Dr. Sana Alivio Digestivo Granule, Effervescent
NDC Package 84178-110-01

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

Package Information

Dr. Sana Alivio Digestivo (efefervescent antacid) granules is adults and children 12 years and over: dissolve one packet in ½ glass (4 fl oz) of water every 4 hours or as directed by a doctor. This formulation utilizes a granule, effervescent delivery system. Marketed by Evi Labs, this product is identified by NDC 84178-110 and is authorized under FDA application M001.

Identification & Billing

NDC Package Code
84178-110-01
Package Description
12 PACKET in 1 BOX / 5000 mg in 1 PACKET
Product Code
84178-110
11-Digit Billing Format
84178011001

Clinical Specifications

Proprietary Name
Dr. Sana Alivio Digestivo Upset Stomach
Non-Proprietary Name
Efefervescent Antacid
Substance Name
Bicarbonate Ion
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)
BICARBONATE ION 2485 mg/5000mg
Pharmacologic Class
Usage Information
Adults and children 12 years and over: dissolve one packet in ½ glass (4 fl oz) of water every 4 hours or as directed by a doctor. Adults and children 12 to 60 years of age; do not exceed 6 packets in 24 hours. Adults 60 years of age and over, do not exceed 3 packets in 24 hours. Children under 12 years of age: do not use.

Regulatory & Marketing

Labeler Name
Evi Labs
Product Type
Human Otc Drug
FDA Application #
M001
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
05-13-2026
Listing Expiration
12-31-2027
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 84178-110-01 identifies a specific commercial package of 12 packet in 1 box / 5000 mg in 1 packet of Dr. Sana Alivio Digestivo Upset Stomach, a human over the counter drug labeled by Evi Labs. This granule, effervescent is formulated for oral use and contains bicarbonate ion 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 Evi Labs on May 13, 2026. The current certification is valid through December 31, 2027.

How is this Evi Labs product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 84178011001. 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)
84178-110-01
11-Digit CMS (5-4-2)
84178-0110-01

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