Passiflora Plex NDC 52503-1322

NDC codes

FDA NDC Directory

Product NDC (as listed)52503-1322Labeler and product segments. Claims need a package NDC.

Product NDC at billing width52503-1322Add 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
52503-1322-0	52503132200	1 BOTTLE, GLASS in 1 CARTON (52503-1322-0) / 30 mL in 1 BOTTLE, GLASSMarketed from Feb 9, 2015

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): Passiflora Plex
Generic name (nonproprietary): passiflora incarnata, ignatia amara, jalapa, coffea cruda, magnesium metalicum, palladium metallicum, tellurium metallicum, phosphoricum acidum
Active ingredients: Passiflora incarnata flowering top — 3 [hp_X]/30mLArabica coffee bean — 10 [hp_X]/30mLMagnesium — 10 [hp_X]/30mLStrychnos ignatii seed — 8 [hp_X]/30mLIpomoea purga root — 8 [hp_X]/30mLPalladium — 10 [hp_X]/30mLTellurium — 10 [hp_X]/30mLPhosphoric acid — 14 [hp_X]/30mL
Dosage form: Liquid
Route: Sublingual
Labeler: SanUp
Product type: Over-the-counter drug
Marketing category: Unapproved drug (other)
Marketing start: Feb 9, 2015
Listing expires: Dec 31, 2026
Other FDA classes: Allergens (Chemical structure)Cell-mediated Immunity (Physiologic effect)Dietary Proteins (Chemical structure)Increased Histamine Release (Physiologic effect)Plant Proteins (Chemical structure)Seed Storage Proteins (Chemical structure)
Identifiers: Product ID 52503-1322_d06cb8b2-b26e-95ad-e053-2995a90aa3b0SPL ID d06cb8b2-b26e-95ad-e053-2995a90aa3b0SPL set ID 937b6700-3ba8-0266-e053-2995a90a3318UNII CLF5YFS11O, 3SW678MX72, I38ZP9992A, 1NM3M2487K, 4UDO46YBK2, 5TWQ1V240M, NQA0O090ZJ, E4GA8884NNUPC 0883196325306
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. Sublingual products like this are usually dispensed by a pharmacy and billed by NDC.

NDC on a medical claim

N452503132200 followed by a unit qualifier and the quantity

Package 52503-1322-00. 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 Nov 10, 2021.

Indications (excerpt from the label)

Uses For the temporary relief of symptoms associated with irregular sleep patterns and ordinary restlessness. Product ‘Uses’ are based on Homeopathic Materia Medica and are not supported by clinical trials. These 'Uses' have not been evaluated by the Food and Drug Administration. Directions To be taken 10 minutes away from food. Invert bottle and shake lightly allowing drops to fall directly under the tongue or into ¼ oz of water. Hold contents for about 20 seconds and swallow. To promote drop flow, invert bottle and shake before each use. Dosage frequency may be increased up to 6 times daily depending on the severity of symptoms. Adults and adolescents (12 years and older) Take 10 drops 3 t…

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)