NDC codes

FDA NDC Directory
Product NDC (as listed)0220-9308Labeler and product segments. Claims need a package NDC.
Product NDC at billing width00220-9308Add 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
0220-9308-42002209308422 TUBE in 1 BOX (0220-9308-42) / 80 PELLET in 1 TUBE (0220-9308-41)Marketed from May 2, 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)
SleepCalm
Generic name (nonproprietary)
matricaria chamomilla whole, gelsemium sempervirens root, hyoscyamus niger, potassium bromide, passiflora incarnata flowering top, datura stramonium
Active ingredients
Gelsemium sempervirens root — 9 [hp_C]/1Potassium bromide — 9 [hp_C]/1Hyoscyamus niger — 9 [hp_C]/1Passiflora incarnata flowering top — 3 [hp_C]/1Matricaria chamomilla whole — 9 [hp_C]/1Datura stramonium — 9 [hp_C]/1
Dosage form
Pellet
Route
Oral
Labeler
Boiron
Product type
Over-the-counter drug
Marketing category
Unapproved homeopathic
Marketing start
Listing expires
Identifiers
Product ID 0220-9308_2fc2e0fd-e440-d3f5-e063-6394a90a8473SPL ID 2fc2e0fd-e440-d3f5-e063-6394a90a8473SPL set ID de0b458d-5f0a-78f4-e053-2995a90afe4bUNII 639KR60Q1Q, OSD78555ZM, 4WRK2153H3, CLF5YFS11O, G0R4UBI2ZZ, G6W4F0V8Z3

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

N400220930842 followed by a unit qualifier and the quantity

Package 00220-9308-42. 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 .

Indications (excerpt from the label)

Uses* temporarily relieves symptoms of occasional sleeplessness in children associated with upsets, excitement, and schedule changes such as: restless sleep intermittent awakening irritability nightmares night terrors reduces time to fall asleep if your child has difficulty falling asleep

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

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