NDC codes

FDA NDC Directory
Product NDC (as listed)61096-2006Labeler and product segments. Claims need a package NDC.
Product NDC at billing width61096-2006Add 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
61096-2006-1610962006011 BOTTLE, SPRAY in 1 CARTON (61096-2006-1) / 41 mL in 1 BOTTLE, SPRAYMarketed from Mar 25, 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)
Sprayology Stress Relief
Generic name (nonproprietary)
agnus, avena, cinchona, humulus, hyoscyamus, ignatia, passiflora, valeriana
Active ingredients
Chaste tree — 6 [hp_X]/41mLAvena sativa flowering top — 4 [hp_X]/41mLCinchona officinalis bark — 6 [hp_X]/41mLHops — 4 [hp_X]/41mLHyoscyamus niger — 200 [hp_C]/41mLStrychnos ignatii seed — 200 [hp_C]/41mLPassiflora incarnata flowering top — 4 [hp_X]/41mLValerian — 4 [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)Cell-mediated Immunity (Physiologic effect)Dietary Proteins (Chemical structure)Food Additives (Chemical structure)Increased Histamine Release (Physiologic effect)Plant Proteins (Chemical structure)
Identifiers
Product ID 61096-2006_5bf20a27-aa30-4f9d-874a-c0b2443377f0SPL ID 5bf20a27-aa30-4f9d-874a-c0b2443377f0SPL set ID 8239cbfb-256c-4bd2-9833-ab888aa3bb13UNII 433OSF3U8A, MA9CQJ3F7F, S003A158SB, 01G73H6H83, 4WRK2153H3, 1NM3M2487K, CLF5YFS11O, JWF5YAW3QWUPC 0361096000610
Pharmacologic class
Non-Standardized Food Allergenic Extract; Non-Standardized Plant 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

N461096200601 followed by a unit qualifier and the quantity

Package 61096-2006-01. 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 feelings of stress, including: ° anxiety ° nervousness ° mood swings ° irritability ° 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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