What is NDC 43742-2091?

43742-2091 is the product NDC for Leaky Gut Formula, Medicago sativa whole 3 [hp_X]/mL + 18 more ingredients liquid, listed with the FDA by Deseret Biologicals, Inc.. It has 1 package NDC, shown above in 10- and 11-digit form.

What drug is associated with this NDC?

Leaky Gut Formula (Alfalfa, Glycyrrhiza Glabra, Astacus Fluviatilis, Berberis Aquifolium, Lac Defloratum, Natrum Carbonicum, Saccharum Officinale, Aloe, Fel Tauri, Pancreas Suis, Fragaria Vesca, Antimonium Crudum, Carbo Vegetabilis, Euphorbium Officinarum, Lycopodium Clavatum, Magnesia Carbonica, Zincum Metallicum, Colibacillinum Cum Natrum Muriaticum, Proteus (Vulgaris)).

What is the active ingredient?

Medicago sativa whole, Glycyrrhiza glabra, Astacus astacus, Berberis aquifolium root bark, Skim milk, Sodium carbonate, Sucrose, Aloe, Bos taurus bile, Sus scrofa pancreas, Fragaria vesca fruit, Antimony trisulfide, Activated charcoal, Euphorbia resinifera resin, Lycopodium clavatum spore, Magnesium carbonate, Zinc, Escherichia coli, Proteus inconstans.

Deseret Biologicals, Inc., NDC labeler code 43742. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.

What other NDCs exist for Leaky Gut Formula?

1 other product NDC are listed under this name.

Is there a related HCPCS / J-code?

Not in Med-Code's curated HCPCS directory.

Leaky Gut Formula NDC 43742-2091 | National Drug Code

NDC codes

FDA NDC Directory

Product NDC (as listed)43742-2091Labeler and product segments. Claims need a package NDC.

Product NDC at billing width43742-2091Add 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
43742-2091-1	4374220910143742209101	30 mL in 1 BOTTLE, DROPPER (43742-2091-1)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): Leaky Gut Formula
Generic name (nonproprietary): alfalfa, glycyrrhiza glabra, astacus fluviatilis, berberis aquifolium, lac defloratum, natrum carbonicum, saccharum officinale, aloe, fel tauri, pancreas suis, fragaria vesca, antimonium crudum, carbo vegetabilis, euphorbium officinarum, lycopodium clavatum, magnesia carbonica, zincum metallicum, colibacillinum cum natrum muriaticum, proteus (vulgaris)
Active ingredients: Medicago sativa whole — 3 [hp_X]/mLGlycyrrhiza glabra — 3 [hp_X]/mLAstacus astacus — 6 [hp_X]/mLBerberis aquifolium root bark — 6 [hp_X]/mLSkim milk — 6 [hp_X]/mLSodium carbonate — 6 [hp_X]/mLSucrose — 6 [hp_X]/mLAloe — 7 [hp_X]/mLBos taurus bile — 8 [hp_X]/mLSus scrofa pancreas — 8 [hp_X]/mLFragaria vesca fruit — 9 [hp_X]/mLAntimony trisulfide — 12 [hp_X]/mLActivated charcoal — 12 [hp_X]/mLEuphorbia resinifera resin — 12 [hp_X]/mLLycopodium clavatum spore — 12 [hp_X]/mLMagnesium carbonate — 12 [hp_X]/mLZinc — 12 [hp_X]/mLEscherichia coli — 15 [hp_X]/mLProteus inconstans — 15 [hp_X]/mL
Dosage form: Liquid
Route: Oral
Labeler: Deseret Biologicals, Inc.NDC labeler code 43742
Product type: Over-the-counter drug
Marketing category: Unapproved homeopathic
Marketing start: Jul 14, 2023
Listing expires: Dec 31, 2026
Other FDA classes: Allergens (Chemical structure)Cell-mediated Immunity (Physiologic effect)Dietary Proteins (Chemical structure)Increased Histamine Release (Physiologic effect)Plant Proteins (Chemical structure)
Identifiers: Product ID 43742-2091_c5cc3b39-d909-4ed8-9d00-b569fb33b8edSPL ID c5cc3b39-d909-4ed8-9d00-b569fb33b8edSPL set ID 7e3a254b-a43d-43a2-a777-0d0c0057e131UNII DJO934BRBD, 2788Z9758H, V0551986XQ, VZJ9F3C3SB, 6A001Y4M5A, 45P3261C7T, C151H8M554, V5VD430YW9, ET3651ZLOU, 9Y3J3362RY, CG6IX3GCMU, F79059A38U, 2P3VWU3H10, 1TI1O9028K, C88X29Y479, 0E53J927NA, J41CSQ7QDS, 514B9K0L10, UTX536WN6NUPC 0810151882062
Pharmacologic class: 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

N443742209101 followed by a unit qualifier and the quantity

Package 43742-2091-01. 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 Mar 14, 2024.

Indications (excerpt from the label)

USES: • For the temporary relief of symptoms including: • fatigue • occasional constipation • joint pain • occasional diarrhea • mental fogginess • seasonal allergies 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)

About NDC 43742-2091

What is NDC 43742-2091?: 43742-2091 is the product NDC for Leaky Gut Formula, Medicago sativa whole 3 [hp_X]/mL + 18 more ingredients liquid, listed with the FDA by Deseret Biologicals, Inc.. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?: Leaky Gut Formula (Alfalfa, Glycyrrhiza Glabra, Astacus Fluviatilis, Berberis Aquifolium, Lac Defloratum, Natrum Carbonicum, Saccharum Officinale, Aloe, Fel Tauri, Pancreas Suis, Fragaria Vesca, Antimonium Crudum, Carbo Vegetabilis, Euphorbium Officinarum, Lycopodium Clavatum, Magnesia Carbonica, Zincum Metallicum, Colibacillinum Cum Natrum Muriaticum, Proteus (Vulgaris)).
What is the active ingredient?: Medicago sativa whole, Glycyrrhiza glabra, Astacus astacus, Berberis aquifolium root bark, Skim milk, Sodium carbonate, Sucrose, Aloe, Bos taurus bile, Sus scrofa pancreas, Fragaria vesca fruit, Antimony trisulfide, Activated charcoal, Euphorbia resinifera resin, Lycopodium clavatum spore, Magnesium carbonate, Zinc, Escherichia coli, Proteus inconstans.
Who is the labeler?: Deseret Biologicals, Inc., NDC labeler code 43742. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Leaky Gut Formula?: 1 other product NDC are listed under this name. See all Leaky Gut Formula NDCs.
Is there a related HCPCS / J-code?: Not in Med-Code's curated HCPCS directory. See Billing references above.

Other finished products listed under the same name: strengths, forms and labelers.

Other Leaky Gut Formula NDCs
Product	Strength	Form · route	Labeler	Product NDC	Package NDCs (11-digit)
Leaky Gut Formulaalfalfa, glycyrrhiza glabra, astacus fluviatilis, berberis aquifolium, lac defloratum, natrum carbonicum, saccharum officinale, aloe, fel tauri, pancreas suis, pancreatinum, fragaria vesca, antimonium crudum, carbo vegetabilis, euphorbium officinarum, lycopodium clavatum, magnesia carbonica, zincum metallicum, colibacillinum cum natrum muriaticum, proteus (vulgaris)	Medicago sativa whole 3 [hp_X]/mL + 19 more ingredients	LiquidOral	Deseret Biologicals, Inc.	43742-2019	43742-2019-01