Guna-Reflux NDC 17089-406

NDC codes

FDA NDC Directory

Product NDC (as listed)17089-406Labeler and product segments. Claims need a package NDC.

Product NDC at billing width17089-0406Add 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
17089-406-18	17089040618	1 BOTTLE, DROPPER in 1 BOX (17089-406-18) / 30 mL in 1 BOTTLE, DROPPERMarketed from Dec 21, 2018

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

Brand name (proprietary): Guna-Reflux
Generic name (nonproprietary): activated charcoal - aethusa cynapium - apomorphine hydrochloride - bryonia alba root - colchicum autumnale bulb - ipecac - lycopodium clavatum spore - strychnos ignatii seed - strychnos nux-vomica seed - watermelon - sus scrofa stomach -
Active ingredients: Aethusa cynapium — 4 [hp_X]/30mLApomorphine hydrochloride — 6 [hp_X]/30mLBryonia alba root — 30 [hp_X]/30mLActivated charcoal — 12 [hp_X]/30mLSus scrofa stomach — 10 [hp_X]/30mLColchicum autumnale bulb — 6 [hp_X]/30mLWatermelon — 30 [hp_X]/30mLSus scrofa esophagus — 10 [hp_X]/30mLStrychnos ignatii seed — 6 [hp_X]/30mLIpecac — 4 [hp_X]/30mLLycopodium clavatum spore — 5 [hp_X]/30mLStrychnos nux-vomica seed — 4 [hp_X]/30mL
Dosage form: Solution/ drops
Route: Oral
Labeler: Guna spa
Product type: Over-the-counter drug
Marketing category: Unapproved homeopathic
Marketing start: May 12, 2010
Listing expires: Dec 31, 2026
Other FDA classes: Allergens (Chemical structure)Allergens (Chemical structure)Cell-mediated Immunity (Physiologic effect)Cell-mediated Immunity (Physiologic effect)Dietary Proteins (Chemical structure)Dopamine Agonists (Mechanism)Fruit Proteins (EXT)Increased Histamine Release (Physiologic effect)Increased Histamine Release (Physiologic effect)Increased IgG Production (Physiologic effect)Plant Proteins (Chemical structure)Seed Storage Proteins (Chemical structure)
Identifiers: Product ID 17089-406_7e8f7213-7f81-14ab-e053-2991aa0a4669SPL ID 7e8f7213-7f81-14ab-e053-2991aa0a4669SPL set ID 444c1f4c-dd0c-4525-bb65-c0c211c9487fUNII M6936L953C, F39049Y068, T7J046YI2B, 2P3VWU3H10, T0920P9Z9A, 993QHL78E6, 231473QB6R, 81FZ7X4MWD, 1NM3M2487K, 62I3C8233L, C88X29Y479, 269XH13919UPC 0317089406181
Pharmacologic class: Dopaminergic Agonist; Non-Standardized Food Allergenic Extract; 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

N417089040618 followed by a unit qualifier and the quantity

Package 17089-0406-18. 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 Dec 21, 2018.

Indications (excerpt from the label)

Take 15 minutes before meals

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)