Supreme Antacid Suspension
NDC Package 63941-624-12

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

Package Information

Supreme Antacid (calcium carbonate, magnesium hydroxide) suspension is shake well before useadults and children 12 years and older: take 2 to 4 teaspoonfuls between meals, at bedtime, or as directed by a doctordo not take more than 18 teaspoonfuls in a 24 hour period or use the maximum dosage for more than 2 weekschildren under 12 years: ask a doctor. This formulation utilizes a suspension delivery system. Marketed by Valu Merchandisers Company, this product is identified by NDC 63941-624 and is authorized under FDA application M001.

Identification & Billing

NDC Package Code
63941-624-12
Package Description
355 mL in 1 BOTTLE
Product Code
63941-624
11-Digit Billing Format
63941062412
RxNorm Crosswalk
  • RxCUI: 237865 - calcium carbonate 400 MG / magnesium hydroxide 135 MG in 5 mL Oral Suspension
  • RxCUI: 237865 - calcium carbonate 80 MG/ML / magnesium hydroxide 27 MG/ML Oral Suspension
  • RxCUI: 237865 - calcium carbonate 400 MG / milk of magnesia 135 MG per 5 ML Oral Suspension

Clinical Specifications

Proprietary Name
Supreme Antacid
Non-Proprietary Name
Calcium Carbonate, Magnesium Hydroxide
Substance Name
Calcium Carbonate; 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
Usage Information
Shake well before useadults and children 12 years and older: take 2 to 4 teaspoonfuls between meals, at bedtime, or as directed by a doctordo not take more than 18 teaspoonfuls in a 24 hour period or use the maximum dosage for more than 2 weekschildren under 12 years: ask a doctor

Regulatory & Marketing

Labeler Name
Valu Merchandisers Company
Product Type
Human Otc Drug
FDA Application #
M001
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
08-01-2017
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 63941-624-12 identifies a specific commercial package of 355 ml in 1 bottle of Supreme Antacid, a human over the counter drug labeled by Valu Merchandisers Company. This suspension is formulated for oral use and contains calcium carbonate; 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 Valu Merchandisers Company on August 01, 2017. The current certification is valid through December 31, 2026.

How is this Valu Merchandisers Company product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 63941062412. 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)
63941-624-12
11-Digit CMS (5-4-2)
63941-0624-12

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