Antacid Tablet
NDC Package 69396-142-01

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

Antacid (calcium carbonate) tablets is a medication used to treat symptoms caused by too much stomach acid such as heartburn, upset stomach, or indigestion. This formulation utilizes a tablet delivery system. Marketed by Trifecta Pharmaceuticals Usa Llc, this product is identified by NDC 69396-142 and is authorized under FDA application M001.

Identification & Billing

NDC Package Code
69396-142-01
Package Description
50 PACKET in 1 BOX / 2 TABLET in 1 PACKET
Product Code
69396-142
11-Digit Billing Format
69396014201
RxNorm Crosswalk
  • RxCUI: 313884 - calcium carbonate 420 MG (Ca 168 MG) Chewable Tablet
  • RxCUI: 313884 - calcium carbonate 420 MG Chewable Tablet
  • RxCUI: 313884 - calcium carbonate 420 MG (calcium 168 MG) Chewable Tablet

Clinical Specifications

Proprietary Name
Antacid
Non-Proprietary Name
Calcium Carbonate
Substance Name
Calcium Carbonate
Dosage Form
Tablet - A solid dosage form containing medicinal substances with or without suitable diluents.
Administration Route
Oral - Administration to or by way of the mouth.
Active Ingredient(s)
CALCIUM CARBONATE 420 mg/1
Pharmacologic Class
Usage Information
This medication is used to treat symptoms caused by too much stomach acid such as heartburn, upset stomach, or indigestion. It is an antacid that works by lowering the amount of acid in the stomach. Check the ingredients on the label even if you have used the product before. The manufacturer may have changed the ingredients. Also, products with similar names may contain different ingredients meant for different purposes. Taking the wrong product could harm you.

Regulatory & Marketing

Labeler Name
Trifecta Pharmaceuticals Usa Llc
Product Type
Human Otc Drug
FDA Application #
M001
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
08-08-2023
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.

Other Available Packages

The following commercial packages are registered under the same Product NDC (69396-142). Click a package code to view its specific billing and regulatory data.

69396-142-05
10000 PACKET in 1 BAG / 2 TABLET in 1 PACKET

* 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 69396-142-01 identifies a specific commercial package of 50 packet in 1 box / 2 tablet in 1 packet of Antacid, a human over the counter drug labeled by Trifecta Pharmaceuticals Usa Llc. This tablet is formulated for oral use and contains calcium carbonate 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 Trifecta Pharmaceuticals Usa Llc on August 08, 2023. The current certification is valid through December 31, 2026.

What are the primary indications for this medication?

This medication is used to treat symptoms caused by too much stomach acid such as heartburn, upset stomach, or indigestion. It is an antacid that works by lowering the amount of acid in the stomach. Check the ingredients on the label even if you have used the product before. The manufacturer may have changed the ingredients. Also, products with similar names may contain different ingredients meant for different purposes. Taking the wrong product could harm you.

How is this Trifecta Pharmaceuticals Usa Llc product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 69396014201. 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)
69396-142-01
11-Digit CMS (5-4-2)
69396-0142-01

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