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  5. NDC Package Code: 52904-903-04 Pepto-bismol

NDC Package 52904-903-04 Pepto-bismol

View Billable Units, 11-Digit Format, RxNorm

Table of Contents

    1. Package Information
    2. Other Packages
    3. Frequently Asked Questions

Package Information

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

Find all the important details about this NDC Package code, including the 11-Digit NDC Billing number, billing units, wholesale price, RxNorm crosswalk, active ingredients, pharmacologic clasess, etc.

NDC Package Code:
52904-903-04
Package Description:
1 POUCH in 1 BLISTER PACK / 2 TABLET in 1 POUCH
Product Code:
52904-903
Proprietary Name:
Pepto-bismol
Usage Information:
Chew or dissolve in mouthadults & children 12 years & over: 2 tablets every 1/2 to 1 hour as neededdo not exceed 8 doses (16 tablets) in 24 hoursuse until diarrhea stops but not more than 2 dayschildren under 12 years: ask a doctordrink plenty of clear fluids to help prevent dehydration caused by diarrhea
11-Digit NDC Billing Format:
52904090304
NDC to RxNorm Crosswalk:
  • RxCUI: 211151 - Pepto-Bismol 262 MG Chewable Tablet
  • RxCUI: 211151 - bismuth subsalicylate 262 MG Chewable Tablet [Pepto-bismol]
  • RxCUI: 211151 - Pepto-bismol 262 MG Chewable Tablet
  • RxCUI: 211151 - Pepto-Bismol InstaCool 262 MG Chewable Tablet
  • RxCUI: 211151 - Pepto-Bismol To-Go 262 MG Chewable Tablet
    • Labeler Name:
    Select Corporation
    Sample Package:
    No
    Start Marketing Date:
    06-30-2004
    Listing Expiration Date:
    12-31-2023
    Exclude Flag:
    I
    Code Structure:

    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 disclaimer below.

    Other Product Packages

    The following packages are also available for this product:

    NDC Package CodePackage Description
    52904-903-052 POUCH in 1 BLISTER PACK / 2 TABLET in 1 POUCH

    * Please review the disclaimer below.

    Frequently Asked Questions

    What is NDC 52904-903-04?

    The NDC Packaged Code 52904-903-04 is assigned to a package of 1 pouch in 1 blister pack / 2 tablet in 1 pouch of Pepto-bismol, labeled by Select Corporation. The product's dosage form is and is administered via form.

    Is NDC 52904-903 included in the NDC Directory?

    No, Pepto-bismol with product code 52904-903 is excluded from the NDC Directory because it's listing has been INACTIVATED by FDA. The product was first marketed by Select Corporation on June 30, 2004 and its listing in the NDC Directory is set to expire on December 31, 2023 if the product is not updated or renewed by the manufacturer.

    What is the 11-digit format for NDC 52904-903-04?

    The 11-digit format is 52904090304. The 11-digit billing format might be required by the Centers for Medicare & Medicaid Services (CMS) and other payers in billing claim forms.

    This package code is originally configured in a 5-3-2 segment 10-digit format and by adding a zero within the original NDC package code we can obtain the converted 11-digit format in a 5-4-2 segment configuration. The table below shows the 11-digit code conversion:

    10-Digit Format10-Digit Original Code11-Digit Format11-Digit Code
    5-3-252904-903-045-4-252904-0903-04