Walgreens Fast Acting Heartburn Relief Extra Strength Liquid
NDC Package 0363-7630-12

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

Package Information

Walgreens Fast Acting Heartburn Relief Extra Strength (aluminum hydroxide and magnesium carbonate) liquids is •shake well•take 2-4 teaspoonfuls four times a day or as directed by a doctor•take after meals and at bedtime•dispense product only by spoon or other measuring device. This formulation utilizes a liquid delivery system. Marketed by Walgreen Co., this product is identified by NDC 0363-7630 and is authorized under FDA application M001.

Identification & Billing

NDC Package Code
0363-7630-12
Package Description
355 mL in 1 BOTTLE
Product Code
0363-7630
11-Digit Billing Format
00363763012
Billing Unit
ML - Billing unit of "milliliter" is used when a product is measured by its liquid volume.
Units Per Package
355 ML
RxNorm Crosswalk
  • RxCUI: 245001 - aluminum hydroxide 254 MG / magnesium carbonate 237.5 MG in 5 mL Oral Suspension
  • RxCUI: 245001 - aluminum hydroxide 50.8 MG/ML / magnesium carbonate 47.5 MG/ML Oral Suspension
  • RxCUI: 245001 - aluminum hydroxide 254 MG / magnesium carbonate 237.5 MG per 5 ML Oral Suspension

Clinical Specifications

Proprietary Name
Walgreens Fast Acting Heartburn Relief Extra Strength
Non-Proprietary Name
Aluminum Hydroxide And Magnesium Carbonate
Substance Name
Aluminum Hydroxide; Magnesium Carbonate
Dosage Form
Liquid - A dosage form consisting of a pure chemical in its liquid1 state. This dosage form term should not be applied to solutions.
Administration Route
Oral - Administration to or by way of the mouth.
Active Ingredient(s)
Usage Information
•shake well•take 2-4 teaspoonfuls four times a day or as directed by a doctor•take after meals and at bedtime•dispense product only by spoon or other measuring device

Regulatory & Marketing

Labeler Name
Walgreen Co.
Product Type
Human Otc Drug
FDA Application #
M001
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
01-15-2018
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.

Frequently Asked Questions

What is the distribution configuration for this product package?

The code 0363-7630-12 identifies a specific commercial package of 355 ml in 1 bottle of Walgreens Fast Acting Heartburn Relief Extra Strength, a human over the counter drug labeled by Walgreen Co.. This product is billed per "ML" milliliter and contains an estimated amount of 355 billable units per package. This liquid is formulated for oral use and contains aluminum hydroxide; magnesium carbonate 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 Walgreen Co. on January 15, 2018. The current certification is valid through December 31, 2026.

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

For medical billing and reimbursement, this package follows the 11-digit CMS format: 00363763012. Quantities are measured in per "ml or milliliter", products billed per milliliter are usually products measured by liquid volume.. There are 355 total billable units per package. 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)
0363-7630-12
11-Digit CMS (5-4-2)
00363-7630-12

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