NDC codes

FDA NDC Directory
Product NDC (as listed)61626-0109Labeler and product segments. Claims need a package NDC.
Product NDC at billing width61626-0109Add 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
61626-0109-46162601090459.1 mL in 1 BOTTLE (61626-0109-4)Marketed from Dec 4, 2018

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)
Allergy
Generic name (nonproprietary)
allium sat, anacardium, apis mel, gambogia, merc solub, nat carb, nitricum ac, nux vom, phosphorus, pulsatilla, sulphur
Active ingredients
Garlic — 12 [hp_X]/59.1mLAnacardium occidentale fruit — 12 [hp_X]/59.1mLApis mellifera — 12 [hp_X]/59.1mLGamboge — 12 [hp_X]/59.1mLMercurius solubilis — 12 [hp_X]/59.1mLSodium carbonate — 12 [hp_X]/59.1mLNitric acid — 12 [hp_X]/59.1mLStrychnos nux-vomica seed — 12 [hp_X]/59.1mLPhosphorus — 12 [hp_X]/59.1mLAnemone pulsatilla — 12 [hp_X]/59.1mLSulfur — 12 [hp_X]/59.1mL
Dosage form
Liquid
Route
Oral
Product type
Prescription drug
Marketing category
Unapproved homeopathic
Marketing start
Listing expires
Other FDA classes
Allergens (Chemical structure)Allergens (Chemical structure)Allergens (Chemical structure)Bee Venoms (Chemical structure)Cell-mediated Immunity (Physiologic effect)Cell-mediated Immunity (Physiologic effect)Cell-mediated Immunity (Physiologic effect)Dietary Proteins (Chemical structure)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)Plant Proteins (Chemical structure)Plant Proteins (Chemical structure)Seed Storage Proteins (Chemical structure)
Identifiers
Product ID 61626-0109_b96aea12-116c-582d-e053-2a95a90a9525SPL ID b96aea12-116c-582d-e053-2a95a90a9525SPL set ID 0b7129bf-c0de-496c-81f5-286d5ce8d82cUNII V1V998DC17, 4A10JR4E7E, 7S82P3R43Z, 7556HJ7587, 324Y4038G2, 45P3261C7T, 411VRN1TV4, 269XH13919, 27YLU75U4W, I76KB35JEV, 70FD1KFU70
Pharmacologic class
Non-Standardized Food Allergenic Extract; Non-Standardized Plant Allergenic Extract; 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

N461626010904 followed by a unit qualifier and the quantity

Package 61626-0109-04. 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 FOR USE: For the temporary relief of allergic reactions from environmental agents, slight errors in diet or certain foods causing symptoms of sensitivity, mood changes, headaches, tiredness, sinus congestion, itchy or burning eyes, dyspepsia, bloating, gas, sensitivity in lower right abdominal area.**

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

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