NDC codes

FDA NDC Directory
Product NDC (as listed)55714-1738Labeler and product segments. Claims need a package NDC.
Product NDC at billing width55714-1738Add 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
55714-1738-15571417380128 g in 1 BOTTLE, GLASS (55714-1738-1)Marketed from Jun 1, 2023

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)
Hypercalm-Mental Focus
Generic name (nonproprietary)
chamomilla, echinacea, hypericum perforatum, passiflora incarnata, aconitum napellus, adrenalinum, argentum nit., arsenicum album, baptisia tinctoria, chamomilla, coffea cruda, cypripedium pubescens, digitalis purpurea, gelsemium sempervirens, humulus lupulus, hyoscyamus niger, ignatia amara, impatiens glandulifera flos, iodium, lachesis mutus, lycopodium clavatum, natrum muriaticum, nux vomica, scutellaria lateriflora, staphysagria, stramonium, theridion, veratrum viride
Active ingredients
Echinacea, Unspecified — 6 [hp_X]/gGelsemium sempervirens root — 15 [hp_X]/gPassiflora incarnata flowering top — 6 [hp_X]/gAconitum napellus — 15 [hp_X]/gEpinephrine — 15 [hp_X]/gSilver nitrate — 15 [hp_X]/gArsenic trioxide — 15 [hp_X]/gBaptisia tinctoria root — 15 [hp_X]/gMatricaria chamomilla — 15 [hp_X]/gArabica coffee bean — 15 [hp_X]/gCypripedium parviflorum var. Pubescens root — 15 [hp_X]/gDigitalis — 15 [hp_X]/gHyoscyamus niger — 15 [hp_X]/gStrychnos ignatii seed — 15 [hp_X]/gImpatiens glandulifera flower — 15 [hp_X]/gIodine — 15 [hp_X]/gLachesis muta venom — 15 [hp_X]/gLycopodium clavatum spore — 15 [hp_X]/gSodium chloride — 15 [hp_X]/gStrychnos nux-vomica seed — 15 [hp_X]/gScutellaria lateriflora whole — 15 [hp_X]/gDelphinium staphisagria seed — 15 [hp_X]/gDatura stramonium — 15 [hp_X]/gTheridion curassavicum — 15 [hp_X]/gVeratrum viride root — 15 [hp_X]/gHops — 15 [hp_X]/gHypericum perforatum — 6 [hp_X]/g
Dosage form
Pellet
Route
Oral
Product type
Over-the-counter drug
Marketing category
Unapproved homeopathic
Marketing start
Listing expires
Other FDA classes
Adrenergic alpha-Agonists (Mechanism)Adrenergic beta-Agonists (Mechanism)Allergens (Chemical structure)Allergens (Chemical structure)Allergens (Chemical structure)Catecholamines (Chemical structure)Cell-mediated Immunity (Physiologic effect)Cell-mediated Immunity (Physiologic effect)Cell-mediated Immunity (Physiologic effect)Dietary Proteins (Chemical structure)Dietary Proteins (Chemical structure)Food Additives (Chemical structure)Increased Histamine Release (Physiologic effect)Increased Histamine Release (Physiologic effect)Increased Histamine Release (Physiologic effect)Increased IgG Production (Physiologic effect)Increased Large Intestinal Motility (Physiologic effect)Inhibition Large Intestine Fluid/Electrolyte Absorption (Physiologic effect)Osmotic Activity (Mechanism)Plant Proteins (Chemical structure)Plant Proteins (Chemical structure)Plant Proteins (Chemical structure)Seed Storage Proteins (Chemical structure)Seed Storage Proteins (Chemical structure)
Identifiers
Product ID 55714-1738_ff60427d-49e3-b5f4-e053-6294a90ad12cSPL ID ff60427d-49e3-b5f4-e053-6294a90ad12cSPL set ID ff604442-4697-e2bb-e053-6394a90a0340UNII 4N9P6CC1DX, 639KR60Q1Q, CLF5YFS11O, U0NQ8555JD, YKH834O4BH, 95IT3W8JZE, S7V92P67HO, 5EF0HWI5WU, G0R4UBI2ZZ, 3SW678MX72, 21Y9GZ1LZA, F1T8QT9U8B, 4WRK2153H3, 1NM3M2487K, AJU5O1A5ZV, 9679TC07X4, VSW71SS07I, C88X29Y479, 451W47IQ8X, 269XH13919, 7BP4DH5PDC, 00543AP1JV, G6W4F0V8Z3, 9Z8D3HEM8L, 197B3Q7T5Q, 01G73H6H83, XK4IUX8MNB
Pharmacologic class
Catecholamine; Non-Standardized Food Allergenic Extract; Non-Standardized Plant Allergenic Extract; Osmotic Laxative; alpha-Adrenergic Agonist; beta-Adrenergic Agonist

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

N455714173801 followed by a unit qualifier and the quantity

Package 55714-1738-01. 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 AND USAGE SECTION Formulated for associated symptoms such as impulsiveness, lack of focus, irritability and emotional or disruptive behavior.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

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