NDC codes

FDA NDC Directory
Product NDC (as listed)63083-2104Labeler and product segments. Claims need a package NDC.
Product NDC at billing width63083-2104Add 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
63083-2104-2630832104026308321040259 mL in 1 BOTTLE, DROPPER (63083-2104-2)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)
Lung Formula 2104Suffix: 2104
Generic name (nonproprietary)
lung formula
Active ingredients
Stemona tuberosa root — 1 [hp_X]/59mLGlycyrrhiza inflata root — 1 [hp_X]/59mLTrichosanthes kirilowii seed — 1 [hp_X]/59mLLaminaria japonica — 1 [hp_X]/59mLPumice — 1 [hp_X]/59mLSargassum pallidum — 1 [hp_X]/59mLImperata cylindrica root — 1 [hp_X]/59mLMorus alba leaf — 1 [hp_X]/59mLDescurainia sophia seed — 1 [hp_X]/59mLPrunus armeniaca seed — 1 [hp_X]/59mLAlpinia oxyphylla fruit — 1 [hp_X]/59mLHouttuynia cordata whole — 1 [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
Identifiers
Product ID 63083-2104_4bf7ccb5-1df8-4168-a8ce-3f101925f608SPL ID 4bf7ccb5-1df8-4168-a8ce-3f101925f608SPL set ID 7019e483-d598-402c-a04e-79441431c721UNII 7S9328671Z, 1MV1Z7MKVQ, 4P83085QFM, WE98HW412B, NT5NN5KL16, 074P18919S, VYT2JA85NH, M8YIA49Q2P, 2GYP0LIJ8Z, 75356789IW, 1QBV21VOZI, O3E12ZLW5T

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

N463083210402 followed by a unit qualifier and the quantity

Package 63083-2104-02. 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 cough, shortness of breath, wheezing, or hoarseness.*

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 63083-2104

What is NDC 63083-2104?
63083-2104 is the product NDC for Lung Formula 2104 (lung formula), Stemona tuberosa root 1 [hp_X]/59mL + 11 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?
Lung Formula 2104 (Lung Formula).
What is the active ingredient?
Stemona tuberosa root, Glycyrrhiza inflata root, Trichosanthes kirilowii seed, Laminaria japonica, Pumice, Sargassum pallidum, Imperata cylindrica root, Morus alba leaf, Descurainia sophia seed, Prunus armeniaca seed, Alpinia oxyphylla fruit, Houttuynia cordata whole.
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 Lung Formula 2104?
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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