NDC codes

FDA NDC Directory
Product NDC (as listed)0220-9105Labeler and product segments. Claims need a package NDC.
Product NDC at billing width00220-9105Add 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
0220-9105-040022091050460 TABLET in 1 BLISTER PACK (0220-9105-04)Marketed from Oct 28, 2024
0220-9105-2900220910529120 TABLET in 1 BLISTER PACK (0220-9105-29)Marketed from Feb 14, 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)
AcidCalm
Generic name (nonproprietary)
picea mariana resin, activated charcoal, strychnos nux-vomica seed, robinia pseudoacacia bark
Active ingredients
Strychnos nux-vomica seed — 4 [hp_C]/1Robinia pseudoacacia bark — 4 [hp_C]/1Picea mariana resin — 4 [hp_C]/1Activated charcoal — 4 [hp_C]/1
Dosage form
Tablet
Route
Oral
Labeler
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)Increased Histamine Release (Physiologic effect)Increased IgG Production (Physiologic effect)Plant Proteins (Chemical structure)Seed Storage Proteins (Chemical structure)
Identifiers
Product ID 0220-9105_2e35f31d-9076-36eb-e063-6394a90a2f0eSPL ID 2e35f31d-9076-36eb-e063-6394a90a2f0eSPL set ID 258ebe86-1fb3-c03d-e063-6394a90a820bUNII 269XH13919, 7TPC058OWY, 71AOV0W131, 2P3VWU3H10
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

N400220910504 followed by a unit qualifier and the quantity

Package 00220-9105-04. 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)

About NDC 0220-9105

What is NDC 0220-9105?
0220-9105 is the product NDC for AcidCalm, Strychnos nux-vomica seed 4 [hp_C]/1 + 3 more ingredients tablet, listed with the FDA by Boiron. It has 2 package NDCs, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
AcidCalm (Picea mariana resin, Activated charcoal, Strychnos nux-vomica seed, Robinia pseudoacacia bark).
What is the active ingredient?
Strychnos nux-vomica seed, Robinia pseudoacacia bark, Picea mariana resin, Activated charcoal.
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 AcidCalm?
1 other product NDC are listed under this name. See all AcidCalm 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 AcidCalm NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
AcidCalmpicea mariana resin, activated charcoal, strychnos nux-vomica seed, robinia pseudoacacia barkRobinia pseudoacacia bark 4 [hp_C]/1 + 3 more ingredientsPelletOralBoiron0220-910600220-9106-42

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