NDC codes

FDA NDC Directory
Product NDC (as listed)67751-174Labeler and product segments. Claims need a package NDC.
Product NDC at billing width67751-0174Add 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
67751-174-0167751017401677510174011 POUCH in 1 CARTON (67751-174-01) / 1 GRANULE, EFFERVESCENT in 1 POUCHMarketed from Sep 23, 2016

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)
Sal De Uvas Picot
Generic name (nonproprietary)
citric acid monohydrate, sodium bicarbonate
Active ingredients
Citric acid monohydrate — 1.9485 g/1Sodium bicarbonate — 2.485 g/1
Dosage form
Granule, Effervescent
Route
Oral
Labeler
Navajo Manufacturing Company Inc.NDC labeler code 67751
Product type
Over-the-counter drug
Marketing category
OTC monograph drugApplication M 001
Marketing start
Marketing end
Other FDA classes
Acidifying Activity (Mechanism)Calcium Chelating Activity (Mechanism)Decreased Coagulation Factor Activity (Physiologic effect)Increased Large Intestinal Motility (Physiologic effect)Inhibition Large Intestine Fluid/Electrolyte Absorption (Physiologic effect)Osmotic Activity (Mechanism)
Identifiers
Product ID 67751-174_5d6d144f-d900-b5ad-e063-6294a90aa026SPL ID 5d6d144f-d900-b5ad-e063-6294a90aa026
Pharmacologic class
Anti-coagulant; Calculi Dissolution Agent; Osmotic Laxative

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

N467751017401 followed by a unit qualifier and the quantity

Package 67751-0174-01. 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 67751-174

What is NDC 67751-174?
67751-174 is the product NDC for Sal De Uvas Picot, Citric acid monohydrate 1.9485 g/1; Sodium bicarbonate 2.485 g/1 granule, effervescent, listed with the FDA by Navajo Manufacturing Company Inc.. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Sal De Uvas Picot (Citric acid monohydrate, Sodium bicarbonate).
What is the active ingredient?
Citric acid monohydrate, Sodium bicarbonate.
Who is the labeler?
Navajo Manufacturing Company Inc., NDC labeler code 67751. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Sal De Uvas Picot?
2 other product NDCs are listed under this name. See all Sal De Uvas Picot 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 Sal De Uvas Picot NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
Sal de Uvas Picotcitric acid monohydrate and sodium bicarbonateCitric acid monohydrate 1948.5 mg/1; Sodium bicarbonate 2485 mg/1Granule, EffervescentOralNavajo Manufacturing Company Inc.67751-25767751-0257-01
Sal de Uvas Picotcitric acid monohydrate and sodium bicarbonateCitric acid monohydrate 1948.5 mg/1; Sodium bicarbonate 2485 mg/1Granule, EffervescentOralRB Health Mexico, S.A. de C.V.73208-58073208-0580-0173208-0580-0273208-0580-03+2 more

Other NDCs under M 001

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

FDA NDC Directory listings under M 001
ProductStrengthForm · routeLabelerProduct NDC
Acid Gone Antacidaluminum hydroxide and magnesium carbonateAluminum hydroxide 95 mg/15mL; Magnesium carbonate 358 mg/15mLLiquidOralMajor Pharmaceuticals0904-7727
Acid Gone Antacid Extra Strengthaluminum hydroxide and magnesium carbonateAluminum hydroxide 160 mg/1; Magnesium carbonate 105 mg/1Tablet, ChewableOralMajor Pharmaceuticals0904-5365
ADRIAN BICARBONATO SODIUM BICARBONATE USP-4 oz, 8 oz and 16 ozsodium bicarbonateSodium bicarbonate 315 mg/gPowderOralEvi Labs84178-106
Advanced Antacid Mintaluminum hydroxide, magnesium hydroxide, dimethiconeAluminum hydroxide 400 mg/10mL + 2 more ingredientsSuspensionOralGOODSENSE50804-639
Advanced Regular Strength Antacidaluminum hydroxide, magnesium hydroxide, simethiconeAluminum hydroxide 200 mg/5mL + 2 more ingredientsSuspensionOralWALGREEN COMPANY0363-1639
Alka-Seltzer Cool Action Extra Strength ReliefChews Mintcalcium carbonateCalcium carbonate 750 mg/1Tablet, ChewableOralBayer HealthCare LLC.0280-0058
Alka-Seltzer Cool Action Heartburn Relief Mintcalcium carbonateCalcium carbonate 750 mg/1Gum, ChewingOralBayer HealthCare LLC.0280-0001
Alka-Seltzer Extra Strengthanhydrous citric acid, sodium bicarbonate, and aspirinAnhydrous citric acid 1000 mg/1 + 2 more ingredientsGranule, EffervescentOralBayer HealthCare LLC.0280-0211
Alka-Seltzer Extra Strength Heartburn ReliefChewscalcium carbonateCalcium carbonate 750 mg/1Tablet, ChewableOralBayer HealthCare LLC.0280-0042
Alka-Seltzer GoldCitric acid monohydrate 1000 mg/1 + 2 more ingredientsTablet, EffervescentOralBayer HealthCare LLC.0280-4100
Alka-Seltzer Heartburnanhydrous citric acid, sodium bicarbonate (heat-treated)Citric acid monohydrate 1000 mg/1; Sodium bicarbonate 1940 mg/1Tablet, EffervescentOralBayer HealthCare LLC.0280-0047
Alka-Seltzer Heartburn Plus Gas ReliefChews Tropical Punchcalcium carbonate and simethiconeDimethicone 80 mg/1; Calcium carbonate 750 mg/1Tablet, ChewableOralBayer HealthCare LLC.0280-0225
Alka-Seltzer Heartburn Relief Extra Strengthanhydrous citric acid, sodium bicarbonate (heat-treated)Sodium bicarbonate 1976 mg/1; Citric acid monohydrate 1000 mg/1Tablet, EffervescentOralBayer Healthcare LLC0280-0079
Alka-Seltzer Heartburn Relief Lemon Limeanhydrous citric acid, sodium bicarbonate (heat-treated)Sodium bicarbonate 1650 mg/1; Citric acid monohydrate 1000 mg/1Tablet, EffervescentOralBayer Healthcare LLC0280-0083
Alka-Seltzer Heartburn Relief Peppermintcalcium carbonateCalcium carbonate 750 mg/1Gum, ChewingOralBayer HealthCare LLC.0280-0002
Alka-Seltzer Heartburn ReliefChewscalcium carbonateCalcium carbonate 750 mg/1Tablet, ChewableOralBayer HealthCare LLC.0280-0221
Alka-Seltzer Heartburn ReliefChews Strawberry and Orangecalcium carbonateCalcium carbonate 750 mg/1Tablet, ChewableOralBayer HealthCare LLC.0280-0224
Alka-Seltzer Kids Tummy ReliefChewscalcium carbonate and dimethiconeCalcium carbonate 750 mg/1; Dimethicone 80 mg/1Tablet, ChewableOralBayer HealthCare LLC.0280-0051
Alka-Seltzer Ultra Strength Heartburn ReliefChewscalcium carbonateCalcium carbonate 1000 mg/1Tablet, ChewableOralBayer HealthCare LLC.0280-0245
Alka-Seltzer Ultra Strength Heartburn ReliefChews Strawberry and Orangecalcium carbonateCalcium carbonate 1000 mg/1Tablet, ChewableOralBayer HealthCare LLC.0280-0059

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