NDC codes

FDA NDC Directory
Product NDC (as listed)55714-4829Labeler and product segments. Claims need a package NDC.
Product NDC at billing width55714-4829Add 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
55714-4829-15571448290130 mL in 1 BOTTLE, GLASS (55714-4829-1)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)
Fear
Generic name (nonproprietary)
aconitum nap., anacardium orientale, arg. nit., arsenicum alb., cypripedium, gelsemium, ignatia, kali carb., lycopodium, nat.mur., phosphorus, sambucus nig., sepia, staphysag., stramonium, tarentula hispana, theridion, passiflora, valeriana
Active ingredients
Aconitum napellus — 15 [hp_X]/mLSemecarpus anacardium juice — 15 [hp_X]/mLSilver nitrate — 15 [hp_X]/mLArsenic trioxide — 15 [hp_X]/mLCypripedium parviflorum var. Pubescens root — 15 [hp_X]/mLGelsemium sempervirens root — 15 [hp_X]/mLStrychnos ignatii seed — 15 [hp_X]/mLPotassium carbonate — 15 [hp_X]/mLLycopodium clavatum spore — 15 [hp_X]/mLSodium chloride — 15 [hp_X]/mLPhosphorus — 15 [hp_X]/mLSambucus nigra flowering top — 15 [hp_X]/mLSepia officinalis juice — 15 [hp_X]/mLDelphinium staphisagria seed — 15 [hp_X]/mLDatura stramonium — 15 [hp_X]/mLLycosa tarantula — 15 [hp_X]/mLTheridion curassavicum — 15 [hp_X]/mLPassiflora incarnata flowering top — 6 [hp_X]/mLValerian — 6 [hp_X]/mL
Dosage form
Liquid
Route
Oral
Product type
Over-the-counter drug
Marketing category
Unapproved homeopathic
Marketing start
Listing expires
Identifiers
Product ID 55714-4829_b592a627-ebcc-ce60-e053-2a95a90a0127SPL ID b592a627-ebcc-ce60-e053-2a95a90a0127SPL set ID 99485faf-aee1-6482-e053-2a95a90a498bUNII U0NQ8555JD, Y0F0BU8RDU, 95IT3W8JZE, S7V92P67HO, 21Y9GZ1LZA, 639KR60Q1Q, 1NM3M2487K, BQN1B9B9HA, C88X29Y479, 451W47IQ8X, 27YLU75U4W, CT03BSA18U, QDL83WN8C2, 00543AP1JV, G6W4F0V8Z3, 86M454L2TT, 9Z8D3HEM8L, CLF5YFS11O, JWF5YAW3QW

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

N455714482901 followed by a unit qualifier and the quantity

Package 55714-4829-01. 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 apprehension, over-sensitivity, fear of flying, fear of small places and stage fright.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

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