NDC codes

FDA NDC Directory
Product NDC (as listed)55714-2482Labeler and product segments. Claims need a package NDC.
Product NDC at billing width55714-2482Add 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
55714-2482-15571424820128 g in 1 BOTTLE, GLASS (55714-2482-1)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)
Menstrual - PMS
Generic name (nonproprietary)
angelica sinensis radix, arsenicum alb., bryonia, caulophyllum, cimicifuga, cinchona, dioscorea, folliculinum, gelsemium, lachesis, lilium, lycopodium, millefolium, nux vom., pulsatilla, sabina, secale, sepia,thlaspi, viburnum op., zingiber, echinacea, valeriana
Active ingredients
Angelica sinensis root — 15 [hp_X]/gArsenic trioxide — 15 [hp_X]/gBryonia alba root — 15 [hp_X]/gCaulophyllum thalictroides root — 15 [hp_X]/gBlack cohosh — 15 [hp_X]/gCinchona officinalis bark — 15 [hp_X]/gDioscorea villosa tuber — 15 [hp_X]/gEstrone — 15 [hp_X]/gGelsemium sempervirens root — 15 [hp_X]/gLachesis muta venom — 15 [hp_X]/gLilium lancifolium whole flowering — 15 [hp_X]/gLycopodium clavatum spore — 15 [hp_X]/gAchillea millefolium — 15 [hp_X]/gStrychnos nux-vomica seed — 15 [hp_X]/gAnemone pulsatilla — 15 [hp_X]/gJuniperus sabina leafy twig — 15 [hp_X]/gClaviceps purpurea sclerotium — 15 [hp_X]/gSepia officinalis juice — 15 [hp_X]/gCapsella bursa-pastoris — 15 [hp_X]/gViburnum opulus bark — 15 [hp_X]/gGinger — 15 [hp_X]/gEchinacea, Unspecified — 6 [hp_X]/gValerian — 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
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 55714-2482_092fe390-ff03-13f2-e063-6394a90a5221SPL ID 092fe390-ff03-13f2-e063-6394a90a5221SPL set ID 9c4a13c3-87ff-e833-e053-2995a90a8abaUNII B66F4574UG, S7V92P67HO, T7J046YI2B, JTJ6HH6YEH, K73E24S6X9, S003A158SB, IWY3IWX2G8, 2DI9HA706A, 639KR60Q1Q, VSW71SS07I, X67Z2963PI, C88X29Y479, 2FXJ6SW4PK, 269XH13919, I76KB35JEV, Z5BEX9K2G1, 01G9XEA93N, QDL83WN8C2, W0X9457M59, T1UG6H6805, C5529G5JPQ, 4N9P6CC1DX, JWF5YAW3QW
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

N455714248201 followed by a unit qualifier and the quantity

Package 55714-2482-01. 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 irregularity, cramping, bloating, headache, cravings, emotional upsets and mood swings.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

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