NDC codes

FDA NDC Directory
Product NDC (as listed)63083-2090Labeler and product segments. Claims need a package NDC.
Product NDC at billing width63083-2090Add 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
63083-2090-2630832090026308320900259 mL in 1 BOTTLE, DROPPER (63083-2090-2)Marketed from Aug 15, 1985

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)
Pain Formula II Drops 2090Suffix: 2090
Generic name (nonproprietary)
pain formula ii drops
Active ingredients
Zinc — 3 [hp_X]/59mLBryonia alba root — 5 [hp_X]/59mLStrychnos nux-vomica seed — 6 [hp_X]/59mLArsenic trioxide — 8 [hp_X]/59mLGelsemium sempervirens root — 8 [hp_X]/59mLLachesis muta venom — 8 [hp_X]/59mLLead — 12 [hp_X]/59mL
Dosage form
Liquid
Route
Oral
Labeler
Professional Complementary Health FormulasNDC labeler code 63083
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)Increased Histamine Release (Physiologic effect)Increased IgG Production (Physiologic effect)Plant Proteins (Chemical structure)Seed Storage Proteins (Chemical structure)
Identifiers
Product ID 63083-2090_419872c4-6653-4214-a95b-6840a0893c37SPL ID 419872c4-6653-4214-a95b-6840a0893c37SPL set ID b395d69b-8e6b-4ffc-9d6e-2ecd503aa177UNII J41CSQ7QDS, T7J046YI2B, 269XH13919, S7V92P67HO, 639KR60Q1Q, VSW71SS07I, 2P299V784P
Pharmacologic class
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

N463083209002 followed by a unit qualifier and the quantity

Package 63083-2090-02. 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 minor aches or pain, particularly when improved without touch, massage, or pressure.*

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 63083-2090

What is NDC 63083-2090?
63083-2090 is the product NDC for Pain Formula II Drops 2090 (pain formula ii drops), Zinc 3 [hp_X]/59mL + 6 more ingredients liquid, listed with the FDA by Professional Complementary Health Formulas. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Pain Formula II Drops 2090 (Pain Formula II Drops).
What is the active ingredient?
Zinc, Bryonia alba root, Strychnos nux-vomica seed, Arsenic trioxide, Gelsemium sempervirens root, Lachesis muta venom, Lead.
Who is the labeler?
Professional Complementary Health Formulas, NDC labeler code 63083. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Pain Formula II Drops 2090?
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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