NDC codes

FDA NDC Directory
Product NDC (as listed)63083-4045Labeler and product segments. Claims need a package NDC.
Product NDC at billing width63083-4045Add 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
63083-4045-26308340450259 mL in 1 BOTTLE, DROPPER (63083-4045-2)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)
Mycocan 500X 4045Suffix: 4045
Generic name (nonproprietary)
mycocan 500x
Active ingredients
Candida albicans — 500 [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)Fungal Proteins (Chemical structure)Increased Histamine Release (Physiologic effect)Increased IgG Production (Physiologic effect)
Identifiers
Product ID 63083-4045_98744297-6f7b-4abc-af70-527041e4547bSPL ID 98744297-6f7b-4abc-af70-527041e4547bSPL set ID b3889406-0d98-4c0e-bb9a-1b4f18248c01UNII 4D7G21HDBC
Pharmacologic class
Non-Standardized Fungal 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

N463083404502 followed by a unit qualifier and the quantity

Package 63083-4045-02. 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 fatigue, bloating, constipation or diarrhea, difficulty concentrating or lack of focus, minor skin rash, irritability, seasonal allergies, or sugar or carbohydrate cravings.*

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

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