Over-the-counter drug · OTC MONOGRAPH DRUG

Stomach Relief Maximum Strength (Bismuth subsalicylate) NDC 53942-558

Bismuth subsalicylate 1050 mg/30mL · Suspension · Oral · Demoulas Super Markets Inc

NDC codes

FDA NDC Directory
Product NDC (as listed)53942-558Labeler and product segments. Claims need a package NDC.
Product NDC at billing width53942-0558Add 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
53942-558-2653942055826237 mL in 1 BOTTLE (53942-558-26)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 Maximum StrengthSuffix: Maximum Strength
Generic name (nonproprietary)
bismuth subsalicylate
Active ingredients
Bismuth subsalicylate — 1050 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 53942-558_9c832971-fd38-4183-acd5-d520aae9c8f6SPL ID 9c832971-fd38-4183-acd5-d520aae9c8f6SPL set ID b2d55045-d4a4-4167-a20c-42932f35bab2RxCUI 308763UNII 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

N453942055826 followed by a unit qualifier and the quantity

Package 53942-0558-26. 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 53942-558

What is NDC 53942-558?
53942-558 is the product NDC for Stomach Relief Maximum Strength (bismuth subsalicylate), Bismuth subsalicylate 1050 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 Maximum 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 Maximum Strength?
3 other product NDCs are listed under this name. See all Stomach Relief Maximum 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 Maximum Strength NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
Stomach Relief, Maximum Strengthbismuth subsalicylateBismuth subsalicylate 1050 mg/30mLSuspensionOralAptaPharma Inc.76281-55876281-0558-25
Stomach Relief Maximum Strengthbismuth subsalicylateBismuth subsalicylate 525 mg/15mLLiquidOralCVS Pharmacy69842-22969842-0229-12
Stomach Relief - Maximum Strengthbismuth subsalicylateBismuth subsalicylate 1050 mg/30mLLiquidOralAptaPharma Inc.76281-53876281-0538-26

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
5 Symptom Digestive Reliefbismuth subsalicylateBismuth subsalicylate 262 mg/1Tablet, ChewableOralTARGET CORPORATION11673-723
5-Symptom Digestive Reliefbismuth subsalicylateBismuth subsalicylate 525 mg/30mLSuspensionOralTARGET CORPORATION11673-291
5-Symptom Digestive Reliefbismuth subsalicylateBismuth subsalicylate 262 mg/1TabletOralTARGET CORPORATION11673-880
AMAZON Digestive Reliefbismuth subsalicylateBismuth subsalicylate 262 mg/1TabletOralAMAZON.COM SERVICES LLC72288-125
AMAZON Regular Strengthbismuth subsalicylateBismuth subsalicylate 525 mg/30mLSuspensionOralAMAZON.COM SERVICES LLC72288-706
Anti-Diarrhealbismuth subsalicylateBismuth subsalicylate 262 mg/1TabletOralLil' Drug Store Products, Inc.66715-6841
Bismuthbismuth subsalicylateBismuth subsalicylate 262 mg/1TabletOralAllegiant Health69168-046
Bismuth Chewablebismuth subsalicylate 262 mgBismuth subsalicylate 262 mg/1Tablet, ChewableOralMarc Glassman, Inc.68998-046
Bismuth subsalicylateBismuth subsalicylate 262 mg/1Capsule, Liquid filledOralSoftgel Healthcare Pvt Ltd35916-0234
Bismuth SubsalicylateBismuth subsalicylate 262 mg/1Tablet, Film coatedOralLEADER/ Cardinal Health 110, Inc.70000-0594
Bismuth Subsalicylate 262 mgbismuth subsalicylateBismuth subsalicylate 262 mg/1Tablet, ChewableOralPreferred Pharmaceuticals Inc.68788-4116
Bismuth Subsalicylate 262 mgbismuth subsalicylateBismuth subsalicylate 262 mg/1Tablet, ChewableOralReliable 1 Laboratories LLC69618-029
Bismuth Subsalicylate Pink Bismuthbismuth subsalicylateBismuth subsalicylate 262 mg/1Tablet, ChewableOralHyvee Inc42507-267
Bismuth Subsalicylate Suspension Regular Strengthbismuth subsalicylateBismuth subsalicylate 525 mg/30mLSuspensionOralAptaPharma Inc.76281-557
Bismuth Subsalicylate Suspension Regular Strengthbismuth subsalicylateBismuth subsalicylate 525 mg/30mLLiquidOralFSA Store Inc. (Caring Mill)81522-557
Careone Stomach Reliefbismuth subsalicylateBismuth subsalicylate 262 mg/1Tablet, ChewableOralRetail Business Services, LLC.72476-173
Chewable Stomach Reliefbismuth subsalicylateBismuth subsalicylate 262 mg/1Tablet, ChewableOralPUBLIX SUPER MARKETS INC,41415-124
CVS Health Anti-Diarrheal Vanillabismuth subsalicylateBismuth subsalicylate 262 mg/15mLSuspensionOralCVS Pharmacy,Inc.59779-883
CVS Health Stomach relief Cherry Flavorbismuth subsalicylateBismuth subsalicylate 262 mg/1Tablet, ChewableOralCVS PHARMACY,INC.69842-221
CVS Health Stomach Relief SOFTGELbismuth subsalicylateBismuth subsalicylate 262 mg/1Capsule, Liquid filledOralCVS Pharmacy, Inc.51316-829

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