NDC codes

FDA NDC Directory
Product NDC (as listed)63083-2111Labeler and product segments. Claims need a package NDC.
Product NDC at billing width63083-2111Add 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
63083-2111-26308321110259 mL in 1 BOTTLE, DROPPER (63083-2111-2)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)
Mood Disorders Formula 2111Suffix: 2111
Generic name (nonproprietary)
mood disorders formula
Active ingredients
Papaya — 1 [hp_X]/59mLNardostachys chinensis root — 2 [hp_X]/59mLAloe ferox leaf — 4 [hp_X]/59mLLytta vesicatoria — 12 [hp_X]/59mL
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)Fruit Proteins (EXT)Increased Histamine Release (Physiologic effect)
Identifiers
Product ID 63083-2111_069c0495-234f-41cc-8ce0-67bed54b2135SPL ID 069c0495-234f-41cc-8ce0-67bed54b2135SPL set ID 598908b0-bf1a-48fe-8dae-8d81315ba61bUNII KU94FIY6JB, V1JV3H63MP, 0D145J8EME, 3Q034RO3BT
Pharmacologic class
Non-Standardized Food 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

N463083211102 followed by a unit qualifier and the quantity

Package 63083-2111-02. 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 mood swings, irritability, anxiousness, sadness, or racing thoughts.*

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

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