NDC codes

FDA NDC Directory
Product NDC (as listed)0220-9054Labeler and product segments. Claims need a package NDC.
Product NDC at billing width00220-9054Add 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
0220-9054-0700220905407002209054071 POUCH in 1 PACKAGE (0220-9054-07) / 5 LIQUID in 1 POUCHMarketed from Jan 1, 2014
0220-9054-0800220905408002209054081 POUCH in 1 PACKAGE (0220-9054-08) / 15 LIQUID in 1 POUCHMarketed from Dec 1, 2010
0220-9054-0900220905409002209054091 POUCH in 1 PACKAGE (0220-9054-09) / 30 LIQUID in 1 POUCHMarketed from Jul 15, 2011
0220-9054-4700220905447002209054471 POUCH in 1 PACKAGE (0220-9054-47) / 40 LIQUID in 1 POUCHMarketed from Apr 1, 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)
Camilia
Generic name (nonproprietary)
matricaria recutita, rhubarb, phytolacca americana root
Active ingredients
Matricaria recutita — 9 [hp_C]/1Rhubarb — 5 [hp_C]/1Phytolacca americana root — 5 [hp_C]/1
Dosage form
Liquid
Route
Oral
Labeler
Laboratoires BoironNDC labeler code 0220
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)Dietary Proteins (Chemical structure)Increased Histamine Release (Physiologic effect)Plant Proteins (Chemical structure)
Identifiers
Product ID 0220-9054_3625289a-4a21-c6f9-e063-6394a90a992fSPL ID 3625289a-4a21-c6f9-e063-6394a90a992fSPL set ID 24246729-2d45-4d83-bc25-39db03e266d4UNII G0R4UBI2ZZ, G280W4MW6E, 11E6VI8VEGUPC 0306969054086, 0306969054468
Pharmacologic class
Non-Standardized Food Allergenic Extract; 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

N400220905407 followed by a unit qualifier and the quantity

Package 00220-9054-07. 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 symptoms of teething such as: painful gums irritability minor digestive upsets associated with teething

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 0220-9054

What is NDC 0220-9054?
0220-9054 is the product NDC for Camilia, Matricaria recutita 9 [hp_C]/1 + 2 more ingredients liquid, listed with the FDA by Laboratoires Boiron. It has 4 package NDCs, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Camilia (Matricaria recutita, Rhubarb, Phytolacca americana root).
What is the active ingredient?
Matricaria recutita, Rhubarb, Phytolacca americana root.
Who is the labeler?
Laboratoires Boiron, NDC labeler code 0220. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Camilia?
None: this is the only finished product listed under this name.
Is there a related HCPCS / J-code?
Not in Med-Code's curated HCPCS directory. See Billing references above.

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