Over-the-counter drug · OTC MONOGRAPH DRUG

Stomach Relief Regular Strength (Bismuth subsalicylate) NDC 53942-557

Bismuth subsalicylate 525 mg/30mL · Suspension · Oral · Demoulas Super Markets Inc

NDC codes

FDA NDC Directory
Product NDC (as listed)53942-557Labeler and product segments. Claims need a package NDC.
Product NDC at billing width53942-0557Add 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
53942-557-2853942055728354 mL in 1 BOTTLE (53942-557-28)Marketed from Oct 1, 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)
Stomach Relief Regular StrengthSuffix: Regular Strength
Generic name (nonproprietary)
bismuth subsalicylate
Active ingredients
Bismuth subsalicylate — 525 mg/30mL
Dosage form
Suspension
Route
Oral
Labeler
Demoulas Super Markets IncNDC labeler code 53942
Product type
Over-the-counter drug
Marketing category
OTC monograph drugApplication M 008
Marketing start
Listing expires
Identifiers
Product ID 53942-557_67d9d4ea-ca8d-4405-8437-578ca53ce0e9SPL ID 67d9d4ea-ca8d-4405-8437-578ca53ce0e9SPL set ID 9a95d198-f3ba-4bc3-a6f1-e065eb7e86f0RxCUI 308762UNII 62TEY51RR1

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

N453942055728 followed by a unit qualifier and the quantity

Package 53942-0557-28. 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 ■ travelers' diarrhea ■ diarrhea ■ upset stomach due to overindulgence of food and drink including: ■ heart burn ■ indigestion ■ nausea ■ gas ■ belching

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 53942-557

What is NDC 53942-557?
53942-557 is the product NDC for Stomach Relief Regular Strength (bismuth subsalicylate), Bismuth subsalicylate 525 mg/30mL suspension, listed with the FDA by Demoulas Super Markets Inc. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Stomach Relief Regular Strength (Bismuth subsalicylate).
What is the active ingredient?
Bismuth subsalicylate.
Who is the labeler?
Demoulas Super Markets Inc, NDC labeler code 53942. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Stomach Relief Regular Strength?
20 other product NDCs are listed under this name. See all Stomach Relief Regular Strength 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 Stomach Relief Regular Strength NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
Stomach Relief Regular Strengthbismuth subsalicylateBismuth subsalicylate 525 mg/30mLSuspensionOralCARDINAL HEALTH 110, LLC. DBA LEADER70000-069870000-0698-01
Stomach Relief Regular Strengthbismuth subsalicylateBismuth subsalicylate 525 mg/30mLLiquidOralGobrands, Inc. (Goodnow)82501-724082501-7240-08
Stomach Relief Regular Strengthbismuth subsalicylateBismuth subsalicylate 525 mg/30mLLiquidOralThe Kroger Co.30142-68030142-0680-0130142-0680-16
Stomach Relief Regular Strengthbismuth subsalicylateBismuth subsalicylate 525 mg/30mLLiquidOralRugby Laboratories0536-128600536-1286-36
Stomach Relief Regular Strengthbismuth subsalicylateBismuth subsalicylate 525 mg/30mLLiquidOralATLANTIC BIOLOGICALS CORP.17856-128617856-1286-0117856-1286-02
Stomach Relief Regular Strengthbismuth subsalicylateBismuth subsalicylate 525 mg/30mLLiquidOralAtlantic Biologicals Corp17856-828617856-8286-01
Stomach Relief Regular Strengthbismuth subsalicylateBismuth subsalicylate 525 mg/30mLLiquidOralEQUATE (Wal-Mart Stores, Inc.) (see also WAL-MART INC)49035-72549035-0725-0849035-0725-1649035-0725-32
Stomach Relief Regular Strengthbismuth subsalicylateBismuth subsalicylate 525 mg/30mLLiquidOralRite Aid Corporation11822-291011822-2910-0711822-2910-08
Stomach Relief Regular Strengthbismuth subsalicylateBismuth subsalicylate 525 mg/30mLLiquidOralThe Kroger Co.30142-62430142-0624-0830142-0624-12
Stomach Relief Regular Strengthbismuth subsalicylateBismuth subsalicylate 525 mg/30mLLiquidOralCare One (Retail Business Services, LLC.)72476-72472476-0724-0872476-0724-1272476-0724-16

All 21 Stomach Relief Regular Strength NDCs

Other NDCs under M 008

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

FDA NDC Directory listings under M 008
ProductStrengthForm · routeLabelerProduct NDC
Pepto Bismol CHEWABLESbismuth subsalicylateBismuth subsalicylate 525 mg/21Tablet, ChewableOralProcter & Gamble Manufactura S de RL de CV58933-013
Pepto Bismol CHEWABLESbismuth subsalicylateBismuth subsalicylate 262 mg/1Tablet, ChewableOralProcter & Gamble Manufactura S de RL de CV58933-011
Premier Valuebismuth subsalicylateBismuth subsalicylate 262 mg/1Tablet, ChewableOralCHAIN DRUG CONSORTIUM,LLC68016-124
up and up 5-symptom digestive reliefbismuth subsalicylateBismuth subsalicylate 262 mg/1TabletOralTarget Corporation11673-125
Stomach Reliefbismuth subsalicylateBismuth subsalicylate 262 mg/1Tablet, ChewableOralYOUR MILITARY EXCHANGE55301-124
Pepto Bismolbismuth subsalicylateBismuth subsalicylate 262 mg/1Tablet, ChewableOralThe Procter & Gamble Manufacturing Company84126-321
Green Guard Instydose Mucus ReliefguaifenesinGuaifenesin 200 mg/10mLLiquidOralUnifirst First Aid Corporation47682-769
Stomach Reliefbismuth subsalicylateBismuth subsalicylate 262 mg/1TabletOralKroger41226-475
HEB Stomach Relief Max Strengthbismuth subsalicylateBismuth subsalicylate 1050 mg/30mLSuspensionOralHEB37808-770
Green Guard Instydose Upset Stomach Reliefbismuth subsalicylateBismuth subsalicylate 525 mg/30mLLiquidOralUnifirst First Aid Corporation47682-770
Kroger Digestive Reliefbismuth subsalicylateBismuth subsalicylate 262 mg/1Tablet, Film coatedOralKROGER COMPANY30142-524
TopCare Stomach Relief Ultra Strengthbismuth subsalicylateBismuth subsalicylate 525 mg/15mLSuspensionOralTOPCO ASSOCIATES LLC36800-341
regular strength pink bismuthbismuth subsalicylateBismuth subsalicylate 525 mg/30mLSuspensionOralCVS PHARMACY, INC.69842-766
Upset Stomach Relief-Bismuth Subsalicylate 262 mgbismuth subsalicylate 262 mgBismuth subsalicylate 262 mg/1Capsule, Liquid filledOralNUVICARE LLC84324-028
TopCare Stomach Relief Regular Strengthbismuth subsalicylateBismuth subsalicylate 525 mg/30mLSuspensionOralTOPCO ASSOCIATES LLC36800-338
Percy Medicinebismuth subsalicylateBismuth subsalicylate 1050 mg/10mLLiquidOralMerrick Medicine Company, Inc0322-2222
Bismuth Subsalicylate Suspension Regular Strengthbismuth subsalicylateBismuth subsalicylate 525 mg/30mLSuspensionOralAptaPharma Inc.76281-557
GNP Pink Bismuthbismuth subsalicylateBismuth subsalicylate 262 mg/1TabletOralAmerisource Bergen24385-017
Stomach Relief - Regular Strengthbismuth subsalicylateBismuth subsalicylate 525 mg/30mLLiquidOralAptaPharma Inc.76281-537
Stomach Relief - Maximum Strengthbismuth subsalicylateBismuth subsalicylate 1050 mg/30mLLiquidOralAptaPharma Inc.76281-538

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