Over-the-counter drug · OTC MONOGRAPH DRUG
Stomach Relief (Bismuth subsalicylate) NDC 63868-622
Bismuth subsalicylate 262 mg/1 · Tablet · Oral · CDMA- QC
NDC codes
FDA NDC DirectoryProduct NDC (as listed)63868-622Labeler and product segments. Claims need a package NDC.
Product NDC at billing width63868-0622Add the package segment from the table below.
| Package NDC | 11-digit (billing) | Package | Copy |
|---|---|---|---|
| 63868-622-30 | 63868062230 | 30 TABLET in 1 CELLO PACK (63868-622-30)Marketed from Jun 16, 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)
- Stomach Relief
- Generic name (nonproprietary)
- bismuth subsalicylate
- Active ingredients
- Bismuth subsalicylate — 262 mg/1
- Dosage form
- Tablet
- Route
- Oral
- Labeler
- CDMA- QCNDC labeler code 63868
- Product type
- Over-the-counter drug
- Marketing category
- OTC monograph drugApplication M 008
- Marketing start
- Listing expires
- Other FDA classes
- Bismuth (Chemical structure)
- Identifiers
- Product ID 63868-622_25788bd2-f666-4c2f-9977-b343388c0c08SPL ID 25788bd2-f666-4c2f-9977-b343388c0c08SPL set ID fe3cd0ce-933b-4ad3-a34f-c057a9356158RxCUI 308761UNII 62TEY51RR1
- Pharmacologic class
- Bismuth
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
N463868062230followed by a unit qualifier and the quantityPackage 63868-0622-30. 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
Current FDA label (SPL), effective .
Indications (excerpt from the label)
Use(s) relieves travelers’ diarrhea diarrhea upset stomach due to overindulgence in food and drink including: heartburn indigestion nausea gas belching fullness
Excerpt only. Read the full label for complete information.
About NDC 63868-622
- What is NDC 63868-622?
- 63868-622 is the product NDC for Stomach Relief (bismuth subsalicylate), Bismuth subsalicylate 262 mg/1 tablet, listed with the FDA by CDMA- QC. 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?
- CDMA- QC, NDC labeler code 63868. 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.
Related NDCs: other Stomach Relief products
Other finished products listed under the same name: strengths, forms and labelers.
| Product | Strength | Form · route | Labeler | Product NDC | Package NDCs (11-digit) |
|---|---|---|---|---|---|
| Stomach Reliefbismuth subsalicylate | Bismuth subsalicylate 262 mg/1 | TabletOral | Kroger | 41226-475 | 41226-0475-42 |
| Stomach Reliefbismuth subsalicylate | Bismuth 262 mg/1 | Capsule, Liquid filledOral | Shield Pharmaceuticals Corp | 83059-0166 | 83059-0166-08 |
| Stomach Reliefbismuth subsalicylate | Bismuth subsalicylate 525 mg/30mL | SuspensionOral | Grocery Outlet, Inc. | 85828-791 | 85828-0791-07 |
| Stomach Reliefbismuth subsalicylate | Bismuth subsalicylate 262 mg/1 | Tablet, ChewableOral | Grocery Outlet, Inc. | 85828-727 | 85828-0727-30 |
| Stomach Reliefbismuth subsalicylate | Bismuth subsalicylate 262 mg/1 | TabletOral | Bi-Mart | 37835-207 | 37835-0207-48 |
| Stomach Reliefbismuth subsalicylate | Bismuth subsalicylate 262 mg/1 | TabletOral | Chain Drug Marketing Association, Inc. | 83324-060 | 83324-0060-40 |
| Stomach Reliefbismuth subsalicylate | Bismuth subsalicylate 525 mg/30mL | LiquidOral | Harris Teeter, LLC | 69256-527 | 69256-0527-0469256-0527-05 |
| Stomach Reliefbismuth subsalicylate | Bismuth subsalicylate 525 mg/30mL | LiquidOral | WALMART INC. (see also Equate) | 79903-311 | 79903-0311-16 |
| Stomach Relief | Bismuth subsalicylate 262 mg/1 | TabletOral | Chain Drug Marketing Association, Inc. | 83324-130 | 83324-0130-30 |
| Stomach Reliefbismuth subsalicylate | Bismuth subsalicylate 525 mg/30mL | LiquidOral | Walgreens | 0363-7024 | 00363-7024-1600363-7024-32 |
Other NDCs under M 008
Products listed under the same FDA application: other strengths and forms, and repackagers who relabel the same product.
| Product | Strength | Form · route | Labeler | Product NDC |
|---|---|---|---|---|
| 5 Symptom Digestive Reliefbismuth subsalicylate | Bismuth subsalicylate 262 mg/1 | Tablet, ChewableOral | TARGET CORPORATION | 11673-723 |
| 5-Symptom Digestive Reliefbismuth subsalicylate | Bismuth subsalicylate 525 mg/30mL | SuspensionOral | TARGET CORPORATION | 11673-291 |
| 5-Symptom Digestive Reliefbismuth subsalicylate | Bismuth subsalicylate 262 mg/1 | TabletOral | TARGET CORPORATION | 11673-880 |
| AMAZON Digestive Reliefbismuth subsalicylate | Bismuth subsalicylate 262 mg/1 | TabletOral | AMAZON.COM SERVICES LLC | 72288-125 |
| AMAZON Regular Strengthbismuth subsalicylate | Bismuth subsalicylate 525 mg/30mL | SuspensionOral | AMAZON.COM SERVICES LLC | 72288-706 |
| Anti-Diarrhealbismuth subsalicylate | Bismuth subsalicylate 262 mg/1 | TabletOral | Lil' Drug Store Products, Inc. | 66715-6841 |
| Bismuthbismuth subsalicylate | Bismuth subsalicylate 262 mg/1 | TabletOral | Allegiant Health | 69168-046 |
| Bismuth Chewablebismuth subsalicylate 262 mg | Bismuth subsalicylate 262 mg/1 | Tablet, ChewableOral | Marc Glassman, Inc. | 68998-046 |
| Bismuth subsalicylate | Bismuth subsalicylate 262 mg/1 | Capsule, Liquid filledOral | Softgel Healthcare Pvt Ltd | 35916-0234 |
| Bismuth Subsalicylate | Bismuth subsalicylate 262 mg/1 | Tablet, Film coatedOral | LEADER/ Cardinal Health 110, Inc. | 70000-0594 |
| Bismuth Subsalicylate 262 mgbismuth subsalicylate | Bismuth subsalicylate 262 mg/1 | Tablet, ChewableOral | Preferred Pharmaceuticals Inc. | 68788-4116 |
| Bismuth Subsalicylate 262 mgbismuth subsalicylate | Bismuth subsalicylate 262 mg/1 | Tablet, ChewableOral | Reliable 1 Laboratories LLC | 69618-029 |
| Bismuth Subsalicylate Pink Bismuthbismuth subsalicylate | Bismuth subsalicylate 262 mg/1 | Tablet, ChewableOral | Hyvee Inc | 42507-267 |
| Bismuth Subsalicylate Suspension Regular Strengthbismuth subsalicylate | Bismuth subsalicylate 525 mg/30mL | SuspensionOral | AptaPharma Inc. | 76281-557 |
| Bismuth Subsalicylate Suspension Regular Strengthbismuth subsalicylate | Bismuth subsalicylate 525 mg/30mL | LiquidOral | FSA Store Inc. (Caring Mill) | 81522-557 |
| Careone Stomach Reliefbismuth subsalicylate | Bismuth subsalicylate 262 mg/1 | Tablet, ChewableOral | Retail Business Services, LLC. | 72476-173 |
| Chewable Stomach Reliefbismuth subsalicylate | Bismuth subsalicylate 262 mg/1 | Tablet, ChewableOral | PUBLIX SUPER MARKETS INC, | 41415-124 |
| CVS Health Anti-Diarrheal Vanillabismuth subsalicylate | Bismuth subsalicylate 262 mg/15mL | SuspensionOral | CVS Pharmacy,Inc. | 59779-883 |
| CVS Health Stomach relief Cherry Flavorbismuth subsalicylate | Bismuth subsalicylate 262 mg/1 | Tablet, ChewableOral | CVS PHARMACY,INC. | 69842-221 |
| CVS Health Stomach Relief SOFTGELbismuth subsalicylate | Bismuth subsalicylate 262 mg/1 | Capsule, Liquid filledOral | CVS Pharmacy, Inc. | 51316-829 |
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