NDC codes

FDA NDC Directory
Product NDC (as listed)61096-1005Labeler and product segments. Claims need a package NDC.
Product NDC at billing width61096-1005Add 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
61096-1005-1610961005011 BOTTLE, SPRAY in 1 CARTON (61096-1005-1) / 41 mL in 1 BOTTLE, SPRAYMarketed from Apr 24, 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)
DigestivEase
Generic name (nonproprietary)
arsenicum alb, calc sulph, carbo an, carbo veg, cinchona, hydrastis, nox vom, ornithogalum, pyrogenium, silicea
Active ingredients
Arsenic trioxide — 200 [hp_C]/41mLCalcium sulfate anhydrous — 200 [hp_C]/41mLCarbo animalis — 12 [hp_X]/41mLActivated charcoal — 12 [hp_X]/41mLCinchona officinalis bark — 200 [hp_C]/41mLGoldenseal — 12 [hp_X]/41mLStrychnos nux-vomica seed — 200 [hp_C]/41mLOrnithogalum umbellatum whole — 12 [hp_X]/41mLRancid beef — 200 [hp_C]/41mLSilicon dioxide — 12 [hp_X]/41mL
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)Calcium (Chemical structure)Divalent (Chemical structure)Cell-mediated Immunity (Physiologic effect)Increased Coagulation Factor Activity (Physiologic effect)Increased Histamine Release (Physiologic effect)Increased IgG Production (Physiologic effect)Phosphate Chelating Activity (Mechanism)Plant Proteins (Chemical structure)Seed Storage Proteins (Chemical structure)
Identifiers
Product ID 61096-1005_65b1cdb6-6730-408d-bea0-b2b7b43ee9a4SPL ID 65b1cdb6-6730-408d-bea0-b2b7b43ee9a4SPL set ID 70840ff7-75c0-44a0-9eb8-b36f13518af2UNII S7V92P67HO, E934B3V59H, 279O8I0433, 2P3VWU3H10, S003A158SB, ZW3Z11D0JV, 269XH13919, 9NS3M2Y78S, 29SUH5R3HU, ETJ7Z6XBU4UPC 0361096000511
Pharmacologic class
Blood Coagulation Factor; Non-Standardized Plant Allergenic Extract; Phosphate Binder

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

N461096100501 followed by a unit qualifier and the quantity

Package 61096-1005-01. 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: Temporarily relieves symptoms of gastric distress, including: ° nausea and food poisoning ° flatulence ° indigestion and heartburn ° stomach cramps ° natural ° gluten & lactose free ° no artificial flavors or colors ° no known negative side effects ° no known negative drug interactions

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

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