Extra Strength Heartburn Relief Suspension
NDC Package 69842-628-12

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

Package Information

Extra Strength Heartburn Relief (aluminum hydroxide and magnesium carbonate) suspension is shake well before useadults and children 12 years and older take 2-4 teaspoonsful four times a day or as directed by a doctorchildren under 12 years: consult a doctortake after meals and at bedtimedispense product only by spoon or other measuring device. This formulation utilizes a suspension delivery system. Marketed by Cvs Pharmacy,inc., this product is identified by NDC 69842-628 and is authorized under FDA application M001.

Identification & Billing

NDC Package Code
69842-628-12
Package Description
355 mL in 1 BOTTLE
Product Code
69842-628
11-Digit Billing Format
69842062812
RxNorm Crosswalk
  • RxCUI: 245001 - aluminum hydroxide 254 MG / magnesium carbonate 237.5 MG in 5 mL Oral Suspension
  • RxCUI: 245001 - aluminum hydroxide 50.8 MG/ML / magnesium carbonate 47.5 MG/ML Oral Suspension
  • RxCUI: 245001 - aluminum hydroxide 254 MG / magnesium carbonate 237.5 MG per 5 ML Oral Suspension

Clinical Specifications

Proprietary Name
Extra Strength Heartburn Relief
Non-Proprietary Name
Aluminum Hydroxide And Magnesium Carbonate
Substance Name
Aluminum Hydroxide; Magnesium Carbonate
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)
Usage Information
Shake well before useadults and children 12 years and older take 2-4 teaspoonsful four times a day or as directed by a doctorchildren under 12 years: consult a doctortake after meals and at bedtimedispense product only by spoon or other measuring device

Regulatory & Marketing

Labeler Name
Cvs Pharmacy,inc.
Product Type
Human Otc Drug
FDA Application #
M001
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
02-01-2017
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 69842-628-12 identifies a specific commercial package of 355 ml in 1 bottle of Extra Strength Heartburn Relief, a human over the counter drug labeled by Cvs Pharmacy,inc.. This suspension is formulated for oral use and contains aluminum hydroxide; magnesium 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 Cvs Pharmacy,inc. on February 01, 2017. The current certification is valid through December 31, 2026.

How is this Cvs Pharmacy,inc. product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 69842062812. 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)
69842-628-12
11-Digit CMS (5-4-2)
69842-0628-12

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