NDC codes

FDA NDC Directory
Product NDC (as listed)54973-3257Labeler and product segments. Claims need a package NDC.
Product NDC at billing width54973-3257Add 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
54973-3257-1549733257011 BOTTLE, PLASTIC in 1 CARTON (54973-3257-1) / 50 TABLET in 1 BOTTLE, PLASTICMarketed from Apr 29, 2016
54973-3257-254973325702100 TABLET in 1 BOTTLE, PLASTIC (54973-3257-2)Marketed from Apr 29, 2016
54973-3257-3549733257034 TABLET in 1 BOTTLE, PLASTIC (54973-3257-3)Marketed from Apr 29, 2016
54973-3257-7549733257071 BOTTLE, PLASTIC in 1 CARTON (54973-3257-7) / 100 TABLET in 1 BOTTLE, PLASTICMarketed from Apr 29, 2016

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)
Calms Forte
Generic name (nonproprietary)
avena sativa flowering top, tribasic calcium phosphate, matricaria recutita, ferrosoferric phosphate, hops, potassium phosphate, dibasic, magnesium phosphate, dibasic trihydrate, sodium phosphate, dibasic, heptahydrate, and passiflora incarnata flower
Active ingredients
Avena sativa flowering top — 4 [hp_X]/1Tribasic calcium phosphate — 3 [hp_X]/1Matricaria recutita — 4 [hp_X]/1Ferrosoferric phosphate — 3 [hp_X]/1Hops — 4 [hp_X]/1Potassium phosphate, Dibasic — 3 [hp_X]/1Magnesium phosphate, Dibasic trihydrate — 3 [hp_X]/1Sodium phosphate, Dibasic, Heptahydrate — 3 [hp_X]/1Passiflora incarnata flower — 4 [hp_X]/1
Dosage form
Tablet
Route
Oral
Product type
Over-the-counter drug
Marketing category
Unapproved homeopathic
Marketing start
Listing expires
Other FDA classes
Allergens (Chemical structure)Cell-mediated Immunity (Physiologic effect)Dietary Proteins (Chemical structure)Food Additives (Chemical structure)Increased Histamine Release (Physiologic effect)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)Plant Proteins (Chemical structure)Stimulation Large Intestine Fluid/Electrolyte Secretion (Physiologic effect)
Identifiers
Product ID 54973-3257_58f195ef-ccf8-4142-e063-6394a90aa962SPL ID 58f195ef-ccf8-4142-e063-6394a90aa962SPL set ID 63ce9942-a299-4d9b-b63b-35b297472dc9UNII MA9CQJ3F7F, 91D9GV0Z28, G0R4UBI2ZZ, 91GQH8I5F7, 01G73H6H83, CI71S98N1Z, HF539G9L3Q, 70WT22SF4B, K8F3G29S6Z
Pharmacologic class
Calculi Dissolution Agent; Non-Standardized Food Allergenic Extract; Non-Standardized Plant Allergenic Extract; 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

N454973325701 followed by a unit qualifier and the quantity

Package 54973-3257-01. 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)

Uses ■ Temporarily relieves symptoms of occasional sleeplessness or restlessness with accompanying stress, anxiousness, nervousness or irritability

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

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