NDC codes

FDA NDC Directory
Product NDC (as listed)0220-9004Labeler and product segments. Claims need a package NDC.
Product NDC at billing width00220-9004Add 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
0220-9004-040022090040460 TABLET in 1 BLISTER PACK (0220-9004-04)Marketed from Aug 5, 1997
0220-9004-2900220900429120 TABLET in 1 BLISTER PACK (0220-9004-29)Marketed from May 9, 2023
0220-9004-910022090049120 TABLET in 1 BLISTER PACK (0220-9004-91)Marketed from Apr 16, 2020

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)
Acidil
Generic name (nonproprietary)
picea mariana resin, activated charcoal, strychnos nux-vomica seed, robinia pseudoacacia bark
Active ingredients
Picea mariana resin — 4 [hp_C]/1Activated charcoal — 4 [hp_C]/1Strychnos nux-vomica seed — 4 [hp_C]/1Robinia pseudoacacia bark — 4 [hp_C]/1
Dosage form
Tablet
Route
Oral
Product type
Over-the-counter drug
Marketing category
Unapproved homeopathic
Marketing start
Listing expires
Other FDA classes
Allergens (Chemical structure)Cell-mediated Immunity (Physiologic effect)Increased Histamine Release (Physiologic effect)Increased IgG Production (Physiologic effect)Plant Proteins (Chemical structure)Seed Storage Proteins (Chemical structure)
Identifiers
Product ID 0220-9004_fb46dcaf-ef71-4f45-e053-6294a90a7a98SPL ID fb46dcaf-ef71-4f45-e053-6294a90a7a98SPL set ID 495ad600-7fca-4104-bf7a-4858f946c5e4UNII 71AOV0W131, 2P3VWU3H10, 269XH13919, 7TPC058OWYUPC 0306962608606
Pharmacologic class
Non-Standardized Plant Allergenic Extract

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

N400220900404 followed by a unit qualifier and the quantity

Package 00220-9004-04. 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

Current FDA label (SPL), effective .

Indications (excerpt from the label)

Uses* Temporarily relieves: heartburn acid indigestion bloating upset stomach associated with these symptoms

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

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