Acidcalm Tablet
NDC Package 0220-9105-04

View Billable Units, 11-Digit Conversion Format, and RxNorm mappings
Table of Contents
    1. Package Information
    2. Other Packages
    3. Frequently Asked Questions

Package Information

Acidcalm (picea mariana resin, activated charcoal, strychnos nux-vomica seed, robinia pseudoacacia bark) tablets is uses*Temporarily relieves:heartburnacid indigestionbloatingupset stomach associated with these symptoms. This formulation utilizes a tablet delivery system. Marketed by Boiron, this product is identified by NDC 0220-9105.

Identification & Billing

NDC Package Code
0220-9105-04
Package Description
60 TABLET in 1 BLISTER PACK
Product Code
0220-9105
11-Digit Billing Format
00220910504

Clinical Specifications

Proprietary Name
Acidcalm
Non-Proprietary Name
Picea Mariana Resin, Activated Charcoal, Strychnos Nux-vomica Seed, Robinia Pseudoacacia Bark
Substance Name
Activated Charcoal; Picea Mariana Resin; Robinia Pseudoacacia Bark; Strychnos Nux-vomica Seed
Dosage Form
Tablet - A solid dosage form containing medicinal substances with or without suitable diluents.
Administration Route
Oral - Administration to or by way of the mouth.
Active Ingredient(s)
Pharmacologic Class
Usage Information
Uses*Temporarily relieves:heartburnacid indigestionbloatingupset stomach associated with these symptoms

Regulatory & Marketing

Labeler Name
Boiron
Product Type
Human Otc Drug
Marketing Category
UNAPPROVED HOMEOPATHIC - A category specifying that a product is marketed as unapproved homeopathic product.
Start Marketing Date
10-28-2024
Listing Expiration
12-31-2026
Exclude Flag
N
Sample Package
No

Hierarchy Structure

Code Lineage

The NDC Directory contains ONLY information on final marketed drugs submitted to FDA electronically by labelers. A labeler might be a manufacturer, re-packager or re-labeler. The product information included in the NDC directory does not indicate that FDA has verified the information provided by the product labeler. Assigned NDC numbers are not in any way an indication of FDA approval of the product.

* Please review the full disclaimer at the bottom of this page.

Other Available Packages

The following commercial packages are registered under the same Product NDC (0220-9105). Click a package code to view its specific billing and regulatory data.

0220-9105-29
120 TABLET in 1 BLISTER PACK

* Please review the full disclaimer at the bottom of this page.

Frequently Asked Questions

What is the distribution configuration for this product package?

The code 0220-9105-04 identifies a specific commercial package of 60 tablet in 1 blister pack of Acidcalm, a human over the counter drug labeled by Boiron. This tablet is formulated for oral use and contains activated charcoal; picea mariana resin; robinia pseudoacacia bark; strychnos nux-vomica seed as the active substance.

Is this product currently listed with the FDA?

Yes, this product is active and verified within the NDC Directory. It was introduced to the market by Boiron on October 28, 2024. The current certification is valid through December 31, 2026.

How is this Boiron product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 00220910504. The table below illustrates the segment conversion from the 10-digit labeler code to the 11-digit provider format.

11-Digit Code Conversion

Billing payers usually require a 5-4-2 segment configuration. Below is the conversion from the 10-digit package format to the 11-digit billing format:

10-Digit Format (4-4-2)
0220-9105-04
11-Digit CMS (5-4-2)
00220-9105-04

Note: The zero is added to the Labeler segment to maintain the 5-4-2 structure.