Acusine NDC 60986-1040

NDC codes

FDA NDC Directory

Product NDC (as listed)60986-1040Labeler and product segments. Claims need a package NDC.

Product NDC at billing width60986-1040Add 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
60986-1040-5	60986104005	20 mL in 1 BOTTLE, SPRAY (60986-1040-5)Marketed from Dec 24, 2021

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): Acusine
Generic name (nonproprietary): hydrastis canadensis, lycopodium clavatum, ephedra vulgaris, mezereum, petroleum, pulsatilla, thuja occidentalis
Active ingredients: Lycopodium clavatum spore — 3 [hp_X]/mLPulsatilla vulgaris — 3 [hp_X]/mLDaphne mezereum bark — 3 [hp_X]/mLKerosene — 8 [hp_X]/mLThuja occidentalis leafy twig — 10 [hp_X]/mLEphedra distachya flowering twig — 3 [hp_X]/mLGoldenseal — 4 [hp_X]/mL
Dosage form: Spray
Route: Nasal
Labeler: Marco Pharma International LLC
Product type: Over-the-counter drug
Marketing category: Unapproved homeopathic
Marketing start: Dec 24, 2021
Listing expires: Dec 31, 2027
Identifiers: Product ID 60986-1040_483b7fa4-9129-7260-e063-6394a90adda0SPL ID 483b7fa4-9129-7260-e063-6394a90adda0SPL set ID d3edf95a-547c-79e4-e053-2a95a90a91b8UNII C88X29Y479, I76KB35JEV, X2N6E405GV, 1C89KKC04E, 1NT28V9397, R55VQ87DP3, ZW3Z11D0JV

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. Nasal products like this are usually dispensed by a pharmacy and billed by NDC.

NDC on a medical claim

N460986104005 followed by a unit qualifier and the quantity

Package 60986-1040-05. 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 Jan 12, 2026.

Indications (excerpt from the label)

Adults: 1-2 sprays in each nostril as needed. Wipe tip clean after use. Not intended for infants or small children.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)