Over-the-counter drug · OTC MONOGRAPH FINAL
Antacid NDC 69842-508
aluminum hydroxide, magnesium hydroxide and simethicone · Aluminum hydroxide 400 mg/5mL + 2 more ingredients · Suspension · Oral · CVS
NDC codes
FDA NDC Directory| Package NDC | 11-digit (billing) | Package | Copy |
|---|---|---|---|
| 69842-508-05 | 69842050805 | 355 mL in 1 BOTTLE (69842-508-05)Marketed from Mar 9, 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)
- Antacid
- Generic name (nonproprietary)
- aluminum hydroxide, magnesium hydroxide and simethicone
- Active ingredients
- Aluminum hydroxide — 400 mg/5mLMagnesium hydroxide — 400 mg/5mLDimethicone — 40 mg/5mL
- Dosage form
- Suspension
- Route
- Oral
- Labeler
- CVS
- Product type
- Over-the-counter drug
- Marketing category
- OTC monograph (final)Application part332
- Marketing start
- Listing expires
- Other FDA classes
- Increased Large Intestinal Motility (Physiologic effect)Inhibition Large Intestine Fluid/Electrolyte Absorption (Physiologic effect)Inhibition Small Intestine Fluid/Electrolyte Absorption (Physiologic effect)Magnesium Ion Exchange Activity (Mechanism)Osmotic Activity (Mechanism)Skin Barrier Activity (Physiologic effect)Stimulation Large Intestine Fluid/Electrolyte Secretion (Physiologic effect)
- Identifiers
- Product ID 69842-508_3557256e-e823-4bb3-85db-ca11abbea728SPL ID 3557256e-e823-4bb3-85db-ca11abbea728SPL set ID d97cd600-6fc4-4d39-9e41-344e44646506RxCUI 237870UNII 5QB0T2IUN0, NBZ3QY004S, 92RU3N3Y1O
- Pharmacologic class
- 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
N469842050805followed by a unit qualifier and the quantityPackage 69842-0508-05. 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
Label details couldn’t be retrieved right now. Open the label on DailyMed.
Other NDCs under part332
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 |
|---|---|---|---|---|
| Antacidaluminum hydroxide, magnesium hydroxide and simethicone | Aluminum hydroxide 400 mg/5mL + 2 more ingredients | SuspensionOral | Safeway | 21130-508 |
| Simethicone | Dimethicone 80 mg/1 | Tablet, ChewableOral | Richmond Pharmaceuticals, Inc. | 54738-518 |
| Infants Non-staining Gas reliefsimethicone | Dimethicone 20 mg/.3mL | Solution/ dropsOral | H E B | 37808-014 |
| Gas Reliefsimethicone | Dimethicone 80 mg/1 | Tablet, ChewableOral | Advance Pharmaceutical Inc. | 17714-019 |
| Simethicone | Dimethicone 125 mg/1 | Tablet, ChewableOral | Advance Pharmaceutical Inc. | 17714-040 |
| Family Wellness Extra Strength Gas Relief Cherrysimethicone | Dimethicone 125 mg/1 | Tablet, ChewableOral | Family Dollar Services, Inc. | 55319-134 |
| Gas Reliefsimethicone | Dimethicone 125 mg/1 | Tablet, ChewableOral | Safeway | 21130-135 |