NDC codes

FDA NDC Directory
Product NDC (as listed)55714-1531Labeler and product segments. Claims need a package NDC.
Product NDC at billing width55714-1531Add 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
55714-1531-15571415310130 mL in 1 BOTTLE, GLASS (55714-1531-1)Marketed from Jan 1, 2019

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)
Tummy Upset
Generic name (nonproprietary)
chamomilla, echinacea, iris versicolor, ruta graveolens, taraxacum officinale, aloe, angelica sinensis radix, antimonium , argentum nitricum, arnica montana, arsenicum album, baptisia tinctoria, bismuthum metallicum, bryonia, cinchona officinalis, graphites, hydrastis canadensis, ipecacuanha, lachesis mutus, lycopodium clavatum, myrrha, natrum carbonicum, nux vomica, phosphorus, pulsatilla, zingiber officinale.
Active ingredients
Matricaria chamomilla6 [hp_X]/mLSodium carbonate15 [hp_X]/mLIris versicolor root6 [hp_X]/mLRuta graveolens flowering top6 [hp_X]/mLTaraxacum officinale6 [hp_X]/mLAloe15 [hp_X]/mLAngelica sinensis root15 [hp_X]/mLAntimony trisulfide15 [hp_X]/mLSilver nitrate15 [hp_X]/mLArnica montana15 [hp_X]/mLArsenic trioxide15 [hp_X]/mLBaptisia tinctoria15 [hp_X]/mLBismuth15 [hp_X]/mLBryonia alba root15 [hp_X]/mLCinchona officinalis bark15 [hp_X]/mLGraphite15 [hp_X]/mLGoldenseal15 [hp_X]/mLIpecac15 [hp_X]/mLLachesis muta venom15 [hp_X]/mLLycopodium clavatum spore15 [hp_X]/mLMyrrh15 [hp_X]/mLPhosphorus15 [hp_X]/mLAnemone pulsatilla15 [hp_X]/mLGinger15 [hp_X]/mLStrychnos nux-vomica seed15 [hp_X]/mLEchinacea, Unspecified6 [hp_X]/mL
Dosage form
Liquid
Route
Oral
Product type
Over-the-counter drug
Marketing category
Unapproved homeopathic
Marketing start
Listing expires
Other FDA classes
Allergens (Chemical structure)Allergens (Chemical structure)Cell-mediated Immunity (Physiologic effect)Cell-mediated Immunity (Physiologic effect)Dietary Proteins (Chemical structure)Food Additives (Chemical structure)Increased Histamine Release (Physiologic effect)Increased Histamine Release (Physiologic effect)Increased IgG Production (Physiologic effect)Plant Proteins (Chemical structure)Plant Proteins (Chemical structure)Seed Storage Proteins (Chemical structure)
Identifiers
Product ID 55714-1531_2cc873e9-56d3-47d6-e063-6394a90a3b84SPL ID 2cc873e9-56d3-47d6-e063-6394a90a3b84SPL set ID 9dc2da0a-0b3a-548e-e053-2995a90abe6dUNII G0R4UBI2ZZ, 45P3261C7T, X43D4L3DQC, N94C2U587S, 39981FM375, V5VD430YW9, B66F4574UG, F79059A38U, 95IT3W8JZE, O80TY208ZW, S7V92P67HO, 5K1UO2888Y, U015TT5I8H, T7J046YI2B, S003A158SB, 4QQN74LH4O, ZW3Z11D0JV, 62I3C8233L, VSW71SS07I, C88X29Y479, JC71GJ1F3L, 27YLU75U4W, I76KB35JEV, C5529G5JPQ, 269XH13919, 4N9P6CC1DX
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. Oral products like this are usually dispensed by a pharmacy and billed by NDC.

NDC on a medical claim

N455714153101 followed by a unit qualifier and the quantity

Package 55714-1531-01. 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)

INDICATIONS & USAGE SECTION Formulated for associated symptoms such as nausea, "spitting up," vomiting, cramping, pain and gas.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

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