NDC codes

FDA NDC Directory
Product NDC (as listed)44911-0536Labeler and product segments. Claims need a package NDC.
Product NDC at billing width44911-0536Add 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
44911-0536-14491105360130 mL in 1 BOTTLE, DROPPER (44911-0536-1)Marketed from Mar 10, 2020

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)
Household Antigens
Generic name (nonproprietary)
acetone, sodium tripolyphosphate, propylene glycol, benzinum, ammonium muriaticum, sodium lauryl sulfate, terebinthina, butyl acetate, ethyl acetate, toluene, xylene, bisphenol a, petroleum, anacardium orientale, graphites, nitricum acidum, pulsatilla (pratensis), sulphur
Active ingredients
Acetone — 9 [hp_X]/mLSodium tripolyphosphate — 9 [hp_X]/mLPropylene glycol — 9 [hp_X]/mLBenzene — 9 [hp_X]/mLAmmonium chloride — 9 [hp_X]/mLSodium lauryl sulfate — 9 [hp_X]/mLTurpentine oil — 9 [hp_X]/mLButyl acetate — 9 [hp_X]/mLEthyl acetate — 9 [hp_X]/mLToluene — 9 [hp_X]/mLXylene (Mixed isomers) — 9 [hp_X]/mLBisphenol a — 9 [hp_X]/mLKerosene — 9 [hp_X]/mLSemecarpus anacardium juice — 12 [hp_X]/mLGraphite — 12 [hp_X]/mLNitric acid — 12 [hp_X]/mLAnemone pratensis — 12 [hp_X]/mLSulfur — 12 [hp_X]/mL
Dosage form
Liquid
Route
Oral
Product type
Over-the-counter drug
Marketing category
Unapproved homeopathic
Marketing start
Marketing end
Identifiers
Product ID 44911-0536_3cc00ed9-9470-439d-ba3c-7f367bda7bc6SPL ID 3cc00ed9-9470-439d-ba3c-7f367bda7bc6SPL set ID 87c92497-8a51-4977-87fe-e0b4c6bafb19UNII 1364PS73AF, 5HK03SA80J, 6DC9Q167V3, J64922108F, 01Q9PC255D, 368GB5141J, C5H0QJ6V7F, 464P5N1905, 76845O8NMZ, 3FPU23BG52, D856J1047R, MLT3645I99, 1C89KKC04E, Y0F0BU8RDU, 4QQN74LH4O, 411VRN1TV4, 8E272251DI, 70FD1KFU70UPC 0363113700435

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

N444911053601 followed by a unit qualifier and the quantity

Package 44911-0536-01. 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)

INDICATIONS: May temporariy relieve symptoms associated with household chemicals sensitivities, such as dizziness and headache.** **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)

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