Simethicone Infant Suspension
NDC Package 17856-1017-2

View Billable Units, 11-Digit Conversion Format, and RxNorm mappings

Package Information

Simethicone Infant (simethicone) suspension is a medication used to relieve symptoms of extra gas caused by air swallowing or certain foods/infant formulas. This formulation utilizes a suspension delivery system. Marketed by Atlantic Biologicals Corp., this product is identified by NDC 17856-1017 and is authorized under FDA application M002.

Identification & Billing

NDC Package Code
17856-1017-2
Package Description
120 SYRINGE in 1 CASE / .3 mL in 1 SYRINGE
Product Code
11-Digit Billing Format
17856101702
Billing Unit
EA - Billing unit of "each" is used when the product is dispensed in discreet units.
Units Per Package
1 EA
RxNorm Crosswalk

Clinical Specifications

Proprietary Name
Simethicone Infant Gas Relief Drops
Non-Proprietary Name
Simethicone
Substance Name
Dimethicone
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)
Usage Information
This product is used to relieve symptoms of extra gas caused by air swallowing or certain foods/infant formulas. Simethicone helps break up gas bubbles in the gut.

Regulatory & Marketing

Labeler Name
Atlantic Biologicals Corp.
Product Type
Human Otc Drug
FDA Application #
M002
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
02-20-2025
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.

Other Available Packages

The following commercial packages are registered under the same Product NDC (17856-1017). Click a package code to view its specific billing and regulatory data.

120 SYRINGE in 1 CASE / .3 mL in 1 SYRINGE
120 SYRINGE in 1 CASE / .6 mL in 1 SYRINGE
120 SYRINGE in 1 CASE / .6 mL in 1 SYRINGE
60 SYRINGE in 1 CASE / 1.2 mL in 1 SYRINGE
48 SYRINGE in 1 CASE / 5 mL in 1 SYRINGE
60 SYRINGE in 1 CASE / .6 mL in 1 SYRINGE
120 SYRINGE in 1 CASE / 2 mL in 1 SYRINGE
120 SYRINGE in 1 CASE / .6 mL in 1 SYRINGE

* 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 17856-1017-2 identifies a specific commercial package of 120 syringe in 1 case / .3 ml in 1 syringe of Simethicone Infant Gas Relief Drops, a human over the counter drug labeled by Atlantic Biologicals Corp.. This product is billed for "EA" each discreet unit and contains an estimated amount of 1 billable units per package. This suspension is formulated for oral use and contains dimethicone 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 20, 2025. The current certification is valid through December 31, 2027.

What are the primary indications for this medication?

This product is used to relieve symptoms of extra gas caused by air swallowing or certain foods/infant formulas. Simethicone helps break up gas bubbles in the gut.

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

For medical billing and reimbursement, this package follows the 11-digit CMS format: 17856101702. Quantities are measured in per "each", products billed on a per each basis are usually products dispensed in discreet units.. There are 1 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)
17856-1017-2
11-Digit CMS (5-4-2)
17856-1017-02

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