Stomach Relief Ultra Liquid
NDC Package 49035-293-12

11-digit billing NDC: 49035029312
Table of Contents
    1. Package Information
    2. Frequently Asked Questions

Package Information

Stomach Relief Ultra (bismuth subsalicylate) liquids is do not take more than 8 doses (120 mL) in 24 hoursuse until diarrhea stops but not more than 2 daysdrink plenty of clear fluids to help prevent dehydration caused by diarrheamL = millilitershake well before usingmeasure only with dosing cup provided. This formulation utilizes a liquid delivery system. Marketed by Equate (wal-mart Stores, Inc.) (see Also Wal-mart Inc), this product is identified by NDC 49035-293 and is authorized under FDA application M008.

Identification & Billing

NDC Package Code
49035-293-12
Package Description
355 mL in 1 BOTTLE, PLASTIC
Product Code
49035-293
11-Digit Billing Format
49035029312
RxNorm Crosswalk
  • RxCUI: 308763 - bismuth subsalicylate 1050 MG in 30 mL Oral Suspension
  • RxCUI: 308763 - bismuth subsalicylate 35 MG/ML Oral Suspension
  • RxCUI: 308763 - bismuth subsalicylate 1050 MG per 30 ML Oral Suspension
  • RxCUI: 308763 - bismuth subsalicylate 525 MG per 15 ML Oral Suspension

Clinical Specifications

Proprietary Name
Stomach Relief Ultra
Non-Proprietary Name
Bismuth Subsalicylate
Substance Name
Bismuth Subsalicylate
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)
BISMUTH SUBSALICYLATE 525 mg/15mL
Pharmacologic Class
Usage Information
Do not take more than 8 doses (120 mL) in 24 hoursuse until diarrhea stops but not more than 2 daysdrink plenty of clear fluids to help prevent dehydration caused by diarrheamL = millilitershake well before usingmeasure only with dosing cup provided. Do not use any other dosing device keep dosing cup with productadults and children 12 years and over: 15 mL (1dose) every 1/2 or 30 mL (2 doses) every hour as needed diarrhea/traveler's diarrhea15 mL (1 dose) every 1/2 hour as needed for overindulgence (upset stomach, heartburn, indigestion, nausea) children under 12 years of age: ask a doctor

Regulatory & Marketing

Labeler Name
Equate (wal-mart Stores, Inc.) (see Also Wal-mart Inc)
Product Type
Human Otc Drug
FDA Application #
M008
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
02-01-2020
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.

Frequently Asked Questions

What is the distribution configuration for this product package?

The code 49035-293-12 identifies a specific commercial package of 355 ml in 1 bottle, plastic of Stomach Relief Ultra, a human over the counter drug labeled by Equate (wal-mart Stores, Inc.) (see Also Wal-mart Inc). This liquid is formulated for oral use and contains bismuth subsalicylate 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 Equate (wal-mart Stores, Inc.) (see Also Wal-mart Inc) on February 01, 2020. The current certification is valid through December 31, 2027.

How is this Equate (wal-mart Stores, Inc.) (see Also Wal-mart Inc) product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 49035029312. 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)
49035-293-12
11-Digit CMS (5-4-2)
49035-0293-12

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