NDC codes

FDA NDC Directory
Product NDC (as listed)55714-4821Labeler and product segments. Claims need a package NDC.
Product NDC at billing width55714-4821Add 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
55714-4821-15571448210130 mL in 1 BOTTLE, GLASS (55714-4821-1)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)
Influenza
Generic name (nonproprietary)
influenza a virus, influenza b virus, histaminum hydrochloricum, aconitum nap., aralia quinquefolia, arsenicum alb., baptisia, bryonia, cinchona, eupatorium perf., gelsemium, ipecac., kali carb., nux vom., phosphorus, rhus toxicodendron, echinacea
Active ingredients
Influenza a virus35 [hp_X]/mLInfluenza b virus35 [hp_X]/mLHistamine dihydrochloride20 [hp_X]/mLAconitum napellus15 [hp_X]/mLAmerican ginseng15 [hp_X]/mLArsenic trioxide20 [hp_X]/mLBaptisia tinctoria root15 [hp_X]/mLBryonia alba root15 [hp_X]/mLCinchona officinalis bark15 [hp_X]/mLEupatorium perfoliatum flowering top15 [hp_X]/mLGelsemium sempervirens root15 [hp_X]/mLIpecac15 [hp_X]/mLPotassium carbonate15 [hp_X]/mLStrychnos nux-vomica seed20 [hp_X]/mLPhosphorus15 [hp_X]/mLToxicodendron pubescens leaf15 [hp_X]/mLEchinacea, Unspecified11 [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 55714-4821_b5a841f9-0988-a261-e053-2995a90a8d01SPL ID b5a841f9-0988-a261-e053-2995a90a8d01SPL set ID 995ca26b-7afb-b8d4-e053-2a95a90a7d1aUNII R9HH0NDE2E, 1314JZ2X6W, 3POA0Q644U, U0NQ8555JD, 8W75VCV53Q, S7V92P67HO, 5EF0HWI5WU, T7J046YI2B, S003A158SB, 1W0775VX6E, 639KR60Q1Q, 62I3C8233L, BQN1B9B9HA, 269XH13919, 27YLU75U4W, 6IO182RP7A, 4N9P6CC1DX
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

N455714482101 followed by a unit qualifier and the quantity

Package 55714-4821-01. 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 colds and flu such as aches, discomfort, fatigue, vomiting and cramping.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Free account

Keep searching with a free account

You’ve used your 3 free searches for this session. Log in or create a free Med-Code account to keep looking up NDCs, J-codes and drugs.

Create a free accountLog in