Pain Relief NDC 54973-4009

NDC codes

FDA NDC Directory

Product NDC (as listed)54973-4009Labeler and product segments. Claims need a package NDC.

Product NDC at billing width54973-4009Add 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
54973-4009-1	54973400901	1 BOTTLE in 1 CARTON (54973-4009-1) / 100 TABLET in 1 BOTTLEMarketed from Apr 3, 2020

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): Pain Relief
Generic name (nonproprietary): dibasic potassium phosphate,hypericum perforatum,toxicodendron pubescens leaf,bryonia alba root and magnesium phosphate, dibasic trihydrate
Active ingredients: Magnesium phosphate, Dibasic trihydrate — 12 [hp_X]/1Toxicodendron pubescens leaf — 6 [hp_X]/1Dibasic potassium phosphate — 6 [hp_X]/1Bryonia alba root — 6 [hp_X]/1Hypericum perforatum — 6 [hp_X]/1
Dosage form: Tablet
Route: Oral
Labeler: Hyland's Inc.
Product type: Over-the-counter drug
Marketing category: Unapproved homeopathic
Marketing start: Apr 3, 2020
Listing expires: Dec 31, 2026
Other FDA classes: Increased Large Intestinal Motility (Physiologic effect)Increased Large Intestinal Motility (Physiologic effect)Inhibition Large Intestine Fluid/Electrolyte Absorption (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)Osmotic Activity (Mechanism)Potassium Compounds (Chemical structure)Stimulation Large Intestine Fluid/Electrolyte Secretion (Physiologic effect)
Identifiers: Product ID 54973-4009_fb360897-c464-de3b-e053-6294a90a6e36SPL ID fb360897-c464-de3b-e053-6294a90a6e36SPL set ID a57ac701-c42d-6b2f-e053-2995a90a112dUNII HF539G9L3Q, 6IO182RP7A, CI71S98N1Z, T7J046YI2B, XK4IUX8MNB
Pharmacologic class: Calculi Dissolution Agent; Osmotic Laxative; Potassium Salt

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

N454973400901 followed by a unit qualifier and the quantity

Package 54973-4009-01. 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 May 8, 2023.

Indications (excerpt from the label)

Uses ■ Temporarily relieves: ■ minor joint pain ■ headache ■ muscle pain ■ backache ■ muscle cramps ■ pain in neck or shoulders

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)