NDC codes

FDA NDC Directory
Product NDC (as listed)55714-2419Labeler and product segments. Claims need a package NDC.
Product NDC at billing width55714-2419Add 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
55714-2419-15571424190128 g in 1 BOTTLE, GLASS (55714-2419-1)Marketed from Jan 31, 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)
Detoxifier
Generic name (nonproprietary)
uricum acidum, benzoicum acidum, berber. vulg., bryonia, cantharis, carduus benedictus, ceanothus, chelidonium majus, chionanthus virginica, cinchona, dioscorea, dolichos, iris versicolor, juniperus com., nux vom.,ptelea,taraxacum, carduus mar., cynara scolymus, solidago
Active ingredients
Benzoic acid — 10 [hp_X]/gBerberis vulgaris root bark — 10 [hp_X]/gBryonia alba root — 10 [hp_X]/gLytta vesicatoria — 10 [hp_X]/gCentaurea benedicta — 10 [hp_X]/gCeanothus americanus leaf — 10 [hp_X]/gChelidonium majus — 10 [hp_X]/gChionanthus virginicus bark — 10 [hp_X]/gCinchona officinalis bark — 10 [hp_X]/gDioscorea villosa tuber — 10 [hp_X]/gMucuna pruriens fruit trichome — 10 [hp_X]/gIris versicolor root — 10 [hp_X]/gJuniper berry — 10 [hp_X]/gStrychnos nux-vomica seed — 15 [hp_X]/gPtelea trifoliata bark — 10 [hp_X]/gTaraxacum officinale — 10 [hp_X]/gSilybum marianum seed — 10 [hp_X]/gCynara scolymus leaf — 6 [hp_X]/gSolidago virgaurea flowering top — 6 [hp_X]/gUric acid — 15 [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
Allergens (Chemical structure)Allergens (Chemical structure)Ammonium Ion Binding Activity (Mechanism)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 55714-2419_b4e1c678-878e-07b1-e053-2a95a90a909eSPL ID b4e1c678-878e-07b1-e053-2a95a90a909eSPL set ID 92ad49e0-2cfe-7d51-e053-2995a90a16f5UNII 8SKN0B0MIM, 1TH8Q20J0U, T7J046YI2B, 3Q034RO3BT, 6L5ZL09795, 25B1Y14T8N, 7E889U5RNN, S003A158SB, IWY3IWX2G8, 3E271BSI0C, X43D4L3DQC, O84B5194RL, 269XH13919, 5KQR6FTT0D, 39981FM375, U946SH95EE, B71UA545DE, 5405K23S50, 268B43MJ25
Pharmacologic class
Nitrogen Binding Agent; 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

N455714241901 followed by a unit qualifier and the quantity

Package 55714-2419-01. 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 symptoms associated with toxicity such as fatigue, headaches and sluggish elimination.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

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