NDC codes

FDA NDC Directory
Product NDC (as listed)43742-2122Labeler and product segments. Claims need a package NDC.
Product NDC at billing width43742-2122Add 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
43742-2122-14374221220130 mL in 1 BOTTLE, DROPPER (43742-2122-1)Marketed from Apr 1, 2024

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)
Oral Health
Generic name (nonproprietary)
antimonium crudum, arsenicum album, bismuthum subnitricum, borax, bryonia (alba), calcarea phosphorica, candida albicans, chamomilla, cinchona officinalis, discus intervertebralis suis, streptococcus dysgalactiae dna, streptococcus mutans dna, streptococcus pneumoniae dna, echinacea purpurea, ignatia amara, juglans cinerea, kali muriaticum, magnesia muriatica, mercurius solubilis, muriaticum acidum, nux moschata, oral mucosa (suis), oxygenium, sambucus nigra, sepia, staphylococcus aureus,
Active ingredients
Antimony trisulfide12 [hp_X]/mLArsenic trioxide12 [hp_X]/mLBismuth subnitrate12 [hp_X]/mLSodium borate6 [hp_X]/mLBryonia alba root6 [hp_X]/mLTribasic calcium phosphate12 [hp_X]/mLCandida albicans16 [hp_X]/mLMatricaria chamomilla whole12 [hp_X]/mLCinchona officinalis bark12 [hp_X]/mLSus scrofa intervertebral disc8 [hp_X]/mLHerring sperm DNA12 [hp_C]/mLEchinacea purpurea whole6 [hp_X]/mLStrychnos ignatii seed12 [hp_X]/mLJuglans cinerea branch bark/root bark6 [hp_X]/mLPotassium chloride6 [hp_X]/mLMagnesium chloride6 [hp_X]/mLMercurius solubilis12 [hp_X]/mLHydrochloric acid6 [hp_X]/mLNutmeg12 [hp_X]/mLSus scrofa oral mucosa8 [hp_X]/mLOxygen16 [hp_X]/mLSambucus nigra flowering top12 [hp_X]/mLSepia officinalis juice12 [hp_X]/mLStaphylococcus aureus12 [hp_C]/mLStreptococcus mutans12 [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
Allergens (Chemical structure)Allergens (Chemical structure)Bismuth (Chemical structure)Calcium (Chemical structure)Divalent (Chemical structure)Cell-mediated Immunity (Physiologic effect)Cell-mediated Immunity (Physiologic effect)Dietary Proteins (Chemical structure)Food Additives (Chemical structure)Fungal Proteins (Chemical structure)Increased Coagulation Factor Activity (Physiologic effect)Increased Histamine Release (Physiologic effect)Increased Histamine Release (Physiologic effect)Increased IgG Production (Physiologic effect)Increased Large Intestinal Motility (Physiologic effect)Increased Large Intestinal Motility (Physiologic effect)Inhibition Large Intestine Fluid/Electrolyte Absorption (Physiologic effect)Inhibition Large Intestine Fluid/Electrolyte Absorption (Physiologic effect)Inhibition Small Intestine Fluid/Electrolyte Absorption (Physiologic effect)Magnesium Ion Exchange Activity (Mechanism)Osmotic Activity (Mechanism)Osmotic Activity (Mechanism)Phosphate Chelating Activity (Mechanism)Plant Proteins (Chemical structure)Potassium Compounds (Chemical structure)Seed Storage Proteins (Chemical structure)Stimulation Large Intestine Fluid/Electrolyte Secretion (Physiologic effect)
Identifiers
Product ID 43742-2122_a1f631c4-9d16-4c0e-a2dd-0edd6e5db87aSPL ID a1f631c4-9d16-4c0e-a2dd-0edd6e5db87aSPL set ID 6f66ff40-6e0e-4a35-963c-965c65df76ebUNII F79059A38U, S7V92P67HO, H19J064BA5, 91MBZ8H3QO, T7J046YI2B, 91D9GV0Z28, 4D7G21HDBC, G0R4UBI2ZZ, S003A158SB, OJ17O2WTSM, 51FI676N6F, QI7G114Y98, 1NM3M2487K, 48FZ1BHO18, 660YQ98I10, 02F3473H9O, 324Y4038G2, QTT17582CB, AEE24M3MQ9, DUP6W562BM, S88TT14065, CT03BSA18U, QDL83WN8C2, O478WX4004, 5C7J33MJJ1UPC 0810151883779
Pharmacologic class
Bismuth; Blood Coagulation Factor; Calculi Dissolution Agent; Non-Standardized Food Allergenic Extract; Non-Standardized Fungal Allergenic Extract; Non-Standardized Plant Allergenic Extract; Osmotic Laxative; Phosphate Binder; Potassium Salt

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

N443742212201 followed by a unit qualifier and the quantity

Package 43742-2122-01. 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: • mouth support • teeth sensitivity • dental issues • dental support • pain in ears • eruption on tongue • eruption on cheeks • dry mouth 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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