Fiber Caplets Tablet, Film Coated
NDC Package 21130-021-40

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

Package Information

Fiber Caplets (calcium polycarbophil) tablets is polycarbophil is used to treat constipation. This formulation utilizes a tablet, film coated delivery system. Marketed by Safeway, this product is identified by NDC 21130-021 and is authorized under FDA application M007.

Identification & Billing

NDC Package Code
21130-021-40
Package Description
140 TABLET, FILM COATED in 1 BOTTLE
Product Code
21130-021
11-Digit Billing Format
21130002140
RxNorm Crosswalk
  • RxCUI: 308934 - calcium polycarbophil 625 MG Oral Tablet
  • RxCUI: 308934 - calcium polycarbophil 625 MG (as polycarbophil 500 MG) Oral Tablet

Clinical Specifications

Proprietary Name
Fiber Caplets
Non-Proprietary Name
Calcium Polycarbophil
Substance Name
Calcium Polycarbophil
Dosage Form
Tablet, Film Coated - A solid dosage form that contains medicinal substances with or without suitable diluents and is coated with a thin layer of a water-insoluble or water-soluble polymer.
Administration Route
Oral - Administration to or by way of the mouth.
Active Ingredient(s)
CALCIUM POLYCARBOPHIL 625 mg/1
Usage Information
Polycarbophil is used to treat constipation. It is known as a bulk-forming laxative. It increases the bulk in your stool, an effect that helps to cause movement of the intestines. It also works by increasing the amount of water in the stool, making the stool softer and easier to pass.

Regulatory & Marketing

Labeler Name
Safeway
Product Type
Human Otc Drug
FDA Application #
M007
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
10-02-2020
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 21130-021-40 identifies a specific commercial package of 140 tablet, film coated in 1 bottle of Fiber Caplets, a human over the counter drug labeled by Safeway. This tablet, film coated is formulated for oral use and contains calcium polycarbophil 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 Safeway on October 02, 2020. The current certification is valid through December 31, 2026.

What are the primary indications for this medication?

Polycarbophil is used to treat constipation. It is known as a bulk-forming laxative. It increases the bulk in your stool, an effect that helps to cause movement of the intestines. It also works by increasing the amount of water in the stool, making the stool softer and easier to pass.

How is this Safeway product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 21130002140. 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 (5-3-2)
21130-021-40
11-Digit CMS (5-4-2)
21130-0021-40

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