NDC codes

FDA NDC Directory
Product NDC (as listed)61657-0904Labeler and product segments. Claims need a package NDC.
Product NDC at billing width61657-0904Add 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
61657-0904-1616570904016165709040130 mL in 1 BOTTLE, DROPPER (61657-0904-1)Marketed from Jul 1, 2011

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)
Surgery/Trauma
Generic name (nonproprietary)
hypericum,arnica,symphytum officinale, bellis perennis, staphysagria
Active ingredients
St. John's wort — 30 [hp_X]/30mLArnica montana flower — 200 [hp_X]/30mLComfrey root — 6 [hp_X]/30mLBellis perennis — 12 [hp_X]/30mLDelphinium staphisagria seed — 12 [hp_X]/30mL
Dosage form
Liquid
Route
Oral
Labeler
White Manufacturing Inc. DBA Micro-WestNDC labeler code 61657
Product type
Over-the-counter drug
Marketing category
Unapproved homeopathic
Marketing start
Listing expires
Identifiers
Product ID 61657-0904_b9705c08-0b3b-234c-e053-2995a90a4321SPL ID b9705c08-0b3b-234c-e053-2995a90a4321SPL set ID 57f18132-d1cb-4d61-a6cd-aac92418d4a2UNII UFH8805FKA, OZ0E5Y15PZ, M9VVZ08EKQ, 2HU33I03UY, 00543AP1JV

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

N461657090401 followed by a unit qualifier and the quantity

Package 61657-0904-01. 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 FOR THE TEMPORARY RELIEF OF SWELLING, INFLAMMATION AND PAIN DUE TO TRAUMA OR SURGERY

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 61657-0904

What is NDC 61657-0904?
61657-0904 is the product NDC for Surgery/Trauma, St. John's wort 30 [hp_X]/30mL + 4 more ingredients liquid, listed with the FDA by White Manufacturing Inc. DBA Micro-West. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Surgery/Trauma (Hypericum,Arnica,Symphytum officinale, Bellis perennis, Staphysagria).
What is the active ingredient?
St. John's wort, Arnica montana flower, Comfrey root, Bellis perennis, Delphinium staphisagria seed.
Who is the labeler?
White Manufacturing Inc. DBA Micro-West, NDC labeler code 61657. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Surgery/Trauma?
None: this is the only finished product listed under this name.
Is there a related HCPCS / J-code?
Not in Med-Code's curated HCPCS directory. See Billing references above.

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