NDC codes

FDA NDC Directory
Product NDC (as listed)43689-0017Labeler and product segments. Claims need a package NDC.
Product NDC at billing width43689-0017Add 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
43689-0017-2436890017021 BOTTLE in 1 CARTON (43689-0017-2) / 90 TABLET in 1 BOTTLE (43689-0017-1)Marketed from Jul 17, 2014

How the 11-digit form is made: The package segment has 1 digit, so one leading zero is added to it (5-4-1 → 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)
Migraine Relief
Generic name (nonproprietary)
belladonna, bryonia (alba), chamomilla, cimicifuga racemosa, coffea cruda, glonoinum, iris versicolor, natrum muriaticum, passiflora incarnata, valeriana officinalis
Active ingredients
Atropa belladonna — 6 [hp_X]/1Bryonia alba root — 6 [hp_X]/1Matricaria chamomilla whole — 3 [hp_X]/1Black cohosh — 6 [hp_X]/1Arabica coffee bean — 3 [hp_X]/1Nitroglycerin — 12 [hp_X]/1Iris versicolor root — 6 [hp_X]/1Sodium chloride — 6 [hp_X]/1Passiflora incarnata flowering top — 3 [hp_X]/1Valerian — 3 [hp_X]/1
Dosage form
Tablet
Route
Oral
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)Nitrates (Chemical structure)Plant Proteins (Chemical structure)Seed Storage Proteins (Chemical structure)Vasodilation (Physiologic effect)
Identifiers
Product ID 43689-0017_39e553c6-af2a-43fa-a81d-04933b4dea91SPL ID 39e553c6-af2a-43fa-a81d-04933b4dea91SPL set ID 79b25c52-e145-4ee5-af2e-1ccf6ad5ac2dUNII WQZ3G9PF0H, T7J046YI2B, G0R4UBI2ZZ, K73E24S6X9, 3SW678MX72, G59M7S0WS3, X43D4L3DQC, 451W47IQ8X, CLF5YFS11O, JWF5YAW3QW
Pharmacologic class
Nitrate Vasodilator; 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

N443689001702 followed by a unit qualifier and the quantity

Package 43689-0017-02. 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 acute symptoms of migraine headaches such as: •pressure •pulsating •stabbing headache •nausea •sensitivity

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

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