NDC codes

FDA NDC Directory
Product NDC (as listed)34666-402Labeler and product segments. Claims need a package NDC.
Product NDC at billing width34666-0402Add 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
34666-402-01346660402011 BOTTLE in 1 CARTON (34666-402-01) / 80 TABLET in 1 BOTTLEMarketed from Dec 3, 2021

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)
Simply Dreams
Generic name (nonproprietary)
passiflora incarnata, valeriana officinalis
Active ingredients
Passiflora incarnata flowering top — 1 [hp_X]/1Valerian — 1 [hp_X]/1
Dosage form
Tablet
Route
Oral
Product type
Over-the-counter drug
Marketing category
Unapproved homeopathic
Marketing start
Listing expires
Identifiers
Product ID 34666-402_d2439b65-3876-c1a6-e053-2a95a90a40aaSPL ID d2439b65-3876-c1a6-e053-2a95a90a40aaSPL set ID d2439b65-3875-c1a6-e053-2a95a90a40aaUNII CLF5YFS11O, JWF5YAW3QWUPC 0844827001419

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

N434666040201 followed by a unit qualifier and the quantity

Package 34666-0402-01. 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 Reduces time to fall asleep if you have difficulty falling asleep. For relief of occasional sleeplessness or intermittent awakening. Helps to reduce difficulty falling asleep. Claims based on traditional homeopathic practice, not accepted medical evidence. These uses have not been evaluated by FDA, and product has not been clinically tested.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

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