NDC codes

FDA NDC Directory
Product NDC (as listed)55714-2552Labeler and product segments. Claims need a package NDC.
Product NDC at billing width55714-2552Add 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
55714-2552-15571425520130 mL in 1 BOTTLE, GLASS (55714-2552-1)Marketed from Aug 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)
Prime
Generic name (nonproprietary)
ginkgo biloba, ruta graveolens, agnus castus, allium sativum, ambra grisea, angelica sinensis radix, aralia quinquefolia, arnica montana, arsenicum album, avena sativa, baptisia tinctoria, baryta carbonica, bryonia, cantharis, lachesis mutus, lycopodium clavatum, nux vomica, phosphoricum acidum, pulsatilla, ruta graveolens, sabal serrulata, selenium metallicum, zincum metallicum.
Active ingredients
Phosphoric acid — 15 [hp_X]/mLGinkgo — 6 [hp_X]/mLGarlic — 15 [hp_X]/mLAmbergris — 15 [hp_X]/mLAngelica sinensis root — 15 [hp_X]/mLAmerican ginseng — 15 [hp_X]/mLArnica montana — 15 [hp_X]/mLArsenic trioxide — 15 [hp_X]/mLAvena sativa flowering top — 15 [hp_X]/mLBaptisia tinctoria root — 15 [hp_X]/mLBarium carbonate — 15 [hp_X]/mLBryonia alba root — 15 [hp_X]/mLLytta vesicatoria — 15 [hp_X]/mLLachesis muta venom — 15 [hp_X]/mLLycopodium clavatum spore — 15 [hp_X]/mLStrychnos nux-vomica seed — 15 [hp_X]/mLAnemone pulsatilla — 15 [hp_X]/mLRuta graveolens flowering top — 15 [hp_X]/mLSaw palmetto — 15 [hp_X]/mLSelenium — 15 [hp_X]/mLZinc — 15 [hp_X]/mLChaste tree fruit — 15 [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)Cell-mediated Immunity (Physiologic effect)Cell-mediated Immunity (Physiologic effect)Dietary Proteins (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 55714-2552_2dd1e42d-6f1d-a6fb-e063-6294a90ad8d7SPL ID 2dd1e42d-6f1d-a6fb-e063-6294a90ad8d7SPL set ID 9b40f630-0b91-9816-e053-2a95a90a16ecUNII E4GA8884NN, 19FUJ2C58T, V1V998DC17, XTC0D02P6C, B66F4574UG, 8W75VCV53Q, O80TY208ZW, S7V92P67HO, MA9CQJ3F7F, 5EF0HWI5WU, 6P669D8HQ8, T7J046YI2B, 3Q034RO3BT, VSW71SS07I, C88X29Y479, 269XH13919, I76KB35JEV, N94C2U587S, J7WWH9M8QS, H6241UJ22B, J41CSQ7QDS, 433OSF3U8A
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

N455714255201 followed by a unit qualifier and the quantity

Package 55714-2552-01. 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 aging sucha as impared memory,, loss of vitality, general weakness and dry, wrinkled skin..

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

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