Over-the-counter drug · OTC MONOGRAPH FINAL
Stomach relief (bismuth subsalicylate) NDC 69842-172
Bismuth subsalicylate 262 mg/1 · Tablet · Oral · CVS
NDC codes
FDA NDC Directory| Package NDC | 11-digit (billing) | Package | Copy |
|---|---|---|---|
| 69842-172-12 | 69842017212 | 1 BOTTLE in 1 CARTON (69842-172-12) / 24 TABLET in 1 BOTTLEMarketed from Mar 4, 2013 | |
| 69842-172-28 | 69842017228 | 1 BOTTLE in 1 CARTON (69842-172-28) / 40 TABLET in 1 BOTTLEMarketed from Aug 8, 2011 |
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
- CVS
- Product type
- Over-the-counter drug
- Marketing category
- OTC monograph (final)Application part335
- Marketing start
- Listing expires
- Identifiers
- Product ID 69842-172_16c744c8-fe46-4bb4-b272-1a51095acda0SPL ID 16c744c8-fe46-4bb4-b272-1a51095acda0SPL set ID 53cf4590-a625-42f7-bd03-8401d08b6447RxCUI 308760UNII 62TEY51RR1UPC 0050428323847
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
N469842017212followed by a unit qualifier and the quantityPackage 69842-0172-12. 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)
Uses relieves: indigestion nausea heartburn diarrhea upset stomach associated with these symptoms
Excerpt only. Read the full label for complete information.
Other NDCs under part335
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 |
|---|---|---|---|---|
| Guardian Pink-Bismuth Cherrybismuth subsalicylate | Bismuth subsalicylate 262 mg/1 | Tablet, ChewableOral | Guardian Drug Company | 53041-022 |
| Stomach Reliefbismuth subsalicylate | Bismuth subsalicylate 262 mg/1 | Tablet, ChewableOral | PuraCap Pharmaceutical LLC | 51013-321 |
| Equaline Stomach Reliefbismuth subsalicylate | Bismuth subsalicylate 262 mg/1 | TabletOral | UNITED NATURAL FOODS, INC. DBA UNFI | 41163-123 |
| Quality Choice Regular Strength Stomach Reliefbismuth subsalicylate | Bismuth subsalicylate 525 mg/30mL | LiquidOral | Chain Drug Marketing Association Inc. | 83324-020 |
| Pepto Reliefbismuth subsalicylate | Bismuth subsalicylate 262 mg/1 | Tablet, ChewableOral | Richmond Pharmaceuticals, Inc | 54738-102 |
| QCH Stomach Relief 535bismuth subsalicylate | Bismuth subsalicylate 525 mg/30mL | LiquidOral | Chain Drug Marketing Association Inc. | 83324-022 |
| Stomach Reliefbismuth subsalicylate | Bismuth subsalicylate 262 mg/1 | Tablet, ChewableOral | CVS PHARMACY, INC. | 69842-394 |
| Maximum strength Stomach Reliefbismuth subsalicylate | Bismuth subsalicylate 525 mg/30mL | LiquidOral | CVS | 69842-528 |
| Family wellness Stomach Reliefbismuth subsalicylate | Bismuth subsalicylate 262 mg/1 | Tablet, ChewableOral | Family Dollar Services, Inc. | 55319-122 |
| Pepto Reliefbismuth subsalicylate | Bismuth subsalicylate 262 mg/1 | Tablet, ChewableOral | Advance Pharmaceutical Inc. | 17714-045 |
| Equaline Stomach Reliefbismuth subsalicylate | Bismuth subsalicylate 525 mg/30mL | LiquidOral | UNITED NATURAL FOODS, INC. DBA UNFI | 41163-535 |