Sal De Uvas Picot Granule, Effervescent
NDC Package 73208-580-01

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

Sal De Uvas Picot (citric acid monohydrate and sodium bicarbonate) granules is fully dissolve one packet in ½ glass (4 fl oz) of water.Adults and children 12 to 60 years of age1 packet every 4 hours, or as directed by a doctorDo not exceed 4 packets in 24 hoursAdults 60 years of age and over1 packet every 4 hours, or as directed by a doctorDo not exceed 3 packets in 24 hoursChildren under 12 years of ageAsk a doctor. This formulation utilizes a granule, effervescent delivery system. Marketed by Rb Health Mexico, S.a. De C.v., this product is identified by NDC 73208-580 and is authorized under FDA application M001.

Identification & Billing

NDC Package Code
73208-580-01
Package Description
4 PACKET in 1 CARTON / 1 GRANULE, EFFERVESCENT in 1 PACKET
Product Code
73208-580
11-Digit Billing Format
73208058001
RxNorm Crosswalk
  • RxCUI: 2588964 - citric acid 1948.5 MG / sodium bicarbonate 2485 MG Granules for Oral Solution
  • RxCUI: 2588964 - citric acid 1948.5 MG / NaHCO3 2485 MG Granules for Oral Solution
  • RxCUI: 2588964 - citric acid 1948.5 MG / sodium bicarbonate 2485 MG Effervescent Powder for Oral Solution

Clinical Specifications

Proprietary Name
Sal De Uvas Picot
Non-Proprietary Name
Citric Acid Monohydrate And Sodium Bicarbonate
Substance Name
Citric Acid Monohydrate; Sodium Bicarbonate
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
Oral - Administration to or by way of the mouth.
Active Ingredient(s)
Pharmacologic Class
Usage Information
Fully dissolve one packet in ½ glass (4 fl oz) of water.Adults and children 12 to 60 years of age1 packet every 4 hours, or as directed by a doctorDo not exceed 4 packets in 24 hoursAdults 60 years of age and over1 packet every 4 hours, or as directed by a doctorDo not exceed 3 packets in 24 hoursChildren under 12 years of ageAsk a doctor

Regulatory & Marketing

Labeler Name
Rb Health Mexico, S.a. De C.v.
Product Type
Human Otc Drug
FDA Application #
M001
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
01-07-2022
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 (73208-580). Click a package code to view its specific billing and regulatory data.

73208-580-02
6 PACKET in 1 CARTON / 1 GRANULE, EFFERVESCENT in 1 PACKET
73208-580-03
8 PACKET in 1 CARTON / 1 GRANULE, EFFERVESCENT in 1 PACKET
73208-580-04
12 PACKET in 1 CARTON / 1 GRANULE, EFFERVESCENT in 1 PACKET
73208-580-05
50 PACKET in 1 CARTON / 1 GRANULE, EFFERVESCENT 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 73208-580-01 identifies a specific commercial package of 4 packet in 1 carton / 1 granule, effervescent in 1 packet of Sal De Uvas Picot, a human over the counter drug labeled by Rb Health Mexico, S.a. De C.v.. This granule, effervescent is formulated for oral use and contains citric acid monohydrate; sodium bicarbonate 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 Rb Health Mexico, S.a. De C.v. on January 07, 2022. The current certification is valid through December 31, 2026.

How is this Rb Health Mexico, S.a. De C.v. product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 73208058001. 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)
73208-580-01
11-Digit CMS (5-4-2)
73208-0580-01

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