NDC codes

FDA NDC Directory
Product NDC (as listed)43742-2090Labeler and product segments. Claims need a package NDC.
Product NDC at billing width43742-2090Add 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
43742-2090-14374220900130 mL in 1 BOTTLE, DROPPER (43742-2090-1)Marketed from Jul 14, 2023

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)
Refl Hs
Generic name (nonproprietary)
adenosinum triphosphoricum dinatrum, nadidum, argentum nitricum, ipecacuanha, robinia pseudoacacia, sulphur, origanum vulgare, duodenum (suis), esophagus (suis), funiculus umbilicalis suis, stomach (suis), nux vomica, coumarinum, erythraea centaurium, pancreas suis, muriaticum acidum, citricum acidum, formicum acidum, sarcolacticum acidum, coenzyme a, proteus (morgani)
Active ingredients
Adenosine triphosphate disodium — 6 [hp_X]/mLNadide — 6 [hp_X]/mLSilver nitrate — 6 [hp_X]/mLIpecac — 6 [hp_X]/mLRobinia pseudoacacia bark — 6 [hp_X]/mLSulfur — 6 [hp_X]/mLOregano — 6 [hp_X]/mLSus scrofa duodenum — 8 [hp_X]/mLSus scrofa esophagus — 8 [hp_X]/mLSus scrofa umbilical cord — 8 [hp_X]/mLSus scrofa stomach — 8 [hp_X]/mLStrychnos nux-vomica seed — 8 [hp_X]/mLCoumarin — 8 [hp_X]/mLCentaurium erythraea — 10 [hp_X]/mLSus scrofa pancreas — 12 [hp_X]/mLHydrochloric acid — 6 [hp_C]/mLAnhydrous citric acid — 6 [hp_C]/mLFormic acid — 6 [hp_C]/mLLactic acid, L- — 6 [hp_C]/mLCoenzyme a — 8 [hp_C]/mLProteus inconstans — 30 [hp_C]/mL
Dosage form
Liquid
Route
Oral
Product type
Over-the-counter drug
Marketing category
Unapproved homeopathic
Marketing start
Listing expires
Other FDA classes
Acidifying Activity (Mechanism)Allergens (Chemical structure)Allergens (Chemical structure)Calcium Chelating Activity (Mechanism)Cell-mediated Immunity (Physiologic effect)Cell-mediated Immunity (Physiologic effect)Decreased Coagulation Factor Activity (Physiologic effect)Dietary Proteins (Chemical structure)Food Additives (Chemical structure)Increased Histamine Release (Physiologic effect)Increased Histamine Release (Physiologic effect)Increased IgG Production (Physiologic effect)Plant Proteins (Chemical structure)Seed Storage Proteins (Chemical structure)
Identifiers
Product ID 43742-2090_0fb66b97-8d79-408c-85d1-f0931058c6f1SPL ID 0fb66b97-8d79-408c-85d1-f0931058c6f1SPL set ID 83249aee-f58b-442d-9187-6de0cf070e4dUNII 5L51B4DR1G, 0U46U6E8UK, 95IT3W8JZE, 62I3C8233L, 7TPC058OWY, 70FD1KFU70, 0E5AT8T16U, P6J2SFT80O, 81FZ7X4MWD, 118OYG6W3H, T0920P9Z9A, 269XH13919, A4VZ22K1WT, 57X4TSH58S, 9Y3J3362RY, QTT17582CB, XF417D3PSL, 0YIW783RG1, F9S9FFU82N, SAA04E81UX, UTX536WN6NUPC 0810151880068
Pharmacologic class
Anti-coagulant; Calculi Dissolution Agent; 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

N443742209001 followed by a unit qualifier and the quantity

Package 43742-2090-01. 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: • For the temporary relief of symptoms including: • esophageal support • heartburn These statements are based upon homeopathic principles. They have not been reviewed by the Food and Drug Administration.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

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