Walgreen Suspension
NDC Package 0363-6701-12

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

Package Information

Walgreen (calcium carbonate, magnesium hydroxide and simethicone) suspension is ▪shake well before use▪measure with dosing cup provided▪adults and children 12 years and over: 10 mL-20 mL (1-2 doses) as needed, between meals, at bedtime or as directed by a doctor ▪do not take more than 60 mL (6 doses) in any 24- hour period▪do not use the maximum dosage for more than 2 weeks▪children under 12 years: ask a doctor ▪mL= milliliter. This formulation utilizes a suspension delivery system. Marketed by Walgreens Co., this product is identified by NDC 0363-6701 and is authorized under FDA application M001.

Identification & Billing

NDC Package Code
0363-6701-12
Package Description
355 mL in 1 BOTTLE, PLASTIC
Product Code
0363-6701
11-Digit Billing Format
00363670112
RxNorm Crosswalk
  • RxCUI: 1788932 - calcium carbonate 800 MG / magnesium hydroxide 270 MG / simethicone 80 MG in 10 mL Oral Suspension
  • RxCUI: 1788932 - calcium carbonate 80 MG/ML / magnesium hydroxide 27 MG/ML / simethicone 8 MG/ML Oral Suspension
  • RxCUI: 1788932 - calcium carbonate 800 MG / magnesium hydroxide 270 MG / simethicone 80 MG per 10 ML Oral Suspension

Clinical Specifications

Proprietary Name
Walgreen Liquid Antacid
Non-Proprietary Name
Calcium Carbonate, Magnesium Hydroxide And Simethicone
Substance Name
Calcium Carbonate; Dimethicone, Unspecified; Magnesium Hydroxide
Dosage Form
Suspension - A liquid1 dosage form that contains solid particles dispersed in a liquid vehicle.
Administration Route
Oral - Administration to or by way of the mouth.
Active Ingredient(s)
Pharmacologic Class
Usage Information
▪shake well before use▪measure with dosing cup provided▪adults and children 12 years and over: 10 mL-20 mL (1-2 doses) as needed, between meals, at bedtime or as directed by a doctor ▪do not take more than 60 mL (6 doses) in any 24- hour period▪do not use the maximum dosage for more than 2 weeks▪children under 12 years: ask a doctor ▪mL= milliliter

Regulatory & Marketing

Labeler Name
Walgreens Co.
Product Type
Human Otc Drug
FDA Application #
M001
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
10-01-2024
Listing Expiration
12-31-2027
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.

Frequently Asked Questions

What is the distribution configuration for this product package?

The code 0363-6701-12 identifies a specific commercial package of 355 ml in 1 bottle, plastic of Walgreen Liquid Antacid, a human over the counter drug labeled by Walgreens Co.. This suspension is formulated for oral use and contains calcium carbonate; dimethicone, unspecified; magnesium hydroxide 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 Walgreens Co. on October 01, 2024. The current certification is valid through December 31, 2027.

How is this Walgreens Co. product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 00363670112. 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)
0363-6701-12
11-Digit CMS (5-4-2)
00363-6701-12

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