NDC codes

FDA NDC Directory
Product NDC (as listed)55714-2545Labeler and product segments. Claims need a package NDC.
Product NDC at billing width55714-2545Add 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
55714-2545-15571425450128 g in 1 BOTTLE, GLASS (55714-2545-1)Marketed from Jul 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)
Food Additives
Generic name (nonproprietary)
iris versicolor, solidago virgaurea, aconitum napellus, agaricus muscarius, allium cepa, allium sativum, antimonium crudum, arsenicum album, baptisia tinctoria, bovista, caffeinum, capsicum annuum, cinchona officinalis, cinnamomum, coccus cacti, cynara scolymus, fragaria vesca, gelsemium sempervirens, histaminum hydrochloricum, ipecacuanha, jequerity, juglans regia, lachesis mutus, ledum palustre, lycopodium clavatum, mentha piperita, natrum muriaticum, nux moschata,
Active ingredients
Arsenic trioxide — 15 [hp_X]/gBaptisia tinctoria root — 15 [hp_X]/gLycoperdon utriforme fruiting body — 15 [hp_X]/gCaffeine — 15 [hp_X]/gCapsicum — 15 [hp_X]/gCinchona officinalis bark — 15 [hp_X]/gCinnamon — 15 [hp_X]/gProtortonia cacti — 15 [hp_X]/gCynara scolymus leaf — 15 [hp_X]/gAlpine strawberry — 15 [hp_X]/gGelsemium sempervirens root — 15 [hp_X]/gHistamine dihydrochloride — 15 [hp_X]/gSolidago virgaurea flowering top — 6 [hp_X]/gUrtica urens — 15 [hp_X]/gGinger — 15 [hp_X]/gMentha piperita — 15 [hp_X]/gAbrus precatorius seed — 15 [hp_X]/gJuglans regia leaf — 15 [hp_X]/gUstilago maydis — 15 [hp_X]/gLachesis muta venom — 15 [hp_X]/gNutmeg — 15 [hp_X]/gPodophyllum — 15 [hp_X]/gSulfur — 15 [hp_X]/gAstacus astacus — 16 [hp_X]/gGlycyrrhiza glabra — 16 [hp_X]/gSolanum tuberosum — 16 [hp_X]/gSaccharomyces cerevisiae — 16 [hp_X]/gLactose, Unspecified form — 15 [hp_X]/gSepia officinalis juice — 15 [hp_X]/gSucrose — 16 [hp_X]/gEgg shell, Cooked — 15 [hp_X]/gLycopodium clavatum spore — 15 [hp_X]/gRhododendron tomentosum leafy twig — 15 [hp_X]/gAscorbic acid — 16 [hp_X]/gBlack mustard seed — 16 [hp_X]/gSolanum nigrum whole — 16 [hp_X]/gAnacardium occidentale fruit — 16 [hp_X]/gSolanum lycopersicum — 16 [hp_X]/gSodium nitrite — 16 [hp_X]/gSodium chloride — 15 [hp_X]/gAnemone pulsatilla — 15 [hp_X]/gToxicodendron pubescens leaf — 15 [hp_X]/gAllylthiourea — 15 [hp_X]/gIris versicolor root — 6 [hp_X]/gIpecac — 15 [hp_X]/gAconitum napellus — 15 [hp_X]/gAmanita muscaria fruiting body — 15 [hp_X]/gOnion — 15 [hp_X]/gGarlic — 15 [hp_X]/gPhosphorus — 15 [hp_X]/gSaccharin — 15 [hp_X]/gAntimony trisulfide — 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)Allergens (Chemical structure)Allergens (Chemical structure)Allergens (Chemical structure)Allergens (Chemical structure)Allergens (Chemical structure)Allergens (Chemical structure)Allergens (Chemical structure)Allergens (Chemical structure)Ascorbic Acid (Chemical structure)Cell-mediated Immunity (Physiologic effect)Cell-mediated Immunity (Physiologic effect)Cell-mediated Immunity (Physiologic effect)Cell-mediated Immunity (Physiologic effect)Cell-mediated Immunity (Physiologic effect)Cell-mediated Immunity (Physiologic effect)Cell-mediated Immunity (Physiologic effect)Cell-mediated Immunity (Physiologic effect)Cell-mediated Immunity (Physiologic effect)Cell-mediated Immunity (Physiologic effect)Central Nervous System Stimulation (Physiologic effect)Dietary Proteins (Chemical structure)Dietary Proteins (Chemical structure)Dietary Proteins (Chemical structure)Dietary Proteins (Chemical structure)Dietary Proteins (Chemical structure)Dietary Proteins (Chemical structure)Dietary Proteins (Chemical structure)Dietary Proteins (Chemical structure)Food Additives (Chemical structure)Food Additives (Chemical structure)Food Additives (Chemical structure)Fungal Proteins (Chemical structure)Fungal Proteins (Chemical structure)Fungal Proteins (Chemical structure)Increased Histamine Release (Physiologic effect)Increased Histamine Release (Physiologic effect)Increased Histamine Release (Physiologic effect)Increased Histamine Release (Physiologic effect)Increased Histamine Release (Physiologic effect)Increased Histamine Release (Physiologic effect)Increased Histamine Release (Physiologic effect)Increased Histamine Release (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)Plant Proteins (Chemical structure)Plant Proteins (Chemical structure)Plant Proteins (Chemical structure)Plant Proteins (Chemical structure)Seed Storage Proteins (Chemical structure)Vegetable Proteins (Chemical structure)Vegetable Proteins (Chemical structure)Xanthines (Chemical structure)
Identifiers
Product ID 55714-2545_b5560b7f-8cdd-201f-e053-2995a90a50a3SPL ID b5560b7f-8cdd-201f-e053-2995a90a50a3SPL set ID 9af2d6f4-baa8-5da9-e053-2995a90a3dacUNII S7V92P67HO, 5EF0HWI5WU, K2A74U428F, 3G6A5W338E, 00UK7646FG, S003A158SB, 5S29HWU6QB, LZB7TFX1LT, B71UA545DE, CG6IX3GCMU, 639KR60Q1Q, 3POA0Q644U, 5405K23S50, IHN2NQ5OF9, C5529G5JPQ, 79M2M2UDA9, 3OM8I6L7CD, 85HKB87105, 4K7Z7K7SWG, VSW71SS07I, AEE24M3MQ9, 2S713A4VP3, 70FD1KFU70, V0551986XQ, 2788Z9758H, 2A8I57T4MX, 978D8U419H, J2B2A4N98G, QDL83WN8C2, C151H8M554, 24HBF856C8, C88X29Y479, 877L01IZ0P, PQ6CK8PD0R, 8LTY55LQ8D, 0FMD6WV47M, 4A10JR4E7E, 0243Q4990L, M0KG633D4F, 451W47IQ8X, I76KB35JEV, 6IO182RP7A, 706IDJ14B7, X43D4L3DQC, 62I3C8233L, U0NQ8555JD, DIF093I037, 492225Q21H, V1V998DC17, 27YLU75U4W, FST467XS7D, F79059A38U
Pharmacologic class
Central Nervous System Stimulant; Methylxanthine; Non-Standardized Food Allergenic Extract; Non-Standardized Fungal Allergenic Extract; Non-Standardized Plant Allergenic Extract; Vitamin C

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

N455714254501 followed by a unit qualifier and the quantity

Package 55714-2545-01. 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 itching, swelling, headaches, indigestiion, vomiting and cramping.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

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