NDC codes

FDA NDC Directory
Product NDC (as listed)0220-5104Labeler and product segments. Claims need a package NDC.
Product NDC at billing width00220-5104Add the package segment from the table below.
Package NDCs as listed with the FDA, and the 11-digit 5-4-2 form used on claims. The highlighted digit is the added leading zero.
Package NDC11-digit (billing)PackageCopy
0220-5104-410022051044180 PELLET in 1 TUBE (0220-5104-41)Marketed from Sep 4, 2025

How the 11-digit form is made: The labeler segment has 4 digits, so one leading zero is added to it (4-4-2 → 5-4-2). Formatting the NDC does not by itself make it billable — the product, package and quantity must match what was dispensed or administered, and payer rules apply. Conversion rules

Product information

Brand name (proprietary)
Influenzinum
Generic name (nonproprietary)
influenza a virus a/victoria/4897/2022 ivr-238 (h1n1) antigen (formaldehyde inactivated), influenza a virus a/croatia/10136rv/2023 x-425a (h3n2) antigen (formaldehyde inactivated), influenza b virus b/austria/1359417/2021 bvr-26 antigen (formaldehyde inactivated)
Active ingredients
Influenza a virus a/croatia/10136rv/2023 x-425a (H3n2) antigen (Formaldehyde inactivated)30 [hp_C]/1Influenza b virus b/austria/1359417/2021 bvr-26 antigen (Formaldehyde inactivated)30 [hp_C]/1Influenza a virus a/victoria/4897/2022 ivr-238 (H1n1) antigen (Formaldehyde inactivated)30 [hp_C]/1
Dosage form
Pellet
Route
Oral
Labeler
Boiron
Product type
Over-the-counter drug
Marketing category
Unapproved homeopathic
Marketing start
Listing expires
Identifiers
Product ID 0220-5104_3dfd46a8-9692-f49d-e063-6394a90a2b2fSPL ID 3dfd46a8-9692-f49d-e063-6394a90a2b2fSPL set ID 3dfd46a8-9691-f49d-e063-6394a90a2b2fUNII HQW9FZS4YK, TZK7Q3545Q, AU5C98U4BB

Billing references

What Med-Code can say about coding this product, and where each statement comes from. Nothing here is inferred from the name alone.

HCPCS codeNo match

No HCPCS code in Med-Code's directory. Oral products like this are usually dispensed by a pharmacy and billed by NDC.

NDC on a medical claim

N400220510441 followed by a unit qualifier and the quantity

Package 00220-5104-41. Unit qualifiers: F2 (international unit), GR (gram), ME (milligram), ML (milliliter), UN (unit (each)). The qualifier and quantity depend on what was given. About the N4 qualifier

Product label

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