NDC codes

FDA NDC Directory
Product NDC (as listed)52301-303Labeler and product segments. Claims need a package NDC.
Product NDC at billing width52301-0303Add 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
52301-303-125230103031252301030312120 TABLET in 1 BOTTLE (52301-303-12)Marketed from Jun 23, 2017
52301-303-21523010303215230103032112 TABLET in 1 BAG (52301-303-21)Marketed from Jun 23, 2017 · Sample package
52301-303-255230103032552301030325250 TABLET in 1 BOTTLE (52301-303-25)Marketed from Sep 19, 1990
52301-303-305230103033052301030330300 TABLET in 1 BOTTLE (52301-303-30)Marketed from Jun 23, 2017
52301-303-45523010303455230103034545 TABLET in 1 BOTTLE (52301-303-45)Marketed from Sep 19, 1990
52301-303-60523010303605230103036060 TABLET in 1 BOTTLE (52301-303-60)Marketed from Jun 23, 2017
52301-303-90523010303905230103039090 TABLET in 1 BOTTLE (52301-303-90)Marketed from Sep 19, 1990

How the 11-digit form is made: The product segment has 3 digits, so one leading zero is added to it (5-3-2 → 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)
Formula 303
Generic name (nonproprietary)
valerian root, passiflora, magnesium carbonate
Active ingredients
Passiflora incarnata flower — 3 [hp_X]/1Magnesium carbonate — 1 [hp_X]/1Valerian — 6 [hp_X]/1
Dosage form
Tablet
Route
Oral
Labeler
Dee Cee LaboratoriesNDC labeler code 52301
Product type
Over-the-counter drug
Marketing category
Unapproved homeopathic
Marketing start
Listing expires
Identifiers
Product ID 52301-303_2b0c782e-6b9b-13fc-e063-6294a90a6ee8SPL ID 2b0c782e-6b9b-13fc-e063-6294a90a6ee8SPL set ID 50d35250-36d4-24bf-e054-00144ff8d46cUNII K8F3G29S6Z, 0E53J927NA, JWF5YAW3QW

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

N452301030312 followed by a unit qualifier and the quantity

Package 52301-0303-12. 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)

MUSCLE SPASM: As a muscle relaxant, two tablets every three hours until relief is obtained. Then two tablets with each meal and two and bedtime. TENSION AND STRESS: As a relaxant, two tablets with each meal and two at bedtime.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 52301-303

What is NDC 52301-303?
52301-303 is the product NDC for Formula 303, Passiflora incarnata flower 3 [hp_X]/1 + 2 more ingredients tablet, listed with the FDA by Dee Cee Laboratories. It has 7 package NDCs, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Formula 303 (Valerian Root, Passiflora, Magnesium Carbonate).
What is the active ingredient?
Passiflora incarnata flower, Magnesium carbonate, Valerian.
Who is the labeler?
Dee Cee Laboratories, NDC labeler code 52301. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Formula 303?
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.

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