Over-the-counter drug · NDA

anti-diarrheal (Loperamide hydrochloride) NDC 63941-684

Loperamide hydrochloride 2 mg/1 · Capsule, Liquid filled · Oral · VALU MERCHANDISERS COMPANY

NDC codes

FDA NDC Directory
Product NDC (as listed)63941-684Labeler and product segments. Claims need a package NDC.
Product NDC at billing width63941-0684Add 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
63941-684-12639410684122 BLISTER PACK in 1 CARTON (63941-684-12) / 12 CAPSULE, LIQUID FILLED in 1 BLISTER PACKMarketed from Oct 10, 2023

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)
anti-diarrheal
Generic name (nonproprietary)
loperamide hydrochloride
Active ingredients
Loperamide hydrochloride — 2 mg/1
Dosage form
Capsule, Liquid filled
Route
Oral
Labeler
VALU MERCHANDISERS COMPANYNDC labeler code 63941
Product type
Over-the-counter drug
Marketing category
NDA — New Drug ApplicationApplication NDA 021855
Marketing start
Listing expires
Other FDA classes
Opioid Agonists (Mechanism)
Identifiers
Product ID 63941-684_06fe77f7-a20c-f066-e063-6294a90a7653SPL ID 06fe77f7-a20c-f066-e063-6294a90a7653SPL set ID fed347ad-cfbb-9ee8-e053-6394a90ad275RxCUI 978006UNII 77TI35393CUPC 0070038667285
Pharmacologic class
Opioid Agonist

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

N463941068412 followed by a unit qualifier and the quantity

Package 63941-0684-12. 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 controls symptoms of diarrhea, including Travelers' Diarrhea

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 63941-684

What is NDC 63941-684?
63941-684 is the product NDC for anti-diarrheal (loperamide hydrochloride), Loperamide hydrochloride 2 mg/1 capsule, liquid filled, listed with the FDA by VALU MERCHANDISERS COMPANY. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
anti-diarrheal (Loperamide hydrochloride).
What is the active ingredient?
Loperamide hydrochloride.
Who is the labeler?
VALU MERCHANDISERS COMPANY, NDC labeler code 63941. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for anti-diarrheal?
74 other product NDCs are listed under this name. See all anti-diarrheal 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 anti-diarrheal NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
Anti-Diarrhealloperamide hydrochlorideLoperamide hydrochloride 2 mg/1Tablet, Film coatedOralKroger41226-79741226-0797-2241226-0797-24
Anti-Diarrhealloperamide hclLoperamide hydrochloride 2 mg/1Tablet, CoatedOralGrocery Outlet85828-24885828-0248-93
Anti-Diarrhealloperamide hydrochlorideLoperamide hydrochloride 2 mg/1Capsule, Liquid filledOralCHAIN DRUG MARKETING ASSOCIATION INC.83324-20883324-0208-12
Anti-Diarrhealloperamide hydrochlorideLoperamide hydrochloride 2 mg/1Capsule, Liquid filledOralCHAIN DRUG MARKETING ASSOCIATION INC.83324-20983324-0209-24
Anti-diarrhealloperamide hclLoperamide hydrochloride 2 mg/1TabletOralBI-MART37835-13137835-0131-0137835-0131-1237835-0131-24
anti-diarrhealloperamide hydrochlorideLoperamide hydrochloride 2 mg/1Capsule, Liquid filledOralAlbertsons Companies21130-83521130-0835-12
Anti-Diarrhealloperamide hclLoperamide hydrochloride 2 mg/1TabletOralAdvanced Rx LLC80513-37580513-0375-08
anti-diarrhealloperamide hydrochlorideLoperamide hydrochloride 1 mg/7.5mLSolutionOralSafeway21130-38121130-0381-34
anti-diarrhealloperamide hydrochlorideLoperamide hydrochloride 2 mg/1Capsule, Liquid filledOralPUBLIX SUPER MARKETS INC56062-68056062-0680-12
Anti Diarrhealloperamide hclLoperamide hydrochloride 2 mg/1TabletOralChain Drug Marketing Association, Inc.83324-06483324-0064-1283324-0064-24

All 75 anti-diarrheal NDCs

Other NDCs under NDA 021855

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

FDA NDC Directory listings under NDA 021855
ProductStrengthForm · routeLabelerProduct NDC
Anti-Diarrhealloperamide hydrochlorideLoperamide hydrochloride 2 mg/1Capsule, Liquid filledOralNortheast Pharma80136-851
Anti-Diarrhealloperamide hydrochlorideLoperamide hydrochloride 2 mg/1Capsule, Liquid filledOralTARGET Corporation11673-177
Anti-Diarrhealloperamide hydrochlorideLoperamide hydrochloride 2 mg/1Capsule, Liquid filledOralWALGREENS0363-1176
Anti-Diarrhealloperamide hydrochlorideLoperamide hydrochloride 2 mg/1Capsule, Liquid filledOralPremier Value Alliance LLC68016-058
Anti-Diarrhealloperamide hydrochlorideLoperamide hydrochloride 2 mg/1Capsule, Liquid filledOralCHAIN DRUG MARKETING ASSOCIATION INC.63868-876
Anti-Diarrhealloperamide hydrochlorideLoperamide hydrochloride 2 mg/1Capsule, Liquid filledOralSTRATEGIC SOURCING SERVICES70677-1062
Anti-Diarrhealloperamide hydrochlorideLoperamide hydrochloride 2 mg/1Capsule, Liquid filledOralStrategic Sourcing Services LLC62011-0390
Anti-Diarrhealloperamide hydrochlorideLoperamide hydrochloride 2 mg/1Capsule, Liquid filledOralHEB37808-988
anti-diarrhealloperamide hydrochlorideLoperamide hydrochloride 2 mg/1Capsule, Liquid filledOralMEIJER DISTRIBUTION INC41250-210
Imodium A-Dloperamide hydrochlorideLoperamide hydrochloride 2 mg/1Capsule, Liquid filledOralKenvue Brands LLC50580-367
Anti-Diarrhealloperamide hydrochlorideLoperamide hydrochloride 2 mg/1Capsule, Liquid filledOralKROGER COMPANY30142-159
Anti-Diarrhealloperamide hydrochlorideLoperamide hydrochloride 2 mg/1Capsule, Liquid filledOralWal-Mart Stores, Inc.49035-483
Anti-Diarrhealloperamide hydrochlorideLoperamide hydrochloride 2 mg/1Capsule, Liquid filledOralCHAIN DRUG MARKETING ASSOCIATION INC.83324-208
Anti-Diarrhealloperamide hydrochlorideLoperamide hydrochloride 2 mg/1Capsule, Liquid filledOralCHAIN DRUG MARKETING ASSOCIATION INC.83324-209
Anti-Diarrhealloperamide hydrochlorideLoperamide hydrochloride 2 mg/1Capsule, Liquid filledOralCVS Pharmacy, Inc.69842-061
anti-diarrhealloperamide hydrochlorideLoperamide hydrochloride 2 mg/1Capsule, Liquid filledOralBionpharma Inc.69452-176
Anti-Diarrhealloperamide hydrochlorideLoperamide hydrochloride 2 mg/1Capsule, Liquid filledOralDISCOUNT DRUG MART, INC.53943-176
anti-diarrhealloperamide hydrochlorideLoperamide hydrochloride 2 mg/1Capsule, Liquid filledOralAmazon.com Services LLC72288-313
WELMATE Anti Diarrheal Loperamide HCl Softgelsloperamide hydrochlorideLoperamide hydrochloride 2 mg/1CapsuleOralYYBA CORP73581-102
anti-diarrhealloperamide hydrochlorideLoperamide hydrochloride 2 mg/1Capsule, Liquid filledOralBionpharma Inc.69452-266

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