NDC codes

FDA NDC Directory
Product NDC (as listed)61096-2004Labeler and product segments. Claims need a package NDC.
Product NDC at billing width61096-2004Add 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
61096-2004-1610962004011 BOTTLE, SPRAY in 1 CARTON (61096-2004-1) / 41 mL in 1 BOTTLE, SPRAYMarketed from Feb 16, 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)
Diet Power
Generic name (nonproprietary)
apis mellifica, boldo, fucus vesiculosus, galium aparine, gambogia, hamamelis virginiana, hepar suis, histaminum hydrochloricum, pancreas suis, thuja occidentalis
Active ingredients
Apis mellifera — 6 [hp_X]/mLPeumus boldus leaf — 4 [hp_X]/mLFucus vesiculosus — 4 [hp_X]/mLGalium aparine whole — 4 [hp_X]/mLGamboge — 12 [hp_X]/mLHamamelis virginiana root bark/stem bark — 4 [hp_X]/mLPork liver — 12 [hp_X]/mLHistamine dihydrochloride — 200 [hp_C]/mLSus scrofa pancreas — 12 [hp_X]/mLThuja occidentalis leafy twig — 6 [hp_X]/mL
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)Bee Venoms (Chemical structure)Cell-mediated Immunity (Physiologic effect)Increased Histamine Release (Physiologic effect)Increased IgG Production (Physiologic effect)
Identifiers
Product ID 61096-2004_faa617b5-a27a-44f3-8de2-35efbc54f195SPL ID faa617b5-a27a-44f3-8de2-35efbc54f195SPL set ID b607827c-07d1-4ec6-be94-5c25aecc12b3UNII 7S82P3R43Z, Q4EWM09M3O, 535G2ABX9M, Z4B6561488, 7556HJ7587, T7S323PKJS, 6EC706HI7F, 3POA0Q644U, 9Y3J3362RY, 1NT28V9397UPC 0361096000412
Pharmacologic class
Standardized Insect Venom Allergenic Extract

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

N461096200401 followed by a unit qualifier and the quantity

Package 61096-2004-01. 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 the common symptoms of a reducing diet, including: ° excessive appetite ° food cravings ° low energy ° water retention ° 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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