What is NDC 0220-9101?

0220-9101 is the product NDC for Acne Relief, Potassium bromide 30 [hp_C]/1 + 2 more ingredients pellet, listed with the FDA by Boiron. It has 1 package NDC, shown above in 10- and 11-digit form.

What drug is associated with this NDC?

Acne Relief (Potassium bromide, Syzygium jambos seed, Selenium).

What is the active ingredient?

Potassium bromide, Syzygium jambos seed, Selenium.

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 Acne Relief?

3 other product NDCs are listed under this name.

Is there a related HCPCS / J-code?

Not in Med-Code's curated HCPCS directory.

Acne Relief NDC 0220-9101 | National Drug Code

NDC codes

FDA NDC Directory

Product NDC (as listed)0220-9101Labeler and product segments. Claims need a package NDC.

Product NDC at billing width00220-9101Add 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 NDC	11-digit (billing)	Package	Copy
0220-9101-43	0022091014300220910143	3 TUBE in 1 BOX (0220-9101-43) / 80 PELLET in 1 TUBEMarketed from May 16, 2022

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): Acne Relief
Generic name (nonproprietary): potassium bromide, syzygium jambos seed, selenium
Active ingredients: Potassium bromide — 30 [hp_C]/1Syzygium jambos seed — 6 [hp_C]/1Selenium — 6 [hp_C]/1
Dosage form: Pellet
Route: Oral
Labeler: BoironNDC labeler code 0220
Product type: Over-the-counter drug
Marketing category: Unapproved homeopathic
Marketing start: May 16, 2022
Listing expires: Dec 31, 2026
Identifiers: Product ID 0220-9101_06ea67d8-b617-776b-e063-6294a90a3185SPL ID 06ea67d8-b617-776b-e063-6294a90a3185SPL set ID df21b4e0-8c14-1c4d-e053-2995a90a74c7UNII OSD78555ZM, 97P0H45869, H6241UJ22B

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

N400220910143 followed by a unit qualifier and the quantity

Package 00220-9101-43. 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 Oct 4, 2023.

Indications (excerpt from the label)

Uses* temporarily relieves and treats occasional symptoms of acne (pimples) such as: blackheads oily skin whiteheads risk of scarring breakouts associated with puberty and menstrual periods

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 0220-9101

What is NDC 0220-9101?: 0220-9101 is the product NDC for Acne Relief, Potassium bromide 30 [hp_C]/1 + 2 more ingredients pellet, listed with the FDA by Boiron. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?: Acne Relief (Potassium bromide, Syzygium jambos seed, Selenium).
What is the active ingredient?: Potassium bromide, Syzygium jambos seed, Selenium.
Who is the labeler?: 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 Acne Relief?: 3 other product NDCs are listed under this name. See all Acne Relief NDCs.
Is there a related HCPCS / J-code?: Not in Med-Code's curated HCPCS directory. See Billing references above.

Other finished products listed under the same name: strengths, forms and labelers.

Other Acne Relief NDCs
Product	Strength	Form · route	Labeler	Product NDC	Package NDCs (11-digit)
Acne Reliefsalicylic acid,niacinamide,panthenol.	Salicylic acid 500 mg/50mL + 4 more ingredients	CreamTopical	Guangzhou Senmai Biotechnology Co.,Ltd.	84509-114	84509-0114-01
Acne Reliefbelladonna, silicea, graphites, hepar sulphuris calcareum, kali bromatum, ledum palustre, natrum muriaticum, selenium, sulphur	Atropa belladonna 6 [hp_X]/1 + 8 more ingredients	Tablet, ChewableOral	NaturalCare	70163-0038	70163-0038-01
Acne Reliefantimonium crud, arsenicum brom, bovista, eugenia jamb, fluoricum acidum, hepar sulph calc, kali brom, kali iod, kali mur, nat brom, niccolum sulph, phosphoricum ac, sulphur iod.	Antimony trisulfide 6 [hp_X]/59mL + 12 more ingredients	LiquidOral	OHM PHARMA INC.	66096-168	66096-0168-05