Addiclenz NDC 43742-2055

NDC codes

FDA NDC Directory

Product NDC (as listed)43742-2055Labeler and product segments. Claims need a package NDC.

Product NDC at billing width43742-2055Add 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
43742-2055-1	43742205501	30 mL in 1 BOTTLE, DROPPER (43742-2055-1)Marketed from May 9, 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): Addiclenz
Generic name (nonproprietary): boldo, carduus marianus, chelidonium majus, petroselinum sativum, taraxacum officinale, arsenicum album, bisphenol a, cobaltum metallicum, cuprum metallicum, glyphosate, iodium, lycopodium clavatum, phosphoricum acidum, selenium metallicum, zincum metallicum, aspartame, benzalkonium chloride, formalinum, methylene chloride, methyl paraben, propyl paraben, sodium benzoate, sodium citrate, titanium dioxide, zincum oxydatum
Active ingredients: Peumus boldus leaf — 3 [hp_X]/mLMilk thistle — 3 [hp_X]/mLChelidonium majus whole — 3 [hp_X]/mLPetroselinum crispum whole — 3 [hp_X]/mLTaraxacum officinale — 3 [hp_X]/mLArsenic trioxide — 12 [hp_X]/mLBisphenol a — 12 [hp_X]/mLCobalt — 12 [hp_X]/mLCopper — 12 [hp_X]/mLGlyphosate — 12 [hp_X]/mLIodine — 12 [hp_X]/mLLycopodium clavatum spore — 12 [hp_X]/mLPhosphoric acid — 12 [hp_X]/mLSelenium — 12 [hp_X]/mLZinc — 12 [hp_X]/mLAspartame — 30 [hp_X]/mLBenzalkonium chloride — 30 [hp_X]/mLFormaldehyde solution — 30 [hp_X]/mLMethylene chloride — 30 [hp_X]/mLMethylparaben — 30 [hp_X]/mLPropylparaben — 30 [hp_X]/mLSodium benzoate — 30 [hp_X]/mLSodium citrate, Unspecified form — 30 [hp_X]/mLTitanium dioxide — 30 [hp_X]/mLZinc oxide — 30 [hp_X]/mL
Dosage form: Liquid
Route: Oral
Labeler: Deseret Biologicals, Inc.
Product type: Over-the-counter drug
Marketing category: Unapproved homeopathic
Marketing start: May 9, 2022
Marketing end: Jun 12, 2029
Other FDA classes: Acidifying Activity (Mechanism)Allergens (Chemical structure)Allergens (Chemical structure)Allergens (Chemical structure)Ammonium Ion Binding Activity (Mechanism)Calcium Chelating Activity (Mechanism)Cell-mediated Immunity (Physiologic effect)Cell-mediated Immunity (Physiologic effect)Cell-mediated Immunity (Physiologic effect)Copper (Chemical structure)Decreased Coagulation Factor Activity (Physiologic effect)Decreased Copper Ion Absorption (Physiologic effect)Decreased Embryonic Implantation (Physiologic effect)Decreased Sperm Motility (Physiologic effect)Increased Histamine Release (Physiologic effect)Increased Histamine Release (Physiologic effect)Increased Histamine Release (Physiologic effect)Inhibit Ovum Fertilization (Physiologic effect)
Identifiers: Product ID 43742-2055_74d8d375-417b-4e4f-ad50-9faafdbcc09aSPL ID 74d8d375-417b-4e4f-ad50-9faafdbcc09aSPL set ID 8a3b75ca-8fec-4318-8a55-8bde0b82637dUNII Q4EWM09M3O, U946SH95EE, 7E889U5RNN, 1WZA4Y92EX, 39981FM375, S7V92P67HO, MLT3645I99, 3G0H8C9362, 789U1901C5, 4632WW1X5A, 9679TC07X4, C88X29Y479, E4GA8884NN, H6241UJ22B, J41CSQ7QDS, Z0H242BBR1, F5UM2KM3W7, T0H3L6C7I5, 588X2YUY0A, A2I8C7HI9T, Z8IX2SC1OH, OJ245FE5EU, 1Q73Q2JULR, 15FIX9V2JP, SOI2LOH54ZUPC 0810151880532
Pharmacologic class: Anti-coagulant; Calculi Dissolution Agent; Copper Absorption Inhibitor; Copper-containing Intrauterine Device; Nitrogen Binding Agent; 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

N443742205501 followed by a unit qualifier and the quantity

Package 43742-2055-01. 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

Label details couldn’t be retrieved right now. Open the label on DailyMed.