Infants Gas Relief
NDC Package 59779-704-01

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.

Infants Gas Relief is shake well before usingall doses may be repeated as needed, after meals and at bedtime or as directed by a physician. Marketed by Cvs, this product is identified by NDC 59779-704 and is authorized under FDA application part332.

Identification & Billing

NDC Package Code
59779-704-01
Package Description
1 BOTTLE, DROPPER in 1 CARTON / 30 mL in 1 BOTTLE, DROPPER
Product Code
59779-704
11-Digit Billing Format
59779070401
RxNorm Crosswalk

Clinical Specifications

Proprietary Name
Infants Gas Relief Non-staining Formula
Dosage Form
-
Usage Information
Shake well before usingall doses may be repeated as needed, after meals and at bedtime or as directed by a physician. Do not exceed 12 doses per dayfill enclosed dropper to recommended dosage level and dispense liquid slowly into baby's mouth, toward the inner cheekdosage can be mixed with 1 oz. of cool water, infant formula or other suitable liquidsfor best results, clean dropper after each use and replace original capAge (yr)Weight (lb)Doseinfants under 2under 240.3 mLchildren over 2over 240.6 mL

Regulatory & Marketing

Labeler Name
Cvs
FDA Application #
part332
Marketing Category
OTC MONOGRAPH FINAL - A product marketed pursuant to a final Over-the-Counter (OTC) Drug Monograph.
Start Marketing Date
02-03-2013
Listing Expiration
12-31-2017
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 59779-704-01 identifies a specific commercial package of 1 bottle, dropper in 1 carton / 30 ml in 1 bottle, dropper of Infants Gas Relief Non-staining Formula, labeled by Cvs. 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 Cvs on February 03, 2013. The current certification is valid through December 31, 2017.

How is this Cvs product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 59779070401. 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)
59779-704-01
11-Digit CMS (5-4-2)
59779-0704-01

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