NDC codes

FDA NDC Directory
Product NDC (as listed)0220-9305Labeler and product segments. Claims need a package NDC.
Product NDC at billing width00220-9305Add 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
0220-9305-410022093054180 PELLET in 1 TUBE (0220-9305-41)Marketed from Mar 15, 2022
0220-9305-43002209305433 TUBE in 1 BOX (0220-9305-43) / 80 PELLET in 1 TUBE (0220-9305-41)Marketed from Mar 15, 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)
Allergycalm
Generic name (nonproprietary)
onion, ambrosia artemisiifolia whole, euphrasia stricta, histamine dihydrochloride, solidago virgaurea flowering top, schoenocaulon officinale seed
Active ingredients
Histamine dihydrochloride — 9 [hp_C]/1Solidago virgaurea flowering top — 5 [hp_C]/1Onion — 5 [hp_C]/1Ambrosia artemisiifolia — 5 [hp_C]/1Schoenocaulon officinale seed — 5 [hp_C]/1Euphrasia stricta — 5 [hp_C]/1
Dosage form
Pellet
Route
Oral
Labeler
Boiron
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)Vegetable Proteins (Chemical structure)
Identifiers
Product ID 0220-9305_4b71c87c-f7ce-dc50-e063-6394a90adbb8SPL ID 4b71c87c-f7ce-dc50-e063-6394a90adbb8SPL set ID da48192b-f3fc-5d6e-e053-2995a90a43faUNII 3POA0Q644U, 5405K23S50, 492225Q21H, 9W34L2CQ9A, 6NAF1689IO, C9642I91WL
Pharmacologic class
Non-Standardized Food 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

N400220930541 followed by a unit qualifier and the quantity

Package 00220-9305-41. 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 these symptoms of hay fever or other upper respiratory allergies: itchy and watery eyes sneezing itchy throat and nose runny nose

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

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