NDC codes

FDA NDC Directory
Product NDC (as listed)69842-528Labeler and product segments. Claims need a package NDC.
Product NDC at billing width69842-0528Add 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
69842-528-0469842052804236 mL in 1 BOTTLE (69842-528-04)Marketed from Sep 8, 2008
69842-528-0569842052805355 mL in 1 BOTTLE (69842-528-05)Marketed from Sep 8, 2008

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)
Maximum strength Stomach Relief
Generic name (nonproprietary)
bismuth subsalicylate
Active ingredients
Bismuth subsalicylate — 525 mg/30mL
Dosage form
Liquid
Route
Oral
Labeler
CVS
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 69842-528_6e37d3f7-9589-427c-ae57-03b39833caf9SPL ID 6e37d3f7-9589-427c-ae57-03b39833caf9SPL set ID 75326a55-7cf3-411e-96a3-a6aef6c35ca5RxCUI 308762UNII 62TEY51RR1UPC 0072345618905
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

N469842052804 followed by a unit qualifier and the quantity

Package 69842-0528-04. 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: diarrhea heartburn indigestion nausea upset stomach associated with these symptoms

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under part335

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

FDA NDC Directory listings under part335
ProductStrengthForm · routeLabelerProduct NDC
Stomach reliefbismuth subsalicylateBismuth subsalicylate 262 mg/1TabletOralCVS69842-172
Guardian Pink-Bismuth Cherrybismuth subsalicylateBismuth subsalicylate 262 mg/1Tablet, ChewableOralGuardian Drug Company53041-022
Stomach Reliefbismuth subsalicylateBismuth subsalicylate 262 mg/1Tablet, ChewableOralPuraCap Pharmaceutical LLC51013-321
Equaline Stomach Reliefbismuth subsalicylateBismuth subsalicylate 262 mg/1TabletOralUNITED NATURAL FOODS, INC. DBA UNFI41163-123
Quality Choice Regular Strength Stomach Reliefbismuth subsalicylateBismuth subsalicylate 525 mg/30mLLiquidOralChain Drug Marketing Association Inc.83324-020
Pepto Reliefbismuth subsalicylateBismuth subsalicylate 262 mg/1Tablet, ChewableOralRichmond Pharmaceuticals, Inc54738-102
QCH Stomach Relief 535bismuth subsalicylateBismuth subsalicylate 525 mg/30mLLiquidOralChain Drug Marketing Association Inc.83324-022
Stomach Reliefbismuth subsalicylateBismuth subsalicylate 262 mg/1Tablet, ChewableOralCVS PHARMACY, INC.69842-394
Family wellness Stomach Reliefbismuth subsalicylateBismuth subsalicylate 262 mg/1Tablet, ChewableOralFamily Dollar Services, Inc.55319-122
Pepto Reliefbismuth subsalicylateBismuth subsalicylate 262 mg/1Tablet, ChewableOralAdvance Pharmaceutical Inc.17714-045
Equaline Stomach Reliefbismuth subsalicylateBismuth subsalicylate 525 mg/30mLLiquidOralUNITED NATURAL FOODS, INC. DBA UNFI41163-535

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