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  5. NDC Package Code: 67751-174-01 Sal De Uvas Picot

NDC Package 67751-174-01 Sal De Uvas Picot

Citric Acid Monohydrate,Sodium Bicarbonate Granule, Effervescent Oral - View Billable Units, 11-Digit Format, RxNorm

Table of Contents

    1. Package Information
    2. Frequently Asked Questions

Package Information

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:
67751-174-01
Package Description:
1 POUCH in 1 CARTON / 1 GRANULE, EFFERVESCENT in 1 POUCH
Product Code:
67751-174
Proprietary Name:
Sal De Uvas Picot
Non-Proprietary Name:
Citric Acid Monohydrate, Sodium Bicarbonate
Substance Name:
Citric Acid Monohydrate; Sodium Bicarbonate
Usage Information:
Fully dissolve one packet in 1/2 glass of water before takingadults 60 years and over 1 packet every 4 hours, or as directed by a doctor. Do not exceed 3 packets in 24 hoursadults and children 12 to 60 years one packet every 4 hours or as directed by a doctor. Do not exceed 4 packets in 24 hourschildren under 12 years  ask a doctor
11-Digit NDC Billing Format:
67751017401
NDC to RxNorm Crosswalk:
  • RxCUI: 1795948 - citric acid 1.949 GM / sodium bicarbonate 2.485 GM Powder for Oral Solution
  • RxCUI: 1795948 - citric acid 1949 MG / sodium bicarbonate 2485 MG Powder for Oral Solution
  • RxCUI: 1795948 - Citric Acid 1949 MG / NaHCO3 2485 MG Powder for Oral Solution
  • RxCUI: 1795950 - picot 1.949 GM / 2.485 GM Powder for Oral Solution
  • RxCUI: 1795950 - citric acid 1949 MG / sodium bicarbonate 2485 MG Powder for Oral Solution [Picot]
    • Product Type:
    Human Otc Drug
    Labeler Name:
    Navajo Manufacturing Company Inc.
    Dosage Form:
    Granule, Effervescent - A small particle or grain containing a medicinal agent in a dry mixture usually composed of sodium bicarbonate, citric acid, and tartaric acid which, when in contact with water, has the capability to release gas, resulting in effervescence.
    Administration Route(s):
  • Oral - Administration to or by way of the mouth.
    • Active Ingredient(s):
  • CITRIC ACID MONOHYDRATE 1.9485 g/1
  • SODIUM BICARBONATE 2.485 g/1
    • Pharmacologic Class(es):
  • Acidifying Activity - [MoA] (Mechanism of Action)
  • Anti-coagulant - [EPC] (Established Pharmacologic Class)
  • Calcium Chelating Activity - [MoA] (Mechanism of Action)
  • Calculi Dissolution Agent - [EPC] (Established Pharmacologic Class)
  • Decreased Coagulation Factor Activity - [PE] (Physiologic Effect)
  • Increased Large Intestinal Motility - [PE] (Physiologic Effect)
  • Inhibition Large Intestine Fluid/Electrolyte Absorption - [PE] (Physiologic Effect)
  • Osmotic Activity - [MoA] (Mechanism of Action)
  • Osmotic Laxative - [EPC] (Established Pharmacologic Class)
    • Sample Package:
    No
    FDA Application Number:
    part331
    Marketing Category:
    OTC MONOGRAPH FINAL - A product marketed pursuant to a final Over-the-Counter (OTC) Drug Monograph.
    Start Marketing Date:
    09-23-2016
    Listing Expiration Date:
    12-31-2024
    Exclude Flag:
    N
    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.

    Frequently Asked Questions

    What is NDC 67751-174-01?

    The NDC Packaged Code 67751-174-01 is assigned to a package of 1 pouch in 1 carton / 1 granule, effervescent in 1 pouch of Sal De Uvas Picot, a human over the counter drug labeled by Navajo Manufacturing Company Inc.. The product's dosage form is granule, effervescent and is administered via oral form.

    Is NDC 67751-174 included in the NDC Directory?

    Yes, Sal De Uvas Picot with product code 67751-174 is active and included in the NDC Directory. The product was first marketed by Navajo Manufacturing Company Inc. on September 23, 2016 and its listing in the NDC Directory is set to expire on December 31, 2024 if the product is not updated or renewed by the manufacturer.

    What is the 11-digit format for NDC 67751-174-01?

    The 11-digit format is 67751017401. 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
    5-3-267751-174-015-4-267751-0174-01