NDC codes

FDA NDC Directory
Product NDC (as listed)55714-2459Labeler and product segments. Claims need a package NDC.
Product NDC at billing width55714-2459Add 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
55714-2459-15571424590130 mL in 1 BOTTLE, GLASS (55714-2459-1)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)
Hives-Rashes
Generic name (nonproprietary)
antimon. crud., apis mel., arsenicum alb., berber. vulg., bovista, bryonia, cantharis, chelidonium majus, croton, dulcamara, graphites, histaminum hydrochloricum, lycopodium, mezereum, nux vom., petroleum, pulex irritans, pulsatilla, rhus toxicodendron, sarsaparilla, sulphur, echinacea, rumex crisp., taraxacum, urtica ur.
Active ingredients
Smilax ornata root — 15 [hp_X]/mLAntimony trisulfide — 15 [hp_X]/mLApis mellifera — 15 [hp_X]/mLArsenic trioxide — 15 [hp_X]/mLBerberis vulgaris root bark — 15 [hp_X]/mLLycoperdon utriforme fruiting body — 15 [hp_X]/mLBryonia alba root — 15 [hp_X]/mLLytta vesicatoria — 15 [hp_X]/mLChelidonium majus — 15 [hp_X]/mLCroton tiglium seed — 15 [hp_X]/mLSolanum dulcamara top — 15 [hp_X]/mLGraphite — 15 [hp_X]/mLHistamine dihydrochloride — 15 [hp_X]/mLLycopodium clavatum spore — 15 [hp_X]/mLDaphne mezereum bark — 15 [hp_X]/mLStrychnos nux-vomica seed — 15 [hp_X]/mLKerosene — 15 [hp_X]/mLPulex irritans — 15 [hp_X]/mLAnemone pulsatilla — 15 [hp_X]/mLToxicodendron pubescens leaf — 15 [hp_X]/mLSulfur — 15 [hp_X]/mLEchinacea, Unspecified — 6 [hp_X]/mLRumex crispus root — 6 [hp_X]/mLTaraxacum officinale — 6 [hp_X]/mLUrtica urens — 6 [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)Bee Venoms (Chemical structure)Cell-mediated Immunity (Physiologic effect)Cell-mediated Immunity (Physiologic effect)Increased Histamine Release (Physiologic effect)Increased Histamine Release (Physiologic effect)Increased IgG Production (Physiologic effect)Increased IgG Production (Physiologic effect)Plant Proteins (Chemical structure)Seed Storage Proteins (Chemical structure)
Identifiers
Product ID 55714-2459_2d81e205-fa56-81ff-e063-6294a90a66cfSPL ID 2d81e205-fa56-81ff-e063-6294a90a66cfSPL set ID 9c0a4d52-7d10-cc3b-e053-2a95a90a6697UNII 2H1576D5WG, F79059A38U, 7S82P3R43Z, S7V92P67HO, 1TH8Q20J0U, K2A74U428F, T7J046YI2B, 3Q034RO3BT, 7E889U5RNN, 0HK2GZK66E, KPS1B1162N, 4QQN74LH4O, 3POA0Q644U, C88X29Y479, X2N6E405GV, 269XH13919, 1C89KKC04E, L63DD62R8R, I76KB35JEV, 6IO182RP7A, 70FD1KFU70, 4N9P6CC1DX, 9N1RM2S62C, 39981FM375, IHN2NQ5OF9
Pharmacologic class
Non-Standardized Plant Allergenic Extract; Standardized Insect Venom 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

N455714245901 followed by a unit qualifier and the quantity

Package 55714-2459-01. 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 allergic skin reactions, burning, itching, redness, swelling and discomfort.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

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