NDC codes

FDA NDC Directory
Product NDC (as listed)43742-2040Labeler and product segments. Claims need a package NDC.
Product NDC at billing width43742-2040Add 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
43742-2040-14374220400130 mL in 1 BOTTLE, DROPPER (43742-2040-1)Marketed from Feb 2, 2022

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)
Vir Combination
Generic name (nonproprietary)
influenzinum (2021-2022), herpes simplex 1 nosode, herpes simplex 2 nosode, human herpesvirus 6a, human herpesvirus 6b, cytomegalovirus nosode, hepatitis b nosode, adenoviren nosode, epstein-barr virus nosode
Active ingredients
Influenza a virus a/victoria/2570/2019 ivr-215 (H1n1) antigen (Formaldehyde inactivated)12 [hp_X]/mLInfluenza a virus a/tasmania/503/2020 ivr-221 (H3n2) antigen (Formaldehyde inactivated)12 [hp_X]/mLInfluenza b virus b/washington/02/2019 antigen (Formaldehyde inactivated)12 [hp_X]/mLInfluenza b virus b/phuket/3073/2013 antigen (Formaldehyde inactivated)12 [hp_X]/mLHuman herpesvirus 115 [hp_X]/mLHuman herpesvirus 215 [hp_X]/mLHuman herpesvirus 615 [hp_X]/mLHuman herpesvirus 518 [hp_X]/mLHepatitis b virus33 [hp_X]/mLHuman adenovirus e serotype 4 strain cl-68578 antigen12 [hp_C]/mLHuman adenovirus b serotype 7 strain 55142 antigen12 [hp_C]/mLHuman herpesvirus 416 [hp_C]/mL
Dosage form
Liquid
Route
Oral
Product type
Over-the-counter drug
Marketing category
Unapproved homeopathic
Marketing start
Marketing end
Other FDA classes
Actively Acquired Immunity (Physiologic effect)Actively Acquired Immunity (Physiologic effect)Adenovirus (Chemical/Ingredient)Adenovirus (Chemical/Ingredient)Unattenuated (Chemical/Ingredient)Unattenuated (Chemical/Ingredient)
Identifiers
Product ID 43742-2040_730cbe69-d67d-4041-bb71-46cc2829bcdaSPL ID 730cbe69-d67d-4041-bb71-46cc2829bcdaSPL set ID b5275aba-df1f-4ee9-adcd-41021cf3df58UNII WD5E5VYM2E, V529EJB2CX, VEH9U90EHX, B93BQX9789, 22G38P19RL, 74J6DNH49U, 4IX4VP35CR, 7COI029E6K, 77H9EM77P7, FKD3DUK39I, TM54L796SN, 2A26YW7PNX
Pharmacologic class
Live Human Adenovirus Type 4 Vaccine; Live Human Adenovirus Type 7 Vaccine

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.

Administration

Immunization administration (CPT 90460–90474)

Giving a vaccine is reported separately from the vaccine product code, with an immunization administration code. Which code applies depends on the patient's age, the route and whether counselling was provided.

How CPT relates to drug billing

NDC on a medical claim

N443742204001 followed by a unit qualifier and the quantity

Package 43742-2040-01. 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)

DIRECTIONS: 1-10 drops under the tongue, 3 times a day or as directed by a health professional. Consult a physician for use in children under 12 years of age.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

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