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  5. NDC Package Code: 11822-4212-4 Rite Aid Antacid And Pain Relief

NDC Package 11822-4212-4 Rite Aid Antacid And Pain Relief

Aspirin,Citric Acid,Sodium Bicarbonate Tablet, Effervescent Oral - View Billable Units, 11-Digit Format, RxNorm

Table of Contents

    1. Package Information
    2. Other Packages
    3. Frequently Asked Questions

Package Information

Find all the important details about this NDC Package code, including the 11-Digit NDC Billing number, billing units, wholesale price, RxNorm crosswalk, active ingredients, pharmacologic clasess, etc.

NDC Package Code:
11822-4212-4
Package Description:
12 POUCH in 1 CARTON / 2 TABLET, EFFERVESCENT in 1 POUCH
Product Code:
11822-4212
Proprietary Name:
Rite Aid Antacid And Pain Relief
Non-Proprietary Name:
Aspirin, Citric Acid, Sodium Bicarbonate
Substance Name:
Anhydrous Citric Acid; Aspirin; Sodium Bicarbonate
Usage Information:
■ do not exceed recommended dosage■ to avoid serious injury, completely dissolve tablets in 4 oz. of water before takingadults and children 12 years and over (up to 60 years of age) - 2 tablets every 4 hours do not exceed 8 tablets in 24 hours60 years and over - 2 tablets every 4 hours do not exceed 4 tablets in 24 hoursChildren under 12 years - consult a doctor
11-Digit NDC Billing Format:
11822421204
NDC to RxNorm Crosswalk:
  • RxCUI: 1536675 - aspirin 325 MG / citric acid 1000 MG / sodium bicarbonate 1916 MG Effervescent Oral Tablet
  • RxCUI: 1536675 - ASA 325 MG / Citric Acid 1000 MG / NaHCO3 1916 MG Effervescent Oral Tablet
    • Product Type:
    Human Otc Drug
    Labeler Name:
    Rite Aid
    Dosage Form:
    Tablet, Effervescent - A solid dosage form containing mixtures of acids (e.g., citric acid, tartaric acid) and sodium bicarbonate, which release carbon dioxide when dissolved in water; it is intended to be dissolved or dispersed in water before administration.
    Administration Route(s):
  • Oral - Administration to or by way of the mouth.
    • Active Ingredient(s):
  • ANHYDROUS CITRIC ACID 1000 mg/1
  • ASPIRIN 325 mg/1
  • SODIUM BICARBONATE 1916 mg/1
    • Pharmacologic Class(es):
  • Acidifying Activity - [MoA] (Mechanism of Action)
  • Alkalinizing Activity - [MoA] (Mechanism of Action)
  • Anti-Inflammatory Agents, Non-Steroidal - [CS]
  • Anti-coagulant - [EPC] (Established Pharmacologic Class)
  • Calcium Chelating Activity - [MoA] (Mechanism of Action)
  • Calculi Dissolution Agent - [EPC] (Established Pharmacologic Class)
  • Cyclooxygenase Inhibitors - [MoA] (Mechanism of Action)
  • Decreased Coagulation Factor Activity - [PE] (Physiologic Effect)
  • Decreased Platelet Aggregation - [PE] (Physiologic Effect)
  • Decreased Prostaglandin Production - [PE] (Physiologic Effect)
  • Nonsteroidal Anti-inflammatory Drug - [EPC] (Established Pharmacologic Class)
  • Platelet Aggregation Inhibitor - [EPC] (Established Pharmacologic Class)
    • Sample Package:
    No
    FDA Application Number:
    part343
    Marketing Category:
    OTC MONOGRAPH FINAL - A product marketed pursuant to a final Over-the-Counter (OTC) Drug Monograph.
    Start Marketing Date:
    03-16-2020
    Listing Expiration Date:
    12-31-2024
    Exclude Flag:
    N
    Code Structure:

    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 disclaimer below.

    Other Product Packages

    The following packages are also available for this product:

    NDC Package CodePackage Description
    11822-4212-736 POUCH in 1 CARTON / 2 TABLET, EFFERVESCENT in 1 POUCH

    * Please review the disclaimer below.

    Frequently Asked Questions

    What is NDC 11822-4212-4?

    The NDC Packaged Code 11822-4212-4 is assigned to a package of 12 pouch in 1 carton / 2 tablet, effervescent in 1 pouch of Rite Aid Antacid And Pain Relief, a human over the counter drug labeled by Rite Aid. The product's dosage form is tablet, effervescent and is administered via oral form.

    Is NDC 11822-4212 included in the NDC Directory?

    Yes, Rite Aid Antacid And Pain Relief with product code 11822-4212 is active and included in the NDC Directory. The product was first marketed by Rite Aid on March 16, 2020 and its listing in the NDC Directory is set to expire on December 31, 2024 if the product is not updated or renewed by the manufacturer.

    What is the 11-digit format for NDC 11822-4212-4?

    The 11-digit format is 11822421204. The 11-digit billing format might be required by the Centers for Medicare & Medicaid Services (CMS) and other payers in billing claim forms.

    This package code is originally configured in a 5-4-1 segment 10-digit format and by adding a zero within the original NDC package code we can obtain the converted 11-digit format in a 5-4-2 segment configuration. The table below shows the 11-digit code conversion:

    10-Digit Format10-Digit Original Code11-Digit Format11-Digit Code
    5-4-111822-4212-45-4-211822-4212-04