Mold Relief Formula NDC 59623-013

NDC codes

FDA NDC Directory

Product NDC (as listed)59623-013Labeler and product segments. Claims need a package NDC.

Product NDC at billing width59623-0013Add 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 NDC	11-digit (billing)	Package	Copy
59623-013-01	59623001301	30 mL in 1 BOTTLE, DROPPER (59623-013-01)Marketed from May 1, 2016
59623-013-02	59623001302	59 mL in 1 BOTTLE, DROPPER (59623-013-02)Marketed from Nov 26, 2018

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): Mold Relief Formula
Generic name (nonproprietary): kali muriaticum, gelsemium, kali bichromicum, sabadilla, histaminum, mold mix.
Active ingredients: Potassium chloride — 6 [hp_X]/mLGelsemium sempervirens root — 12 [hp_C]/mLPotassium dichromate — 12 [hp_C]/mLSchoenocaulon officinale seed — 12 [hp_C]/mLHistamine dihydrochloride — 30 [hp_C]/mLAlternaria alternata — 12 [hp_X]/mLAspergillus fumigatus — 12 [hp_X]/mLAspergillus niger var. Niger — 12 [hp_X]/mLBoletus satanas fruiting body — 12 [hp_X]/mLBotrytis cinerea — 12 [hp_X]/mLCandida albicans — 12 [hp_X]/mLPassalora fulva — 12 [hp_X]/mLFusarium oxysporum — 12 [hp_X]/mLCochliobolus sativus — 12 [hp_X]/mLRhizopus stolonifer — 12 [hp_X]/mLAureobasidium pullulans var. Pullutans — 12 [hp_X]/mLUstilago maydis — 12 [hp_X]/mL
Dosage form: Liquid
Route: Oral
Labeler: Integrative Healing Institute, LLC
Product type: Over-the-counter drug
Marketing category: Unapproved homeopathic
Marketing start: May 1, 2016
Listing expires: Dec 31, 2026
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)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)Fungal Proteins (Chemical structure)Fungal Proteins (Chemical structure)Fungal Proteins (Chemical structure)Fungal Proteins (Chemical structure)Fungal Proteins (Chemical structure)Fungal Proteins (Chemical structure)Fungal Proteins (Chemical structure)Fungal Proteins (Chemical structure)Fungal Proteins (Chemical structure)Fungal Proteins (Chemical structure)Fungal Proteins (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 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 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)Osmotic Activity (Mechanism)Potassium Compounds (Chemical structure)
Identifiers: Product ID 59623-013_416205c4-4fec-1e12-e063-6294a90af417SPL ID 416205c4-4fec-1e12-e063-6294a90af417SPL set ID 067ee707-7219-4370-9cdd-08888f45b5e5UNII 660YQ98I10, 639KR60Q1Q, T4423S18FM, 6NAF1689IO, 3POA0Q644U, 52B29REC7H, X88DF51T48, 9IOA40ANG6, 68OG1407SM, TBW53313S7, 4D7G21HDBC, HR6H5057CO, 5398RXP8KU, 3LN5B70U4W, FEE198DK4Q, D1A2NG69CK, 4K7Z7K7SWGUPC 0000309508252, 0000309524818
Pharmacologic class: Non-Standardized Fungal Allergenic Extract; Osmotic Laxative; Potassium Salt

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

N459623001301 followed by a unit qualifier and the quantity

Package 59623-0013-01. 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 Oct 17, 2025.

Indications (excerpt from the label)

Use: This product is a Homeopathic Dilution, formulated to support the body's immunity for the temporary relief of mold allergies.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)