What is NDC 67091-108?

67091-108 is the product NDC for WinCo Foods Effervescent Antacid and Pain Relief, Sodium bicarbonate 1916 mg/1 + 2 more ingredients tablet, effervescent, listed with the FDA by WinCo Foods, LLC. It has 1 package NDC, shown above in 10- and 11-digit form.

What drug is associated with this NDC?

WinCo Foods Effervescent Antacid and Pain Relief (ASPIRIN, SODIUM BICARBONATE, CITRIC ACID Tablet).

What is the active ingredient?

Sodium bicarbonate, Anhydrous citric acid, Aspirin.

WinCo Foods, LLC, NDC labeler code 67091. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.

What other NDCs exist for WinCo Foods Effervescent Antacid and Pain Relief?

None: this is the only finished product listed under this name.

Is there a related HCPCS / J-code?

Not in Med-Code's curated HCPCS directory.

NDC 67091-108

NDC codes

FDA NDC Directory

Product NDC (as listed)67091-108Labeler and product segments. Claims need a package NDC.

Product NDC at billing width67091-0108Add 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 NDC	11-digit (billing)	Package	Copy
67091-108-36	6709101083667091010836	18 POUCH in 1 CARTON (67091-108-36) / 2 TABLET, EFFERVESCENT in 1 POUCHMarketed from Jan 1, 2015

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): WinCo Foods Effervescent Antacid and Pain Relief
Generic name (nonproprietary): aspirin, sodium bicarbonate, citric acid tablet
Active ingredients: Sodium bicarbonate — 1916 mg/1Anhydrous citric acid — 1000 mg/1Aspirin — 325 mg/1
Dosage form: Tablet, Effervescent
Route: Oral
Labeler: WinCo Foods, LLCNDC labeler code 67091
Product type: Over-the-counter drug
Marketing category: OTC monograph drugApplication M 013
Marketing start: Jan 1, 2015
Marketing end: Dec 31, 2026
Other FDA classes: Acidifying Activity (Mechanism)Alkalinizing Activity (Mechanism)Non-Steroidal (Chemical structure)Calcium Chelating Activity (Mechanism)Cyclooxygenase Inhibitors (Mechanism)Decreased Coagulation Factor Activity (Physiologic effect)Decreased Platelet Aggregation (Physiologic effect)Decreased Prostaglandin Production (Physiologic effect)
Identifiers: Product ID 67091-108_26d1ae22-ca92-6629-e063-6394a90a7d60SPL ID 26d1ae22-ca92-6629-e063-6394a90a7d60SPL set ID 0c8a755a-089f-477f-97e9-0dd6fdfbe99dRxCUI 1536675UNII 8MDF5V39QO, XF417D3PSL, R16CO5Y76EUPC 0070552221109
Pharmacologic class: Anti-coagulant; Calculi Dissolution Agent; Nonsteroidal Anti-inflammatory Drug; Platelet Aggregation Inhibitor

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

N467091010836 followed by a unit qualifier and the quantity

Package 67091-0108-36. 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 Nov 13, 2024.

Indications (excerpt from the label)

Uses Uses for the temporary relief of ■ heartburn, acid indigestion and sour stomach when accompanied by headache or body aches and pains ■ upset stomach with headache from overindulgence in food or drink ■ pain alone (headaches or body aches and pains)

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 67091-108

What is NDC 67091-108?: 67091-108 is the product NDC for WinCo Foods Effervescent Antacid and Pain Relief, Sodium bicarbonate 1916 mg/1 + 2 more ingredients tablet, effervescent, listed with the FDA by WinCo Foods, LLC. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?: WinCo Foods Effervescent Antacid and Pain Relief (ASPIRIN, SODIUM BICARBONATE, CITRIC ACID Tablet).
What is the active ingredient?: Sodium bicarbonate, Anhydrous citric acid, Aspirin.
Who is the labeler?: WinCo Foods, LLC, NDC labeler code 67091. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for WinCo Foods Effervescent Antacid and Pain Relief?: None: this is the only finished product listed under this name.
Is there a related HCPCS / J-code?: Not in Med-Code's curated HCPCS directory. See Billing references above.

Other NDCs under M 013

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

FDA NDC Directory listings under M 013
Product	Strength	Form · route	Labeler	Product NDC
Aspirin Low Doseaspirin	Aspirin 81 mg/1	Tablet, Delayed releaseOral	ATLANTIC BIOLOGICALS CORP.	17856-3086
Childrens TYLENOLacetaminophen	Acetaminophen 160 mg/5mL	SuspensionOral	Kenvue Brands LLC	50580-614
Acetaminophen Regular strengthacetaminophen	Acetaminophen 325 mg/1	TabletOral	PD-Rx Pharmaceuticals, Inc.	55289-563
Pain Reliever PM Extra Strengthacetaminophen, diphenhydramine hcl	Acetaminophen 500 mg/1; Diphenhydramine hydrochloride 25 mg/1	Tablet, CoatedOral	TOP CARE (Topco Associates LLC)	36800-466
Acetaminophen 325 Mgacetaminophen	Acetaminophen 325 mg/1	TabletOral	Proficient Rx LP	71205-456
Acetaminophen	Acetaminophen 500 mg/1	Tablet, CoatedOral	Harris Teeter	72036-170
Topcare Aspirinaspirin	Aspirin 81 mg/1	Tablet, ChewableOral	Topco Associates LLC	36800-467
Pain Reliefacetaminophen	Acetaminophen 500 mg/1	Tablet, CoatedOral	HYVEE INC	42507-592
Pain Relief Extra Strengthacetaminophen	Acetaminophen 500 mg/1	Tablet, CoatedOral	MARC GLASSMAN, INC.	68998-392
Acetaminophen	Acetaminophen 500 mg/1	TabletOral	Trifecta Pharmaceuticals USA LLC	69396-140
Goodnow Pain Reliefacetaminophen	Acetaminophen 500 mg/1	TabletOral	Gobrands, Inc	82501-0484
Tension Headache Pain Relieving Aidacetaminophen,caffeine	Acetaminophen 500 mg/1; Caffeine 65 mg/1	TabletOral	WAL-MART STORES INC	79903-373
Acetaminophen , Aspirin and Caffeine	Aspirin 250 mg/1 + 2 more ingredients	CapsuleOral	Softgel Healthcare Pvt Ltd	35916-0709
Acetaminophen	Acetaminophen 160 mg/5mL	SuspensionOral	PAI Holdings, LLC dba PAI Pharma	0121-0941
CareOne Childrens Acetaminophenacetaminophen	Acetaminophen 160 mg/5mL	SuspensionOral	American Sales Company	41520-615
Childrens TYLENOLacetaminophen	Acetaminophen 160 mg/5mL	SuspensionOral	Kenvue Brands LLC	50580-612
Adwe Feverx Acetaminophen Caplets, 500 mg Extra Strengthacetaminophen	Acetaminophen 500 mg/1	TabletOral	Aurex Laboratories Limited Liability Company	71009-109
Acetaminophen PMacetaminophen and diphenhydramine hydrochloride	Acetaminophen 500 mg/1; Diphenhydramine hydrochloride 25 mg/1	Tablet, CoatedOral	Harris Teeter	72036-171
Basic Care Childrens Pain and Feveracetaminophen	Acetaminophen 160 mg/5mL	SuspensionOral	Amazon.com Services LLC	72288-130
good neighbor pharmacy aspirinaspirin	Aspirin 81 mg/1	Tablet, ChewableOral	Amerisource Bergen	24385-278

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WinCo Foods Effervescent Antacid and Pain Relief NDC 67091-108