NDC codes

FDA NDC Directory
Product NDC (as listed)63083-2121Labeler and product segments. Claims need a package NDC.
Product NDC at billing width63083-2121Add 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
63083-2121-26308321210259 mL in 1 BOTTLE, DROPPER (63083-2121-2)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)
Distress Drops 2121Suffix: 2121
Generic name (nonproprietary)
distress drops
Active ingredients
Avena sativa flowering top — 1 [hp_X]/59mLFerula assa-foetida resin — 3 [hp_X]/59mLDicentra canadensis root — 3 [hp_X]/59mLHyoscyamus niger — 3 [hp_X]/59mLFerula sumbul root — 6 [hp_X]/59mLValerian — 3 [hp_X]/59mLCicuta virosa whole — 4 [hp_X]/59mLStrychnos ignatii seed — 4 [hp_X]/59mLGaultheria procumbens top — 4 [hp_X]/59mLDelphinium staphisagria seed — 4 [hp_X]/59mL
Dosage form
Liquid
Route
Oral
Product type
Over-the-counter drug
Marketing category
Unapproved homeopathic
Marketing start
Listing expires
Identifiers
Product ID 63083-2121_2aaef7a8-fe3f-42ab-9f8a-f125b590014bSPL ID 2aaef7a8-fe3f-42ab-9f8a-f125b590014bSPL set ID 901dfa0f-343b-4385-8b25-7e41a1a7cd1dUNII MA9CQJ3F7F, W9FZA51AS1, Y5JS7YM46F, 4WRK2153H3, GLA4808EHQ, JWF5YAW3QW, 3E698BL84C, 1NM3M2487K, 830295X963, 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

N463083212102 followed by a unit qualifier and the quantity

Package 63083-2121-02. 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 feeling distressed or a tendency towards overreaction.*

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

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