What is NDC 0220-9181?

0220-9181 is the product NDC for Hemcalm, Strychnos nux-vomica seed 12 [hp_X]/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?

Hemcalm (Horse chestnut, Hamamelis virginiana root bark/stem bark, Strychnos nux-vomica seed).

What is the active ingredient?

Strychnos nux-vomica seed, Horse chestnut, Hamamelis virginiana root bark/stem bark.

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 Hemcalm?

3 other product NDCs are listed under this name.

Is there a related HCPCS / J-code?

Not in Med-Code's curated HCPCS directory.

Hemcalm NDC 0220-9181 | National Drug Code

NDC codes

FDA NDC Directory

Product NDC (as listed)0220-9181Labeler and product segments. Claims need a package NDC.

Product NDC at billing width00220-9181Add 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
0220-9181-42	0022091814200220918142	2 TUBE in 1 BOX (0220-9181-42) / 80 PELLET in 1 TUBE (0220-9181-41)Marketed from May 10, 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): Hemcalm
Generic name (nonproprietary): horse chestnut, hamamelis virginiana root bark/stem bark, strychnos nux-vomica seed
Active ingredients: Strychnos nux-vomica seed — 12 [hp_X]/1Horse chestnut — 6 [hp_X]/1Hamamelis virginiana root bark/stem bark — 6 [hp_X]/1
Dosage form: Pellet
Route: Oral
Labeler: BoironNDC labeler code 0220
Product type: Over-the-counter drug
Marketing category: Unapproved homeopathic
Marketing start: May 10, 2022
Listing expires: Dec 31, 2026
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 0220-9181_f495f64b-c0e2-6363-e053-2a95a90a78e0SPL ID f495f64b-c0e2-6363-e053-2a95a90a78e0SPL set ID dea9bd55-8e08-2165-e053-2995a90a8e81UNII 269XH13919, 3C18L6RJAZ, T7S323PKJS
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

N400220918142 followed by a unit qualifier and the quantity

Package 00220-9181-42. 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 Feb 13, 2023.

Indications (excerpt from the label)

Uses* temporarily relieves symptoms of internal and external hemorrhoids such as: burning itching swelling pain discomfort helps shrink swollen hemorrhoids relieves hemorrhoid symptoms following childbirth

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 0220-9181

What is NDC 0220-9181?: 0220-9181 is the product NDC for Hemcalm, Strychnos nux-vomica seed 12 [hp_X]/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?: Hemcalm (Horse chestnut, Hamamelis virginiana root bark/stem bark, Strychnos nux-vomica seed).
What is the active ingredient?: Strychnos nux-vomica seed, Horse chestnut, Hamamelis virginiana root bark/stem bark.
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 Hemcalm?: 3 other product NDCs are listed under this name. See all Hemcalm 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 Hemcalm NDCs
Product	Strength	Form · route	Labeler	Product NDC	Package NDCs (11-digit)
HemCalmhorse chestnut, collinsonia canadensis root, hamamelis virginiana root bark/stem bark	Hamamelis virginiana root bark/stem bark 1 [hp_X]/1 + 2 more ingredients	OintmentTopical	BOIRON	0220-9178	00220-9178-51
HemCalmhorse chestnut, hamamelis virginiana root bark/stem bark, paeonia officinalis root, krameria lappacea root	Paeonia officinalis root 2 [hp_X]/1 + 3 more ingredients	SuppositoryRectal	Boiron	0220-9179	00220-9179-67
Hemcalmhorse chestnut, hamamelis virginiana root bark/stem bark, strychnos nux-vomica seed	Hamamelis virginiana root bark/stem bark 6 [hp_X]/1 + 2 more ingredients	TabletOral	BOIRON	0220-9180	00220-9180-0400220-9180-92