Aluminum Hydroxide Liquid
NDC Package 17856-0091-3

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

Package Information

Aluminum Hydroxide liquids is • shake well before using • do not take more than 12 teaspoonfuls in 24 hours • do not use the maximum dosage for more than 2 weeks • 2 teaspoonfuls 5-6 times daily after meals and at bedtime followed by a sip of water if neededdosage:. This formulation utilizes a liquid delivery system. Marketed by Atlantic Biologicals Corp., this product is identified by NDC 17856-0091 and is authorized under FDA application M.

Identification & Billing

NDC Package Code
17856-0091-3
Package Description
30 mL in 1 CUP
Product Code
17856-0091
11-Digit Billing Format
17856009103
Billing Unit
ML - Billing unit of "milliliter" is used when a product is measured by its liquid volume.
Units Per Package
30 ML
RxNorm Crosswalk

Clinical Specifications

Proprietary Name
Aluminum Hydroxide
Non-Proprietary Name
Aluminum Hydroxide
Substance Name
Aluminum Hydroxide
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)
ALUMINUM HYDROXIDE 320 mg/5mL
Usage Information
• shake well before using • do not take more than 12 teaspoonfuls in 24 hours • do not use the maximum dosage for more than 2 weeks • 2 teaspoonfuls 5-6 times daily after meals and at bedtime followed by a sip of water if neededdosage:

Regulatory & Marketing

Labeler Name
Atlantic Biologicals Corp.
Product Type
Human Otc Drug
FDA Application #
M
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
02-01-2005
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 17856-0091-3 identifies a specific commercial package of 30 ml in 1 cup of Aluminum Hydroxide, a human over the counter drug labeled by Atlantic Biologicals Corp.. This product is billed per "ML" milliliter and contains an estimated amount of 30 billable units per package. This liquid is formulated for oral use and contains aluminum 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 Atlantic Biologicals Corp. on February 01, 2005. The current certification is valid through December 31, 2026.

How is this Atlantic Biologicals Corp. product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 17856009103. Quantities are measured in per "ml or milliliter", products billed per milliliter are usually products measured by liquid volume.. There are 30 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 (5-4-1)
17856-0091-3
11-Digit CMS (5-4-2)
17856-0091-03

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