NDC codes

FDA NDC Directory
Product NDC (as listed)13411-858Labeler and product segments. Claims need a package NDC.
Product NDC at billing width13411-0858Add 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
13411-858-15134110858151341108581515 POWDER in 1 BOX (13411-858-15)Marketed from Oct 28, 2024
13411-858-30134110858301341108583030 POWDER in 1 BOX (13411-858-30)Marketed from Oct 28, 2024

How the 11-digit form is made: The product segment has 3 digits, so one leading zero is added to it (5-3-2 → 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

Generic name (nonproprietary)
glucosamine sulfate potassium chloride,chondroitin sulfate,fucoidan extract
Active ingredients
Laminaria japonica — 500 mg/1Chondroitin sulfate (Bovine) — 1000 mg/1Glucosamine sulfate potassium chloride — 1500 mg/1
Dosage form
Powder
Route
Oral
Product type
Over-the-counter drug
Marketing category
Unapproved drug (other)
Marketing start
Listing expires
Identifiers
Product ID 13411-858_44a86e5f-f79b-d5aa-e063-6294a90af830SPL ID 44a86e5f-f79b-d5aa-e063-6294a90af830SPL set ID fd397678-084e-4cde-8785-d96325634cddUNII WE98HW412B, 6IC1M3OG5Z, 15VQ11I66N

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

N413411085815 followed by a unit qualifier and the quantity

Package 13411-0858-15. 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 .

Full label on DailyMed (opens in a new tab)

About NDC 13411-858

What is NDC 13411-858?
13411-858 is the product NDC for JBA Joint Revive TM The Legend Caffe Latte, Laminaria japonica 500 mg/1 + 2 more ingredients powder, listed with the FDA by Advanced Pharmaceutical Services, Inc. Dba Affordable Quality Pharmaceuticals. It has 2 package NDCs, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
JBA Joint Revive TM The Legend Caffe Latte (Glucosamine Sulfate Potassium Chloride,Chondroitin Sulfate,Fucoidan Extract).
What is the active ingredient?
Laminaria japonica, Chondroitin sulfate (Bovine), Glucosamine sulfate potassium chloride.
Who is the labeler?
Advanced Pharmaceutical Services, Inc. Dba Affordable Quality Pharmaceuticals, NDC labeler code 13411. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for JBA Joint Revive TM The Legend Caffe Latte?
None: this is the only finished product listed under this name.
Is there a related HCPCS / J-code?
Not in Med-Code's curated HCPCS directory. See Billing references above.

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