Over-the-counter drug · OTC MONOGRAPH DRUG
Revasol Peptic Relief (Bismuth subsalicylate) NDC 84379-283
Bismuth subsalicylate 525 mg/30mL · Liquid · Oral · Rnv LLC
NDC codes
FDA NDC Directory| Package NDC | 11-digit (billing) | Package | Copy |
|---|---|---|---|
| 84379-283-04 | 84379028304 | 118 mL in 1 BOTTLE (84379-283-04)Marketed from Feb 3, 2025 |
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)
- Revasol Peptic Relief
- Generic name (nonproprietary)
- bismuth subsalicylate
- Active ingredients
- Bismuth subsalicylate — 525 mg/30mL
- Dosage form
- Liquid
- Route
- Oral
- Labeler
- Rnv LLCNDC labeler code 84379
- Product type
- Over-the-counter drug
- Marketing category
- OTC monograph drugApplication M 008
- Marketing start
- Listing expires
- Identifiers
- Product ID 84379-283_30dc3a0a-3497-4bdf-e063-6394a90a62fdSPL ID 30dc3a0a-3497-4bdf-e063-6394a90a62fdSPL set ID 30dc3a0a-3496-4bdf-e063-6394a90a62fdRxCUI 308762UNII 62TEY51RR1UPC 0860013435905
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
N484379028304followed by a unit qualifier and the quantityPackage 84379-0283-04. 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 • travelers’ diarrhea • diarrhea • upset stomach due to overindulgence in food and drink, including: • heartbun • indigestion • nausea • gas • belching • fullness
Excerpt only. Read the full label for complete information.
About NDC 84379-283
- What is NDC 84379-283?
- 84379-283 is the product NDC for Revasol Peptic Relief (bismuth subsalicylate), Bismuth subsalicylate 525 mg/30mL liquid, listed with the FDA by Rnv LLC. It has 1 package NDC, shown above in 10- and 11-digit form.
- What drug is associated with this NDC?
- Revasol Peptic Relief (Bismuth subsalicylate).
- What is the active ingredient?
- Bismuth subsalicylate.
- Who is the labeler?
- Rnv LLC, NDC labeler code 84379. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
- What other NDCs exist for Revasol Peptic Relief?
- None: this is the only finished product listed under this name.
- Is there a related HCPCS / J-code?
- Not in Med-Code's curated HCPCS directory. See Billing references above.
Other NDCs under M 008
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 |
|---|---|---|---|---|
| 5 Symptom Digestive Reliefbismuth subsalicylate | Bismuth subsalicylate 262 mg/1 | Tablet, ChewableOral | TARGET CORPORATION | 11673-723 |
| 5-Symptom Digestive Reliefbismuth subsalicylate | Bismuth subsalicylate 525 mg/30mL | SuspensionOral | TARGET CORPORATION | 11673-291 |
| 5-Symptom Digestive Reliefbismuth subsalicylate | Bismuth subsalicylate 262 mg/1 | TabletOral | TARGET CORPORATION | 11673-880 |
| AMAZON Digestive Reliefbismuth subsalicylate | Bismuth subsalicylate 262 mg/1 | TabletOral | AMAZON.COM SERVICES LLC | 72288-125 |
| AMAZON Regular Strengthbismuth subsalicylate | Bismuth subsalicylate 525 mg/30mL | SuspensionOral | AMAZON.COM SERVICES LLC | 72288-706 |
| Anti-Diarrhealbismuth subsalicylate | Bismuth subsalicylate 262 mg/1 | TabletOral | Lil' Drug Store Products, Inc. | 66715-6841 |
| Bismuthbismuth subsalicylate | Bismuth subsalicylate 262 mg/1 | TabletOral | Allegiant Health | 69168-046 |
| Bismuth Chewablebismuth subsalicylate 262 mg | Bismuth subsalicylate 262 mg/1 | Tablet, ChewableOral | Marc Glassman, Inc. | 68998-046 |
| Bismuth subsalicylate | Bismuth subsalicylate 262 mg/1 | Capsule, Liquid filledOral | Softgel Healthcare Pvt Ltd | 35916-0234 |
| Bismuth Subsalicylate | Bismuth subsalicylate 262 mg/1 | Tablet, Film coatedOral | LEADER/ Cardinal Health 110, Inc. | 70000-0594 |
| Bismuth Subsalicylate 262 mgbismuth subsalicylate | Bismuth subsalicylate 262 mg/1 | Tablet, ChewableOral | Preferred Pharmaceuticals Inc. | 68788-4116 |
| Bismuth Subsalicylate 262 mgbismuth subsalicylate | Bismuth subsalicylate 262 mg/1 | Tablet, ChewableOral | Reliable 1 Laboratories LLC | 69618-029 |
| Bismuth Subsalicylate Pink Bismuthbismuth subsalicylate | Bismuth subsalicylate 262 mg/1 | Tablet, ChewableOral | Hyvee Inc | 42507-267 |
| Bismuth Subsalicylate Suspension Regular Strengthbismuth subsalicylate | Bismuth subsalicylate 525 mg/30mL | SuspensionOral | AptaPharma Inc. | 76281-557 |
| Bismuth Subsalicylate Suspension Regular Strengthbismuth subsalicylate | Bismuth subsalicylate 525 mg/30mL | LiquidOral | FSA Store Inc. (Caring Mill) | 81522-557 |
| Careone Stomach Reliefbismuth subsalicylate | Bismuth subsalicylate 262 mg/1 | Tablet, ChewableOral | Retail Business Services, LLC. | 72476-173 |
| Chewable Stomach Reliefbismuth subsalicylate | Bismuth subsalicylate 262 mg/1 | Tablet, ChewableOral | PUBLIX SUPER MARKETS INC, | 41415-124 |
| CVS Health Anti-Diarrheal Vanillabismuth subsalicylate | Bismuth subsalicylate 262 mg/15mL | SuspensionOral | CVS Pharmacy,Inc. | 59779-883 |
| CVS Health Stomach relief Cherry Flavorbismuth subsalicylate | Bismuth subsalicylate 262 mg/1 | Tablet, ChewableOral | CVS PHARMACY,INC. | 69842-221 |
| CVS Health Stomach Relief SOFTGELbismuth subsalicylate | Bismuth subsalicylate 262 mg/1 | Capsule, Liquid filledOral | CVS Pharmacy, Inc. | 51316-829 |
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