Cvs Health Childrens Tablet, Chewable
NDC Package 69842-912-30

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

Package Information

Cvs Health Childrens (magnesium hydroxide) tablets is a medication used for a short time to treat occasional constipation. This formulation utilizes a tablet, chewable delivery system. Marketed by Cvs Pharmacy,inc., this product is identified by NDC 69842-912 and is authorized under FDA application M007.

Identification & Billing

NDC Package Code
69842-912-30
Package Description
1 BOTTLE in 1 CARTON / 30 TABLET, CHEWABLE in 1 BOTTLE
Product Code
69842-912
11-Digit Billing Format
69842091230
RxNorm Crosswalk

Clinical Specifications

Proprietary Name
Cvs Health Childrens Saline Laxative
Non-Proprietary Name
Magnesium Hydroxide
Substance Name
Magnesium Hydroxide
Dosage Form
Tablet, Chewable - A solid dosage form containing medicinal substances with or without suitable diluents that is intended to be chewed, producing a pleasant tasting residue in the oral cavity that is easily swallowed and does not leave a bitter or unpleasant after-taste.
Administration Route
Oral - Administration to or by way of the mouth.
Active Ingredient(s)
MAGNESIUM HYDROXIDE 400 mg/1
Pharmacologic Class
Usage Information
This medication is used for a short time to treat occasional constipation. It is a laxative (osmotic-type) that is thought to work by drawing water into the intestines, an effect that helps to cause movement of the intestines. This medication is also 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.

Regulatory & Marketing

Labeler Name
Cvs Pharmacy,inc.
Product Type
Human Otc Drug
FDA Application #
M007
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
05-16-2019
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 69842-912-30 identifies a specific commercial package of 1 bottle in 1 carton / 30 tablet, chewable in 1 bottle of Cvs Health Childrens Saline Laxative, a human over the counter drug labeled by Cvs Pharmacy,inc.. This tablet, chewable is formulated for oral use and contains 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 Cvs Pharmacy,inc. on May 16, 2019. The current certification is valid through December 31, 2026.

What are the primary indications for this medication?

This medication is used for a short time to treat occasional constipation. It is a laxative (osmotic-type) that is thought to work by drawing water into the intestines, an effect that helps to cause movement of the intestines. This medication is also 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.

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

For medical billing and reimbursement, this package follows the 11-digit CMS format: 69842091230. 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)
69842-912-30
11-Digit CMS (5-4-2)
69842-0912-30

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