Mag-al Plus Xs Suspension
NDC Package 55154-9422-5

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

Package Information

Mag-al Plus Xs (magnesium hydroxide, aluminum hydroxide, simethicone) suspension is as an antacid for symptomatic relief of hyperacidity associated with the diagnosis of peptic ulcer, gastritis, peptic esophagitis, gastric hyperacidity, or hiatal hernia. This formulation utilizes a suspension delivery system. Marketed by Cardinal Health 107, Llc, this product is identified by NDC 55154-9422 and is authorized under FDA application M002.

Identification & Billing

NDC Package Code
55154-9422-5
Package Description
5 CUP, UNIT-DOSE in 1 BAG / 30 mL in 1 CUP, UNIT-DOSE
Product Code
55154-9422
11-Digit Billing Format
55154942205
RxNorm Crosswalk
  • RxCUI: 237870 - aluminum hydroxide 400 MG / magnesium hydroxide 400 MG / simethicone 40 MG in 5 mL Oral Suspension
  • RxCUI: 237870 - aluminum hydroxide 80 MG/ML / magnesium hydroxide 80 MG/ML / simethicone 8 MG/ML Oral Suspension
  • RxCUI: 237870 - aluminum hydroxide 2400 MG / magnesium hydroxide 2400 MG / dimethicone 240 MG per 30 ML Oral Suspension
  • RxCUI: 237870 - aluminum hydroxide 400 MG / magnesium hydroxide 400 MG / simethicone 40 MG per 5 ML Oral Suspension
  • RxCUI: 237870 - aluminum hydroxide 800 MG / magnesium hydroxide 800 MG / dimethicone 80 MG per 10 ML Oral Suspension

Clinical Specifications

Proprietary Name
Mag-al Plus Xs
Non-Proprietary Name
Magnesium Hydroxide, Aluminum Hydroxide, Simethicone
Substance Name
Aluminum Hydroxide; Dimethicone, Unspecified; Magnesium Hydroxide
Dosage Form
Suspension - A liquid1 dosage form that contains solid particles dispersed in a liquid vehicle.
Administration Route
Oral - Administration to or by way of the mouth.
Active Ingredient(s)
Pharmacologic Class
Skin Barrier Activity - [PE] (Physiologic Effect)
Usage Information
As an antacid for symptomatic relief of hyperacidity associated with the diagnosis of peptic ulcer, gastritis, peptic esophagitis, gastric hyperacidity, or hiatal hernia. As an antiflatulent to alleviate the symptoms of gas, including postoperative gas pain.

Regulatory & Marketing

Labeler Name
Cardinal Health 107, Llc
Product Type
Human Otc Drug
FDA Application #
M002
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
06-07-2011
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 55154-9422-5 identifies a specific commercial package of 5 cup, unit-dose in 1 bag / 30 ml in 1 cup, unit-dose of Mag-al Plus Xs, a human over the counter drug labeled by Cardinal Health 107, Llc. This suspension is formulated for oral use and contains aluminum hydroxide; dimethicone, unspecified; magnesium hydroxide 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 Cardinal Health 107, Llc on June 07, 2011. The current certification is valid through December 31, 2026.

How is this Cardinal Health 107, Llc product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 55154942205. 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 (5-4-1)
55154-9422-5
11-Digit CMS (5-4-2)
55154-9422-05

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