NDC codes

FDA NDC Directory
Product NDC (as listed)55714-2584Labeler and product segments. Claims need a package NDC.
Product NDC at billing width55714-2584Add 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
55714-2584-15571425840130 mL in 1 BOTTLE, GLASS (55714-2584-1)Marketed from Aug 1, 2023

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)
Allergies
Generic name (nonproprietary)
apis mellifica, echinacea, hydrastis canadensis, taraxacum officinale, aconitum napellus, aethusa cynapium, agaricus muscarius, aletris farinosa, alfalfa, allium cepa, allium sativum, ambrosia artemisiaefolia, arsenicum album, artemisia vulgaris, arundo mauritanica, avena sativa, belladonna, bellis perrenis, bovista, bromium, bryonia, caffeinum, calcarea carbonica, calluna vulgaris, flos, capsicum annuum, cat hair, chamomilla, chelidonium majus, chenopodium anthelminticum, cinnamomum
Active ingredients
Ulmus rubra bark16 [hp_X]/mLEgg shell, Cooked15 [hp_X]/mLSchoenocaulon officinale seed15 [hp_X]/mLSambucus nigra flowering top15 [hp_X]/mLSanguinaria canadensis root15 [hp_X]/mLLycopus virginicus15 [hp_X]/mLLactose, Unspecified form15 [hp_X]/mLClaviceps purpurea sclerotium15 [hp_X]/mLTrillium erectum root15 [hp_X]/mLAscorbic acid16 [hp_X]/mLBlack mustard seed16 [hp_X]/mLDatura stramonium15 [hp_X]/mLTobacco leaf15 [hp_X]/mLAllylthiourea15 [hp_X]/mLUrtica urens15 [hp_X]/mLElymus repens root15 [hp_X]/mLUstilago maydis15 [hp_X]/mLWyethia helenioides root15 [hp_X]/mLXerophyllum asphodeloides15 [hp_X]/mLApis mellifera6 [hp_X]/mLTaraxacum officinale6 [hp_X]/mLAconitum napellus15 [hp_X]/mLAethusa cynapium15 [hp_X]/mLAmanita muscaria fruiting body15 [hp_X]/mLAletris farinosa root15 [hp_X]/mLAlfalfa15 [hp_X]/mLOnion15 [hp_X]/mLGarlic15 [hp_X]/mLAmbrosia artemisiifolia15 [hp_X]/mLArsenic trioxide15 [hp_X]/mLArtemisia vulgaris root15 [hp_X]/mLArundo pliniana root15 [hp_X]/mLAvena sativa flowering top15 [hp_X]/mLAtropa belladonna15 [hp_X]/mLBellis perennis15 [hp_X]/mLLycoperdon utriforme fruiting body15 [hp_X]/mLBromine15 [hp_X]/mLBryonia alba root15 [hp_X]/mLCaffeine15 [hp_X]/mLOyster shell calcium carbonate, Crude15 [hp_X]/mLCalluna vulgaris flowering top15 [hp_X]/mLCapsicum15 [hp_X]/mLFelis catus hair15 [hp_X]/mLMatricaria chamomilla15 [hp_X]/mLChelidonium majus15 [hp_X]/mLDysphania ambrosioides15 [hp_X]/mLCinnamon15 [hp_X]/mLHelianthemum canadense15 [hp_X]/mLProtortonia cacti15 [hp_X]/mLCynara scolymus leaf15 [hp_X]/mLCanis lupus familiaris hair15 [hp_X]/mLDrosera anglica15 [hp_X]/mLSolanum dulcamara top15 [hp_X]/mLEuphrasia stricta15 [hp_X]/mLFagopyrum esculentum15 [hp_X]/mLFagus sylvatica nut15 [hp_X]/mLAlpine strawberry15 [hp_X]/mLFraxinus americana bark15 [hp_X]/mLGelsemium sempervirens root15 [hp_X]/mLHistamine dihydrochloride15 [hp_X]/mLHouse dust15 [hp_X]/mLHyoscyamus niger15 [hp_X]/mLAbrus precatorius seed15 [hp_X]/mLJuglans regia leaf15 [hp_X]/mLPotassium iodide15 [hp_X]/mLCow milk15 [hp_X]/mLRhododendron tomentosum leafy twig15 [hp_X]/mLLilium lancifolium whole flowering15 [hp_X]/mLOnosmodium virginianum15 [hp_X]/mLPhytolacca americana root15 [hp_X]/mLYucca filamentosa16 [hp_X]/mLSaccharin15 [hp_X]/mLEchinacea, Unspecified6 [hp_X]/mLGoldenseal6 [hp_X]/mLToxicodendron pubescens leaf15 [hp_X]/mLSalix nigra bark15 [hp_X]/mLSulfur15 [hp_X]/mLPopulus balsamifera leaf bud15 [hp_X]/mLQuercus robur nut15 [hp_X]/mLMentha piperita15 [hp_X]/mLNutmeg15 [hp_X]/mLSolanum lycopersicum16 [hp_X]/mLAnacardium occidentale fruit16 [hp_X]/mLPtelea trifoliata bark15 [hp_X]/mLLycopodium clavatum spore15 [hp_X]/mLAnemone pulsatilla15 [hp_X]/mLRosa x damascena flowering top15 [hp_X]/mLAstacus astacus16 [hp_X]/mLGlycyrrhiza glabra16 [hp_X]/mLJuniperus virginiana twig16 [hp_X]/mLSucrose16 [hp_X]/mLSodium nitrate16 [hp_X]/mLSolanum nigrum whole16 [hp_X]/mLSolanum tuberosum16 [hp_X]/mLParthenium hysterophorus16 [hp_X]/mLGinger15 [hp_X]/mLSodium chloride15 [hp_X]/mLPopulus tremuloides leaf15 [hp_X]/mLCorn silk16 [hp_X]/mLSaccharomyces cerevisiae16 [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)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)Allergens (Chemical structure)Allergens (Chemical structure)Allergens (Chemical structure)Allergens (Chemical structure)Animal Fur (Chemical structure)Ascorbic Acid (Chemical structure)Bee Venoms (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)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)Dander (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)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)House Dust (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 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)Increased IgG Production (Physiologic effect)Increased IgG Production (Physiologic effect)Increased IgG Production (Physiologic effect)Increased IgG Production (Physiologic effect)Increased IgG Production (Physiologic effect)Increased Large Intestinal Motility (Physiologic effect)Inhibition Large Intestine Fluid/Electrolyte Absorption (Physiologic effect)Milk Proteins (Chemical structure)Osmotic Activity (Mechanism)Plant Proteins (Chemical structure)Plant Proteins (Chemical structure)Plant Proteins (Chemical structure)Plant Proteins (Chemical structure)Plant Proteins (Chemical structure)Plant Proteins (Chemical structure)Salivary Proteins and Peptides (Chemical structure)Seed Storage Proteins (Chemical structure)Vegetable Proteins (Chemical structure)Vegetable Proteins (Chemical structure)Xanthines (Chemical structure)
Identifiers
Product ID 55714-2584_017f025d-6fca-ec96-e063-6394a90a4e44SPL ID 017f025d-6fca-ec96-e063-6394a90a4e44SPL set ID 017f0210-195d-11d7-e063-6294a90aa750UNII 91QY4PXU8Q, 24HBF856C8, 6NAF1689IO, CT03BSA18U, N9288CD508, TWH5125Q6F, J2B2A4N98G, 01G9XEA93N, AHW6F0T2X0, PQ6CK8PD0R, 8LTY55LQ8D, G6W4F0V8Z3, 6YR2608RSU, 706IDJ14B7, IHN2NQ5OF9, 3IXW0F6P8W, 4K7Z7K7SWG, J10PD1AQ0N, 9I4XB1GP2B, 7S82P3R43Z, 39981FM375, U0NQ8555JD, M6936L953C, DIF093I037, O021JGR97X, DJO934BRBD, 492225Q21H, V1V998DC17, 9W34L2CQ9A, S7V92P67HO, 32MP823R8S, ZXE7LB03WC, MA9CQJ3F7F, WQZ3G9PF0H, 2HU33I03UY, K2A74U428F, SBV4XY874G, T7J046YI2B, 3G6A5W338E, 2E32821G6I, D9PC510CQV, 00UK7646FG, 1564HD0N96, G0R4UBI2ZZ, 7E889U5RNN, 4H5RSU087I, 5S29HWU6QB, 46G3W789Q3, LZB7TFX1LT, B71UA545DE, 05S7L91ZTR, J61BY05EGY, KPS1B1162N, C9642I91WL, B10M69172N, I57ERU2601, CG6IX3GCMU, 0B24UR1O1S, 639KR60Q1Q, 3POA0Q644U, EYO007VX98, 4WRK2153H3, 3OM8I6L7CD, 85HKB87105, 1C4QK22F9J, 917J3173FT, 877L01IZ0P, X67Z2963PI, 604NK4250S, 11E6VI8VEG, T6VR38UJ9I, FST467XS7D, 4N9P6CC1DX, ZW3Z11D0JV, 6IO182RP7A, QU52J3A5B3, 70FD1KFU70, 9CQ6C00G3C, Q7MU1F4GLY, 79M2M2UDA9, AEE24M3MQ9, 0243Q4990L, 4A10JR4E7E, 5KQR6FTT0D, C88X29Y479, I76KB35JEV, 21W82Q764G, V0551986XQ, 2788Z9758H, 532BCG080L, C151H8M554, 8M4L3H2ZVZ, 0FMD6WV47M, 2A8I57T4MX, 151F45R21P, C5529G5JPQ, 451W47IQ8X, 7IIH57D9E0, 7D3VB244UX, 978D8U419H
Pharmacologic class
Central Nervous System Stimulant; Methylxanthine; Non-Standardized Animal Hair Allergenic Extract; Non-Standardized Food Allergenic Extract; Non-Standardized Fungal Allergenic Extract; Non-Standardized House Dust Allergenic Extract; Non-Standardized Plant Allergenic Extract; Osmotic Laxative; Standardized Animal Hair Allergenic Extract; Standardized Insect Venom 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

N455714258401 followed by a unit qualifier and the quantity

Package 55714-2584-01. 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 food and environmental allergens such as congestion, swollen glands, runny nose, cough, rashes and stomach upset.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

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