NDC codes

FDA NDC Directory
Product NDC (as listed)57687-301Labeler and product segments. Claims need a package NDC.
Product NDC at billing width57687-0301Add 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
57687-301-28576870301282 BLISTER PACK in 1 CARTON (57687-301-28) / 14 CAPSULE, LIQUID FILLED in 1 BLISTER PACKMarketed from Sep 1, 2012

How the 11-digit form is made: The product segment has 3 digits, so one leading zero is added to it (5-3-2 → 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)
Rescue Pearls
Generic name (nonproprietary)
helianthemum nummularium flower, clematis vitalba flower, impatiens glandulifera flower, prunus cerasifera flower, and ornithogalum umbellatum
Active ingredients
Helianthemum nummularium flower — 5 [hp_X]/1Clematis vitalba flower — 5 [hp_X]/1Impatiens glandulifera flower — 5 [hp_X]/1Prunus cerasifera flower — 5 [hp_X]/1Ornithogalum umbellatum whole — 5 [hp_X]/1
Dosage form
Capsule, Liquid filled
Route
Oral
Product type
Over-the-counter drug
Marketing category
Unapproved homeopathic
Marketing start
Listing expires
Identifiers
Product ID 57687-301_4cc3b493-2b54-78d5-e063-6394a90ad2d6SPL ID 4cc3b493-2b54-78d5-e063-6394a90ad2d6SPL set ID 21f0a623-eb0c-4fb6-8970-ba51253f37f9UNII 51BRR32WPP, 7SCP4N87CI, AJU5O1A5ZV, 0KD7R09EAS, 9NS3M2Y78S

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

N457687030128 followed by a unit qualifier and the quantity

Package 57687-0301-28. 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)

Use for relief of occasional stress

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