NDC codes

FDA NDC Directory
Product NDC (as listed)63083-9315Labeler and product segments. Claims need a package NDC.
Product NDC at billing width63083-9315Add 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
63083-9315-16308393150129.5 mL in 1 BOTTLE, DROPPER (63083-9315-1)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)
Simple Chlorinated Combination 9315Suffix: 9315
Generic name (nonproprietary)
simple chlorinated combination
Active ingredients
Black cohosh — 3 [hp_X]/29.5mLGelsemium sempervirens root — 3 [hp_X]/29.5mLStrychnos nux-vomica seed — 6 [hp_X]/29.5mLBerberis vulgaris root bark — 10 [hp_X]/29.5mLChelidonium majus whole — 10 [hp_X]/29.5mLCarbon tetrachloride — 12 [hp_X]/29.5mLChlorine — 12 [hp_X]/29.5mLChloroform — 12 [hp_X]/29.5mLEthylene — 12 [hp_X]/29.5mLBis(2,4-dichlorobenzoyl) peroxide — 14 [hp_X]/29.5mLHexachlorophene — 14 [hp_X]/29.5mLTrichloroethylene — 14 [hp_X]/29.5mL
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)Increased Histamine Release (Physiologic effect)Increased IgG Production (Physiologic effect)Plant Proteins (Chemical structure)Seed Storage Proteins (Chemical structure)
Identifiers
Product ID 63083-9315_bb7f067a-f505-405a-936e-89b11a60e36eSPL ID bb7f067a-f505-405a-936e-89b11a60e36eSPL set ID c1ab9a34-8a22-4840-ab8b-ef666dca155aUNII K73E24S6X9, 639KR60Q1Q, 269XH13919, 1TH8Q20J0U, 7E889U5RNN, CL2T97X0V0, 4R7X1O2820, 7V31YC746X, 91GW059KN7, 0QC93Y0L96, IWW5FV6NK2, 290YE8AR51
Pharmacologic class
Antiseptic; Non-Standardized Plant 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

N463083931501 followed by a unit qualifier and the quantity

Package 63083-9315-01. 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, sneezing, runny nose, occasional headache, nausea, or weakness.*

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

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