NDC codes

FDA NDC Directory
Product NDC (as listed)53943-823Labeler and product segments. Claims need a package NDC.
Product NDC at billing width53943-0823Add 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
53943-823-30539430823302 BLISTER PACK in 1 CARTON (53943-823-30) / 15 CAPSULE, LIQUID FILLED in 1 BLISTER PACKMarketed from Sep 15, 2021

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)
Discount Drugmart Gas Relief Extra Strength SoftgelsSuffix: Extra Strength Softgels
Generic name (nonproprietary)
simethicone
Active ingredients
Dimethicone — 125 mg/1
Dosage form
Capsule, Liquid filled
Route
Oral
Product type
Over-the-counter drug
Marketing category
OTC monograph drugApplication M 002
Marketing start
Listing expires
Other FDA classes
Skin Barrier Activity (Physiologic effect)
Identifiers
Product ID 53943-823_f2bccfcb-8d6a-4f24-a35e-b12c430bc4faSPL ID f2bccfcb-8d6a-4f24-a35e-b12c430bc4faSPL set ID 63f3e5f0-10da-4681-a4f1-8ca1eb7e390fRxCUI 198852UNII 92RU3N3Y1O

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

N453943082330 followed by a unit qualifier and the quantity

Package 53943-0823-30. 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

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