Heartburn Relief
NDC Package 52904-448-01

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

Package Information

This product is EXCLUDED from the official NDC directory because the listing data was inactivated by the FDA.

Heartburn Relief is uses: • relieves heartburn associated with acidindigestion and sour stomach • prevents heartburnassociated with acid indigestion and sour stomachbrought on by eating or drinking certain food andbeverages. Marketed by Select Corporation, this product is identified by NDC 52904-448 and is authorized under FDA application ANDA077146.

Identification & Billing

NDC Package Code
52904-448-01
Package Description
1 TABLET in 1 PACKET
Product Code
52904-448
11-Digit Billing Format
52904044801
RxNorm Crosswalk
RxCUI: 199047 - famotidine 10 MG Oral Tablet

Clinical Specifications

Proprietary Name
Heartburn Relief
Dosage Form
-
Usage Information
Uses: • relieves heartburn associated with acidindigestion and sour stomach • prevents heartburnassociated with acid indigestion and sour stomachbrought on by eating or drinking certain food andbeverages

Regulatory & Marketing

Labeler Name
Select Corporation
FDA Application #
ANDA077146
Marketing Category
ANDA - A product marketed under an approved Abbreviated New Drug Application.
Start Marketing Date
03-14-2014
Listing Expiration
12-31-2019
Exclude Flag
I
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 52904-448-01 identifies a specific commercial package of 1 tablet in 1 packet of Heartburn Relief, labeled by Select Corporation. This is formulated for use and contains as the active substance.

Is this product currently listed with the FDA?

This product code is currently listed as inactive or excluded from the primary directory. It was introduced to the market by Select Corporation on March 14, 2014. The current certification is valid through December 31, 2019.

How is this Select Corporation product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 52904044801. 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)
52904-448-01
11-Digit CMS (5-4-2)
52904-0448-01

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