Over-the-counter drug · OTC MONOGRAPH FINAL
Stomach Relief (bismuth subsalicylate) NDC 69842-394
Bismuth subsalicylate 262 mg/1 · Tablet, Chewable · Oral · CVS PHARMACY, INC.
NDC codes
FDA NDC Directory| Package NDC | 11-digit (billing) | Package | Copy |
|---|---|---|---|
| 69842-394-54 | 69842039454 | 15 POUCH in 1 CARTON (69842-394-54) / 2 TABLET, CHEWABLE in 1 POUCHMarketed from Nov 28, 2017 |
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, Chewable
- Route
- Oral
- Labeler
- CVS PHARMACY, INC.
- Product type
- Over-the-counter drug
- Marketing category
- OTC monograph (final)Application part335
- Marketing start
- Listing expires
- Other FDA classes
- Bismuth (Chemical structure)
- Identifiers
- Product ID 69842-394_77bb30e0-35b0-40c8-a07e-98dfa91c1ce9SPL ID 77bb30e0-35b0-40c8-a07e-98dfa91c1ce9SPL set ID 65dbe287-4528-4dbd-9116-6d4812fd4fa2RxCUI 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
N469842039454followed by a unit qualifier and the quantityPackage 69842-0394-54. 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 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.
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 |
|---|---|---|---|---|
| Stomach reliefbismuth subsalicylate | Bismuth subsalicylate 262 mg/1 | TabletOral | CVS | 69842-172 |
| 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 |
| 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 |