NDC codes

FDA NDC Directory
Product NDC (as listed)63083-2124Labeler and product segments. Claims need a package NDC.
Product NDC at billing width63083-2124Add 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
63083-2124-26308321240259 mL in 1 BOTTLE, DROPPER (63083-2124-2)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)
PMS Drops 2124Suffix: 2124
Generic name (nonproprietary)
pms drops
Active ingredients
Chaste tree fruit — 3 [hp_X]/59mLCaulophyllum thalictroides root — 6 [hp_X]/59mLBlack cohosh — 6 [hp_X]/59mLMagnesium phosphate, Dibasic trihydrate — 6 [hp_X]/59mLBos taurus pituitary gland, Posterior — 6 [hp_X]/59mLPulsatilla montana whole — 6 [hp_X]/59mLSepia officinalis juice — 6 [hp_X]/59mLSpongia officinalis skeleton, Roasted — 6 [hp_X]/59mLThyroid, Unspecified — 6 [hp_X]/59mLViburnum opulus bark — 6 [hp_X]/59mLLachesis muta venom — 15 [hp_X]/59mLEstrogens, Conjugated — 30 [hp_X]/59mLProgesterone — 30 [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
Estrogen Receptor Agonists (Mechanism)Conjugated (USP) (Chemical structure)Increased Large Intestinal Motility (Physiologic effect)Inhibition Large Intestine Fluid/Electrolyte Absorption (Physiologic effect)Inhibition Small Intestine Fluid/Electrolyte Absorption (Physiologic effect)Magnesium Ion Exchange Activity (Mechanism)Osmotic Activity (Mechanism)Progesterone (Chemical structure)Stimulation Large Intestine Fluid/Electrolyte Secretion (Physiologic effect)
Identifiers
Product ID 63083-2124_28db45aa-e10e-423d-8c50-0eca2bfeb3ffSPL ID 28db45aa-e10e-423d-8c50-0eca2bfeb3ffSPL set ID d05bfbbe-d19d-4fd5-8679-bf17d0b61840UNII 433OSF3U8A, JTJ6HH6YEH, K73E24S6X9, HF539G9L3Q, 7JM57I419K, 24K790T39B, QDL83WN8C2, 1PIP394IID, 0B4FDL9I6P, T1UG6H6805, VSW71SS07I, IU5QR144QX, 4G7DS2Q64Y
Pharmacologic class
Calculi Dissolution Agent; Estrogen; Osmotic Laxative; Progesterone

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

N463083212402 followed by a unit qualifier and the quantity

Package 63083-2124-02. 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 cramping, lower abdominal or back pain, irritability, fatigue, or debility associated with pre-menstrual syndrome.*

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

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