NDC codes

FDA NDC Directory
Product NDC (as listed)54973-3331Labeler and product segments. Claims need a package NDC.
Product NDC at billing width54973-3331Add 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
54973-3331-1549733331011 BOTTLE, PLASTIC in 1 CARTON (54973-3331-1) / 50 TABLET in 1 BOTTLE, PLASTICMarketed from Dec 4, 2017
54973-3331-2549733331024 TABLET in 1 POUCH (54973-3331-2)Marketed from Dec 4, 2017 · Sample package

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)
Calm
Generic name (nonproprietary)
tribasic calcium phosphate,ferrosoferric phosphate,dibasic potassium phosphate,sodium phosphate, dibasic, heptahydrate and magnesium phosphate, dibasic trihydrate
Active ingredients
Ferrosoferric phosphate — 3 [hp_X]/1Dibasic potassium phosphate — 3 [hp_X]/1Magnesium phosphate, Dibasic trihydrate — 3 [hp_X]/1Sodium phosphate, Dibasic, Heptahydrate — 3 [hp_X]/1Tribasic calcium phosphate — 3 [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
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)Stimulation Large Intestine Fluid/Electrolyte Secretion (Physiologic effect)
Identifiers
Product ID 54973-3331_30bb3426-d2de-9efa-e063-6294a90a4ccbSPL ID 30bb3426-d2de-9efa-e063-6294a90a4ccbSPL set ID 5e86783c-4154-5f46-e053-2991aa0abb3bUNII 91GQH8I5F7, CI71S98N1Z, HF539G9L3Q, 70WT22SF4B, 91D9GV0Z28UPC 0354973333116
Pharmacologic class
Calculi Dissolution Agent; 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

N454973333101 followed by a unit qualifier and the quantity

Package 54973-3331-01. 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 ■ Helps temporarily relieves symptoms of: ■ restlessness ■ anxiousness ■ nervousness ■ irritability ■ apprehensiveness

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

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