Over-the-counter drug · OTC MONOGRAPH DRUG

Stomach Relief (Bismuth subsalicylate) NDC 55301-124

Bismuth subsalicylate 262 mg/1 · Tablet, Chewable · Oral · YOUR MILITARY EXCHANGE

NDC codes

FDA NDC Directory
Product NDC (as listed)55301-124Labeler and product segments. Claims need a package NDC.
Product NDC at billing width55301-0124Add 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
55301-124-3055301012430553010124301 BOTTLE in 1 CARTON (55301-124-30) / 30 TABLET, CHEWABLE in 1 BOTTLEMarketed from Mar 20, 2019

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
Generic name (nonproprietary)
bismuth subsalicylate
Active ingredients
Bismuth subsalicylate — 262 mg/1
Dosage form
Tablet, Chewable
Route
Oral
Labeler
YOUR MILITARY EXCHANGENDC labeler code 55301
Product type
Over-the-counter drug
Marketing category
OTC monograph drugApplication M 008
Marketing start
Listing expires
Identifiers
Product ID 55301-124_a5456d6b-5865-4906-bb18-ffcaae385045SPL ID a5456d6b-5865-4906-bb18-ffcaae385045

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

N455301012430 followed by a unit qualifier and the quantity

Package 55301-0124-30. 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

The FDA listing for this product does not reference a label (SPL) set.

About NDC 55301-124

What is NDC 55301-124?
55301-124 is the product NDC for Stomach Relief (bismuth subsalicylate), Bismuth subsalicylate 262 mg/1 tablet, chewable, listed with the FDA by YOUR MILITARY EXCHANGE. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Stomach Relief (Bismuth Subsalicylate).
What is the active ingredient?
Bismuth subsalicylate.
Who is the labeler?
YOUR MILITARY EXCHANGE, NDC labeler code 55301. 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?
21 other product NDCs are listed under this name. See all Stomach Relief 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 NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
Stomach Reliefbismuth subsalicylateBismuth subsalicylate 262 mg/1TabletOralKroger41226-47541226-0475-42
Stomach Reliefbismuth subsalicylateBismuth 262 mg/1Capsule, Liquid filledOralShield Pharmaceuticals Corp83059-016683059-0166-08
Stomach Reliefbismuth subsalicylateBismuth subsalicylate 525 mg/30mLSuspensionOralGrocery Outlet, Inc.85828-79185828-0791-07
Stomach Reliefbismuth subsalicylateBismuth subsalicylate 262 mg/1Tablet, ChewableOralGrocery Outlet, Inc.85828-72785828-0727-30
Stomach Reliefbismuth subsalicylateBismuth subsalicylate 262 mg/1TabletOralBi-Mart37835-20737835-0207-48
Stomach Reliefbismuth subsalicylateBismuth subsalicylate 262 mg/1TabletOralChain Drug Marketing Association, Inc.83324-06083324-0060-40
Stomach Reliefbismuth subsalicylateBismuth subsalicylate 525 mg/30mLLiquidOralHarris Teeter, LLC69256-52769256-0527-0469256-0527-05
Stomach Reliefbismuth subsalicylateBismuth subsalicylate 525 mg/30mLLiquidOralWALMART INC. (see also Equate)79903-31179903-0311-16
Stomach ReliefBismuth subsalicylate 262 mg/1TabletOralChain Drug Marketing Association, Inc.83324-13083324-0130-30
Stomach Reliefbismuth subsalicylateBismuth subsalicylate 525 mg/30mLLiquidOralWalgreens0363-702400363-7024-1600363-7024-32

All 22 Stomach Relief 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
RITE AID Regular Strength Pink Bismuthbismuth subsalicylateBismuth subsalicylate 525 mg/30mLSuspensionOralRITE AID CORPORATION11822-7060
RITE AID Ultra Strnght Pink Bismuthbismuth subsalicylateBismuth subsalicylate 525 mg/15mLSuspensionOralRITE AID CORPORATION11822-7070
Medique Diotamebismuth subsalicylateBismuth subsalicylate 262 mg/1Tablet, ChewableOralUnifirst First Aid Corporation47682-210
FEVIA Diarrhea Controlbismuth subsalicylateBismuth subsalicylate 262 mg/1Capsule, Liquid filledOralVIVUNT PHARMA LLC82706-028
5-Symptom Digestive Reliefbismuth subsalicylateBismuth subsalicylate 262 mg/1TabletOralTARGET CORPORATION11673-880
Topcare Stomach Relief Original Strengthbismuth subsalicylateBismuth subsalicylate 262 mg/1TabletOralTopCo Associates, LLC76162-001
Stomach Reliefbismuth subsalicylateBismuth subsalicylate 525 mg/30mLLiquidOralFamily Dollar (FAMILY WELLNESS)55319-560
Pepto Bismol CHEWABLESbismuth subsalicylateBismuth subsalicylate 262 mg/1Tablet, ChewableOralProcter & Gamble Manufactura S de RL de CV58933-002
Percy Medicinebismuth subsalicylateBismuth subsalicylate 1050 mg/10mLLiquidOralMerrick Medicine Company, Inc0322-2222
Bismuth Subsalicylate Suspension Regular Strengthbismuth subsalicylateBismuth subsalicylate 525 mg/30mLSuspensionOralAptaPharma Inc.76281-557
Pepto Bismol CHEWABLESbismuth subsalicylateBismuth subsalicylate 262 mg/1Tablet, ChewableOralProcter & Gamble Manufactura S de RL de CV58933-011
Stomach Relief - Regular Strengthbismuth subsalicylateBismuth subsalicylate 525 mg/30mLLiquidOralAptaPharma Inc.76281-537
Stomach Reliefbismuth subsalicylateBismuth subsalicylate 262 mg/1TabletOralChain Drug Marketing Association, Inc.83324-060
Stomach Relief - Maximum Strengthbismuth subsalicylateBismuth subsalicylate 1050 mg/30mLLiquidOralAptaPharma Inc.76281-538
Pepto Bismol Chewsbismuth subsalicylateBismuth subsalicylate 262 mg/1Tablet, ChewableOralThe Procter & Gamble Manufacturing Company37000-996
Stomach Relief, Maximum Strengthbismuth subsalicylateBismuth subsalicylate 1050 mg/30mLSuspensionOralAptaPharma Inc.76281-558
CVS Stomach Reliefbismuth subsalicylateBismuth subsalicylate 262 mg/1TabletOralCVS51316-124
Quality Choice Ultra Strength Stomach Reliefbismuth subsalicylateBismuth subsalicylate 525 mg/15mLLiquidOralQUALITY CHOICE (CHAIN DRUG MARKETING ASSOCIATION)83324-337
Pepto Bismol CHEWABLESbismuth subsalicylateBismuth subsalicylate 525 mg/21Tablet, ChewableOralProcter & Gamble Manufactura S de RL de CV58933-013
POCKET PEPTO Pepto Bismolbismuth subsalicylateBismuth subsalicylate 262 mg/1TabletOralProcter & Gamble Manufactura S de RL de CV58933-017

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