NDC Package 53217-058-01 Bismatrol

View Billable Units, 11-Digit Format, RxNorm

Package Information
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:

53217-058-01

Package Description:

30 TABLET, CHEWABLE in 1 BLISTER PACK

Product Code:

53217-058

Proprietary Name:

Bismatrol

Usage Information:

Chew or dissolve in mouthadults and children 12 years and over: 2 tablets every 1/2 to 1 hour as neededdo not take more than 8 doses (16 tablets) in 24 hourschildren under 12 years: ask a doctordrink plenty of fluids to help prevent dehydration which may accompany diarrhea.Other information: each tablet contains:sodium less than 1 mgsalicylate 102 mgcalcium 140 mgvery low sodiumavoid excessive heat (over 104˚F or 40˚C)TAMPER EVIDENT: Do not use if individual compartments are torn or missing.

11-Digit NDC Billing Format:

53217005801

Billing Unit:

EA - Billing unit of "each" is used when the product is dispensed in discreet units.

NDC to RxNorm Crosswalk:

30 EA

NDC to RxNorm Crosswalk:

RxCUI: 308761 - bismuth subsalicylate 262 MG Chewable Tablet

Labeler Name:

Aidarex Pharmaceuticals Llc

Sample Package:

Start Marketing Date:

01-03-2003

Listing Expiration Date:

12-31-2019

Exclude Flag:

Code Structure:

53217 - Aidarex Pharmaceuticals Llc
- 53217-058 - Bismatrol
  - 53217-058-01 - 30 TABLET, CHEWABLE in 1 BLISTER PACK

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.

Frequently Asked Questions

What is NDC 53217-058-01?

The NDC Packaged Code 53217-058-01 is assigned to a package of 30 tablet, chewable in 1 blister pack of Bismatrol, labeled by Aidarex Pharmaceuticals Llc. The product's dosage form is and is administered via form.This product is billed for "EA" each discreet unit and contains an estimated amount of 30 billable units per package.

Is NDC 53217-058 included in the NDC Directory?

No, Bismatrol with product code 53217-058 is excluded from the NDC Directory because it's listing has been INACTIVATED by FDA. The product was first marketed by Aidarex Pharmaceuticals Llc on January 03, 2003 and its listing in the NDC Directory is set to expire on December 31, 2019 if the product is not updated or renewed by the manufacturer.

What is the NDC billing unit for package 53217-058-01?

The contents of this package are billed per "each", products billed on a per each basis are usually products dispensed in discreet units. The calculated billable units for this package is 30.

What is the 11-digit format for NDC 53217-058-01?

The 11-digit format is 53217005801. 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 Format	10-Digit Original Code	11-Digit Format	11-Digit Code
5-3-2	53217-058-01	5-4-2	53217-0058-01

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