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 NDC11-digit (billing)PackageCopy
54973-4009-154973400901549734009011 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.NDC labeler code 54973
Product type
Over-the-counter drug
Marketing category
Unapproved homeopathic
Marketing start
Listing expires
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 .

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)

About NDC 54973-4009

What is NDC 54973-4009?
54973-4009 is the product NDC for Pain Relief, Magnesium phosphate, Dibasic trihydrate 12 [hp_X]/1 + 4 more ingredients tablet, listed with the FDA by Hyland's Inc.. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Pain Relief (DIBASIC POTASSIUM PHOSPHATE,HYPERICUM PERFORATUM,TOXICODENDRON PUBESCENS LEAF,BRYONIA ALBA ROOT and MAGNESIUM PHOSPHATE, DIBASIC TRIHYDRATE).
What is the active ingredient?
Magnesium phosphate, Dibasic trihydrate, Toxicodendron pubescens leaf, Dibasic potassium phosphate, Bryonia alba root, Hypericum perforatum.
Who is the labeler?
Hyland's Inc., NDC labeler code 54973. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Pain Relief?
62 other product NDCs are listed under this name. See all Pain Relief NDCs.
Is there a related HCPCS / J-code?
Not in Med-Code's curated HCPCS directory. See Billing references above.

Other finished products listed under the same name: strengths, forms and labelers.

Other Pain Relief NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
Pain ReliefacetaminophenAcetaminophen 325 mg/1TabletOralShield Pharmaceuticals Corp.83059-0160—
Pain Reliefmenthol sprayMenthol 76.6 mg/mLSprayTopicalOwell Naturals Brand, LLC83570-00383570-0003-02
Pain Reliefarnica montana, belladonna, gelsemium sempervirens, gnaphalium polycephalum, magnesia phosphorica, sanguinaria canadensis, salix albaArnica montana whole 6 [hp_X]/1 + 6 more ingredientsTabletOralNaturalCare70163-002270163-0022-01
pain reliefacetaminophenAcetaminophen 500 mg/1Tablet, Film coatedOralHyVee Inc42507-81342507-0813-78
Pain ReliefmentholMenthol 10.5 g/100mLSprayTopicalTrifecta Pharmaceuticals USA, LLC.69396-17569396-0175-03
Pain ReliefacetaminophenAcetaminophen 500 mg/1TabletOralHYVEE INC42507-10342507-0103-04
Pain ReliefacetaminophenAcetaminophen 650 mg/1Tablet, Extended releaseOralHYVEE INC42507-30342507-0303-03
Pain ReliefacetaminophenAcetaminophen 500 mg/1Tablet, CoatedOralHYVEE INC42507-40442507-0404-09
Pain ReliefacetaminophenAcetaminophen 500 mg/1Tablet, CoatedOralHYVEE INC42507-59242507-0592-03
Pain RelieflidocaineLidocaine .04 g/gPatchTopicalShanghai Chuangshi Medical Technology (Group) Co., Ltd.73557-18973557-0189-30

All 63 Pain Relief NDCs

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