What is NDC 43857-0640?

43857-0640 is the product NDC for Apizelen, Germanium 15 [hp_X]/mL + 23 more ingredients liquid, listed with the FDA by BioActive Nutritional, Inc.. It has 1 package NDC, shown above in 10- and 11-digit form.

What drug is associated with this NDC?

Apizelen (Germanium Metallicum, Alfalfa, Aralia Quinquefolia, Avena Sativa, Beta Vulgaris, Calendula Officinalis, Chelidonium Majus, Echinacea (Angustifolia), Natrum Muriaticum, Paloondo, Phytolacca Decandra, Taraxacum Officinale, Trifolium Pratense, Urtica Dioica, Viscum Album, Cobalt Acetate, Cobalt Gluconate, Copper Gluconate, Cuprum Aceticum, Glutathione, Magnesium Gluconicum Dihydricum, Ganoderma Lucidum, Ubidecarenonum, Argentum Metallicum).

What is the active ingredient?

Germanium, Medicago sativa whole, American ginseng, Avena sativa flowering top, Beta vulgaris whole, Calendula officinalis flowering top, Chelidonium majus whole, Echinacea angustifolia whole, Sodium chloride, Larrea tridentata leaf, Phytolacca americana root, Taraxacum officinale, Trifolium pratense flower, Urtica dioica whole, Viscum album fruiting top, Cobaltous acetate, Cobaltous gluconate, Copper gluconate, Cupric acetate, Glutathione, Magnesium gluconate, Reishi, Ubidecarenone, Silver.

BioActive Nutritional, Inc., NDC labeler code 43857. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.

What other NDCs exist for Apizelen?

None: this is the only finished product listed under this name.

Is there a related HCPCS / J-code?

Not in Med-Code's curated HCPCS directory.

Apizelen NDC 43857-0640 | National Drug Code

NDC codes

FDA NDC Directory

Product NDC (as listed)43857-0640Labeler and product segments. Claims need a package NDC.

Product NDC at billing width43857-0640Add 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
43857-0640-1	4385706400143857064001	30 mL in 1 BOTTLE, DROPPER (43857-0640-1)Marketed from May 15, 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): Apizelen
Generic name (nonproprietary): germanium metallicum, alfalfa, aralia quinquefolia, avena sativa, beta vulgaris, calendula officinalis, chelidonium majus, echinacea (angustifolia), natrum muriaticum, paloondo, phytolacca decandra, taraxacum officinale, trifolium pratense, urtica dioica, viscum album, cobalt acetate, cobalt gluconate, copper gluconate, cuprum aceticum, glutathione, magnesium gluconicum dihydricum, ganoderma lucidum, ubidecarenonum, argentum metallicum
Active ingredients: Germanium — 15 [hp_X]/mLMedicago sativa whole — 2 [hp_C]/mLAmerican ginseng — 2 [hp_C]/mLAvena sativa flowering top — 2 [hp_C]/mLBeta vulgaris whole — 2 [hp_C]/mLCalendula officinalis flowering top — 2 [hp_C]/mLChelidonium majus whole — 2 [hp_C]/mLEchinacea angustifolia whole — 2 [hp_C]/mLSodium chloride — 2 [hp_C]/mLLarrea tridentata leaf — 2 [hp_C]/mLPhytolacca americana root — 2 [hp_C]/mLTaraxacum officinale — 2 [hp_C]/mLTrifolium pratense flower — 2 [hp_C]/mLUrtica dioica whole — 2 [hp_C]/mLViscum album fruiting top — 2 [hp_C]/mLCobaltous acetate — 3 [hp_C]/mLCobaltous gluconate — 3 [hp_C]/mLCopper gluconate — 3 [hp_C]/mLCupric acetate — 3 [hp_C]/mLGlutathione — 3 [hp_C]/mLMagnesium gluconate — 3 [hp_C]/mLReishi — 5 [hp_C]/mLUbidecarenone — 5 [hp_C]/mLSilver — 8 [hp_C]/mL
Dosage form: Liquid
Route: Oral
Labeler: BioActive Nutritional, Inc.NDC labeler code 43857
Product type: Over-the-counter drug
Marketing category: Unapproved homeopathic
Marketing start: May 15, 2024
Listing expires: Dec 31, 2027
Other FDA classes: Increased Large Intestinal Motility (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)Stimulation Large Intestine Fluid/Electrolyte Secretion (Physiologic effect)
Identifiers: Product ID 43857-0640_292cf465-7ce3-4cb4-87fb-3f64dad1ab2aSPL ID 292cf465-7ce3-4cb4-87fb-3f64dad1ab2aSPL set ID 471a7fab-1ef1-4d13-a28e-75f9762a711aUNII 00072J7XWS, DJO934BRBD, 8W75VCV53Q, MA9CQJ3F7F, 4G174V5051, 18E7415PXQ, 7E889U5RNN, VB06AV5US8, 451W47IQ8X, PK0TXD049P, 11E6VI8VEG, 39981FM375, 4JS0838828, 710FLW4U46, BK9092J5MP, 3XC4P44U7E, 26SK597UWV, RV823G6G67, 39M11XPH03, GAN16C9B8O, T42NAD2KHC, TKD8LH0X2Z, EJ27X76M46, 3M4G523W1G
Pharmacologic class: Calculi Dissolution Agent; Osmotic Laxative

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

N443857064001 followed by a unit qualifier and the quantity

Package 43857-0640-01. 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 Jun 8, 2026.

Indications (excerpt from the label)

USES: For temporary relief of fatigue, indigestion, and flatulent colic.** **Claims based on traditional homeopathic practice, not accepted medical evidence. Not FDA evaluated.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 43857-0640

What is NDC 43857-0640?: 43857-0640 is the product NDC for Apizelen, Germanium 15 [hp_X]/mL + 23 more ingredients liquid, listed with the FDA by BioActive Nutritional, Inc.. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?: Apizelen (Germanium Metallicum, Alfalfa, Aralia Quinquefolia, Avena Sativa, Beta Vulgaris, Calendula Officinalis, Chelidonium Majus, Echinacea (Angustifolia), Natrum Muriaticum, Paloondo, Phytolacca Decandra, Taraxacum Officinale, Trifolium Pratense, Urtica Dioica, Viscum Album, Cobalt Acetate, Cobalt Gluconate, Copper Gluconate, Cuprum Aceticum, Glutathione, Magnesium Gluconicum Dihydricum, Ganoderma Lucidum, Ubidecarenonum, Argentum Metallicum).
What is the active ingredient?: Germanium, Medicago sativa whole, American ginseng, Avena sativa flowering top, Beta vulgaris whole, Calendula officinalis flowering top, Chelidonium majus whole, Echinacea angustifolia whole, Sodium chloride, Larrea tridentata leaf, Phytolacca americana root, Taraxacum officinale, Trifolium pratense flower, Urtica dioica whole, Viscum album fruiting top, Cobaltous acetate, Cobaltous gluconate, Copper gluconate, Cupric acetate, Glutathione, Magnesium gluconate, Reishi, Ubidecarenone, Silver.
Who is the labeler?: BioActive Nutritional, Inc., NDC labeler code 43857. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Apizelen?: None: this is the only finished product listed under this name.
Is there a related HCPCS / J-code?: Not in Med-Code's curated HCPCS directory. See Billing references above.