Relief Otc Antacid
NDC Package 69016-001-18

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

Package Information

This product is EXCLUDED from the official NDC directory because the listing data was inactivated by the FDA.

Relief Otc Antacid is do not use if outer seal is broken, replace cap tightlyDo not exceed daily recommended dosageShake well & drink 2-4 ounces as symptoms occur Adults and children 12 years and over Up to 4oz. Marketed by Tummy Company, Inc., this product is identified by NDC 69016-001 and is authorized under FDA application part331.

Identification & Billing

NDC Package Code
69016-001-18
Package Description
118 mL in 1 BOTTLE
Product Code
69016-001
11-Digit Billing Format
69016000118
RxNorm Crosswalk
  • RxCUI: 1538288 - calcium 545 MG / potassium 905 MG / sodium bicaronate 2110 MG in 118 mL Oral Suspension
  • RxCUI: 1538288 - calcium carbonate 4.62 MG/ML / potassium bicarbonate 7.67 MG/ML / sodium bicarbonate 17.9 MG/ML Oral Suspension
  • RxCUI: 1538288 - calcium 545 MG / potassium 905 MG / sodium bicaronate 2110 MG per 118 ML Oral Suspension
  • RxCUI: 1538288 - Calcium Carbonate 4.62 MG/ML / K+ bicarbonate 7.67 MG/ML / NaHCO3 17.9 MG/ML Oral Suspension
  • RxCUI: 1538288 - Calcium Carbonate 4.62 MG/ML / Pot bicarbonate 7.67 MG/ML / NaHCO3 17.9 MG/ML Oral Suspension

Clinical Specifications

Proprietary Name
Relief Otc Antacid
Dosage Form
-
Usage Information
Do not use if outer seal is broken, replace cap tightlyDo not exceed daily recommended dosageShake well & drink 2-4 ounces as symptoms occur Adults and children 12 years and over Up to 4oz. every 4 hours as sumptoms occur or as prescribed by a doctorDo not exceed 16 ounces in 24 hours  Adults 60 and overUp to 4oz. every 4 hours as sumptoms occur or as prescribed by a doctor Do not exceed 12 ounces in 24 hours Children under 12 years Ask a doctor

Regulatory & Marketing

Labeler Name
Tummy Company, Inc.
FDA Application #
part331
Marketing Category
OTC MONOGRAPH FINAL - A product marketed pursuant to a final Over-the-Counter (OTC) Drug Monograph.
Start Marketing Date
05-28-2014
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.

Other Available Packages

The following commercial packages are registered under the same Product NDC (69016-001). Click a package code to view its specific billing and regulatory data.

69016-001-54
354 mL in 1 BOTTLE

* 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 69016-001-18 identifies a specific commercial package of 118 ml in 1 bottle of Relief Otc Antacid, labeled by Tummy Company, Inc.. 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 Tummy Company, Inc. on May 28, 2014. The current certification is valid through December 31, 2017.

How is this Tummy Company, Inc. product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 69016000118. 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)
69016-001-18
11-Digit CMS (5-4-2)
69016-0001-18

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