. dba UNFI41163-553
signature care anti diarrheal anti gasloperamide hydrochloride, simethiconeLoperamide hydrochloride 2 mg/1; Dimethicone 125 mg/1TabletOralSafeway21130-183
anti diarrheal anti gasloperamide hydrochloride, simethiconeLoperamide hydrochloride 2 mg/1; Dimethicone 125 mg/1TabletOralRite Aid Corporation11822-1003
anti diarrheal anti gasloperamide hydrochloride, simethiconeLoperamide hydrochloride 2 mg/1; Dimethicone 125 mg/1TabletOralH E B37808-714
good neighbor pharmacy anti diarrheal anti gasloperamide hydrochloride, simethiconeLoperamide hydrochloride 2 mg/1; Dimethicone 125 mg/1TabletOralAmerisource Bergen46122-620
anti diarrheal and anti gasloperamide hydrochloride, simethiconeLoperamide hydrochloride 2 mg/1; Dimethicone 125 mg/1TabletOralCVS Pharmacy69842-644
good sense anti diarrheal anti gasloperamide hydrochloride, simethiconeLoperamide hydrochloride 2 mg/1; Dimethicone 125 mg/1TabletOralL. Perrigo Company0113-0087
anti diarrheal and anti gasloperamide hydrochloride, simethiconeLoperamide hydrochloride 2 mg/1; Dimethicone 125 mg/1TabletOralWalgreen Company0363-1830
up and up anti diarrheal anti gasloperamide hydrochloride, simethiconeLoperamide hydrochloride 2 mg/1; Dimethicone 125 mg/1TabletOralTarget Corporation11673-646

Free account

Keep searching with a free account

You’ve used your 3 free searches for this session. Log in or create a free Med-Code account to keep looking up NDCs, J-codes and drugs.

Create a free accountLog in