NDC codes

FDA NDC Directory
Product NDC (as listed)43742-1677Labeler and product segments. Claims need a package NDC.
Product NDC at billing width43742-1677Add 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
43742-1677-14374216770130 mL in 1 BOTTLE, DROPPER (43742-1677-1)Marketed from Oct 12, 2020

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)
Habit
Generic name (nonproprietary)
chamomilla, natrum phosphoricum, valeriana officinalis, passiflora incarnata, argentum nitricum, caladium seguinum, cinchona officinalis, muriaticum acidum, saccharum officinale, avena sativa, tabacum, cerebrum suis, serotonin (hydrochloride), argemone mexicana, agaricus muscarius, arsenicum album, aurum metallicum, ipecacuanha, sepia, hypothalamus (bovine), vipera berus
Active ingredients
Matricaria chamomilla whole — 3 [hp_X]/mLSodium phosphate, Dibasic, Heptahydrate — 3 [hp_X]/mLValerian — 3 [hp_X]/mLPassiflora incarnata flowering top — 3 [hp_X]/mLSilver nitrate — 6 [hp_X]/mLDieffenbachia seguine whole — 6 [hp_X]/mLCinchona officinalis bark — 6 [hp_X]/mLHydrochloric acid — 6 [hp_X]/mLSucrose — 6 [hp_X]/mLAvena sativa flowering top — 6 [hp_X]/mLTobacco leaf — 7 [hp_X]/mLSus scrofa cerebrum — 8 [hp_X]/mLSerotonin hydrochloride — 8 [hp_X]/mLArgemone mexicana — 10 [hp_X]/mLAmanita muscaria fruiting body — 12 [hp_X]/mLArsenic trioxide — 12 [hp_X]/mLGold — 12 [hp_X]/mLIpecac — 12 [hp_X]/mLSepia officinalis juice — 12 [hp_X]/mLBos taurus hypothalamus — 15 [hp_X]/mLVipera berus venom — 16 [hp_X]/mL
Dosage form
Liquid
Route
Oral
Product type
Over-the-counter drug
Marketing category
Unapproved homeopathic
Marketing start
Listing expires
Other FDA classes
Allergens (Chemical structure)Allergens (Chemical structure)Cell-mediated Immunity (Physiologic effect)Cell-mediated Immunity (Physiologic effect)Increased Histamine Release (Physiologic effect)Increased Histamine Release (Physiologic effect)Increased IgG Production (Physiologic effect)Plant Proteins (Chemical structure)
Identifiers
Product ID 43742-1677_50dbd373-9164-4912-9fa9-04d603c730efSPL ID 50dbd373-9164-4912-9fa9-04d603c730efSPL set ID 3d00a305-e15d-4419-97bd-332421d4a1b0UNII G0R4UBI2ZZ, 70WT22SF4B, JWF5YAW3QW, CLF5YFS11O, 95IT3W8JZE, 01800C6E6B, S003A158SB, QTT17582CB, C151H8M554, MA9CQJ3F7F, 6YR2608RSU, 4GB5DQR532, GKN429M9VS, 6X68976407, DIF093I037, S7V92P67HO, 79Y1949PYO, 62I3C8233L, QDL83WN8C2, S6G2NLH4Y7, 0ORO6NCA4M
Pharmacologic class
Non-Standardized Plant Allergenic Extract; Standardized Chemical Allergen

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

N443742167701 followed by a unit qualifier and the quantity

Package 43742-1677-01. 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

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