NDC codes

FDA NDC Directory
Product NDC (as listed)55714-4767Labeler and product segments. Claims need a package NDC.
Product NDC at billing width55714-4767Add 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
55714-4767-15571447670130 mL in 1 BOTTLE, GLASS (55714-4767-1)Marketed from Sep 2, 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)
Cold - Cough
Generic name (nonproprietary)
influenza a virus, influenza b virus, antimon. tart., arsenicum alb., bryonia, chelidonium majus, cinchona, drosera, eucalyptus, histaminum hydrochloricum, hydrastis, kali bic., kali carb.,kali iod., myrrha, nat. sulphuricum, nux vom., phosphorus, pulsatilla, rumex crisp., sambucus nig., spongia, tussilago farfara, verbascum, echinacea, lappa
Active ingredients
Influenza a virus — 30 [hp_X]/mLAntimony potassium tartrate — 15 [hp_X]/mLArsenic trioxide — 15 [hp_X]/mLBryonia alba root — 15 [hp_X]/mLChelidonium majus — 15 [hp_X]/mLCinchona officinalis bark — 15 [hp_X]/mLDrosera anglica — 15 [hp_X]/mLEucalyptus gum — 15 [hp_X]/mLHistamine dihydrochloride — 15 [hp_X]/mLGoldenseal — 15 [hp_X]/mLPotassium dichromate — 15 [hp_X]/mLPotassium carbonate — 15 [hp_X]/mLPotassium iodide — 15 [hp_X]/mLMyrrh — 15 [hp_X]/mLSodium sulfate — 15 [hp_X]/mLStrychnos nux-vomica seed — 15 [hp_X]/mLPhosphorus — 15 [hp_X]/mLAnemone pulsatilla — 15 [hp_X]/mLRumex crispus root — 15 [hp_X]/mLSambucus nigra flowering top — 15 [hp_X]/mLSpongia officinalis skeleton, Roasted — 15 [hp_X]/mLTussilago farfara — 15 [hp_X]/mLVerbascum thapsus — 15 [hp_X]/mLEchinacea, Unspecified — 6 [hp_X]/mLArctium lappa root — 6 [hp_X]/mLInfluenza b virus — 30 [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)Cell-mediated Immunity (Physiologic effect)Increased Histamine Release (Physiologic effect)Increased IgG Production (Physiologic effect)Plant Proteins (Chemical structure)Seed Storage Proteins (Chemical structure)
Identifiers
Product ID 55714-4767_da70af90-a25b-fdbd-e053-2a95a90a9548SPL ID da70af90-a25b-fdbd-e053-2a95a90a9548SPL set ID 98e7a385-aa56-f5fe-e053-2995a90a84d3UNII R9HH0NDE2E, DL6OZ476V3, S7V92P67HO, T7J046YI2B, 7E889U5RNN, S003A158SB, J61BY05EGY, 72T9EZC2VX, 3POA0Q644U, ZW3Z11D0JV, T4423S18FM, BQN1B9B9HA, 1C4QK22F9J, JC71GJ1F3L, 0YPR65R21J, 269XH13919, 27YLU75U4W, I76KB35JEV, 9N1RM2S62C, CT03BSA18U, 1PIP394IID, 0JXZ63016V, C9TD27U172, 4N9P6CC1DX, 597E9BI3Z3, 1314JZ2X6W
Pharmacologic class
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

N455714476701 followed by a unit qualifier and the quantity

Package 55714-4767-01. 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 coughs associated with allergies, post-nasal drip, croup and colds.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

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