NDC codes

FDA NDC Directory
Product NDC (as listed)50845-0234Labeler and product segments. Claims need a package NDC.
Product NDC at billing width50845-0234Add 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
50845-0234-2508450234021 BOTTLE, SPRAY in 1 CARTON (50845-0234-2) / 30 mL in 1 BOTTLE, SPRAY (50845-0234-1)Marketed from May 23, 2017

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)
Gluten Detox
Generic name (nonproprietary)
barley (grain), carbo vegetabilis, cinchona officinalis, gluten, glyphosate, hydrastis canadensis, lycopodium clavatum, natrum muriaticum, nux vomica, oat (grain), pancreas suis, pulsatilla (vulgaris), rye (grain), wheat (grain)
Active ingredients
Barley — 12 [hp_X]/mLActivated charcoal — 12 [hp_X]/mLCinchona officinalis bark — 6 [hp_X]/mLWheat gluten — 15 [hp_X]/mLGlyphosate — 12 [hp_X]/mLGoldenseal — 6 [hp_X]/mLLycopodium clavatum spore — 200 [hp_C]/mLSodium chloride — 30 [hp_C]/mLStrychnos nux-vomica seed — 30 [hp_C]/mLOatmeal — 12 [hp_X]/mLSus scrofa pancreas — 6 [hp_X]/mLPulsatilla vulgaris whole — 200 [hp_C]/mLRye — 12 [hp_X]/mLWheat — 12 [hp_X]/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)Allergens (Chemical structure)Allergens (Chemical structure)Allergens (Chemical structure)Allergens (Chemical structure)Cell-mediated Immunity (Physiologic effect)Cell-mediated Immunity (Physiologic effect)Cell-mediated Immunity (Physiologic effect)Cell-mediated Immunity (Physiologic effect)Cell-mediated Immunity (Physiologic effect)Cell-mediated Immunity (Physiologic effect)Dietary Proteins (Chemical structure)Dietary Proteins (Chemical structure)Dietary Proteins (Chemical structure)Dietary Proteins (Chemical structure)Dietary Proteins (Chemical structure)Grain Proteins (EXT)Grain Proteins (EXT)Grain Proteins (EXT)Grain Proteins (EXT)Grain Proteins (EXT)Increased Histamine Release (Physiologic effect)Increased Histamine Release (Physiologic effect)Increased Histamine Release (Physiologic effect)Increased Histamine Release (Physiologic effect)Increased Histamine Release (Physiologic effect)Increased Histamine Release (Physiologic effect)Increased IgG Production (Physiologic effect)Plant Proteins (Chemical structure)Plant Proteins (Chemical structure)Seed Storage Proteins (Chemical structure)
Identifiers
Product ID 50845-0234_cc23063d-ac38-4ad9-9479-7504cd915b19SPL ID cc23063d-ac38-4ad9-9479-7504cd915b19SPL set ID 706f2e33-8674-4911-ba0a-4efc935e7739UNII 5PWM7YLI7R, 2P3VWU3H10, S003A158SB, 1534K8653J, 4632WW1X5A, ZW3Z11D0JV, C88X29Y479, 451W47IQ8X, 269XH13919, 8PI54V663Y, 9Y3J3362RY, I76KB35JEV, 0R4AQI398X, 4J2I0SN84YUPC 0363113337006
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

N450845023402 followed by a unit qualifier and the quantity

Package 50845-0234-02. 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 temporarily relieve symptoms related to reactions to gluten, such as: • bloating • brain fog • poor digestion • abdominal pain • alternating constipation and diarrhea** **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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