NDC codes

FDA NDC Directory
Product NDC (as listed)63479-0104Labeler and product segments. Claims need a package NDC.
Product NDC at billing width63479-0104Add 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
63479-0104-16347901040130 mL in 1 BOTTLE, GLASS (63479-0104-1)Marketed from Dec 15, 1994

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)
A04 Deep AntitoxSuffix: DEEP ANTITOX
Generic name (nonproprietary)
allium cepa, allium sativum, aloe socotrina, arsenicum iodatum, asterias rubens, baptisia tinctoria, calcarea iodata, candida albicans, carbo vegetabilis, chelidonium majus, cina, cinchona officinalis, colchicum autumnale, echinacea angustifolia, echinacea purpurea, indolum, lac vaccinum, lacticum acidum, millefolium, saccharum officinale, sarcolacticum acidum, scrophularia nodosa, skatolum, solidago virgaurea, sulphur, uricum acidum
Active ingredients
Onion — 1 [hp_X]/mLEchinacea angustifolia whole — 1 [hp_X]/mLSucrose — 200 [hp_X]/mLScrophularia nodosa — 30 [hp_X]/mLCandida albicans — 200 [hp_X]/mLCalcium iodide — 30 [hp_X]/mLActivated charcoal — 12 [hp_X]/mLChelidonium majus — 30 [hp_X]/mLArtemisia cina pre-flowering top — 3 [hp_X]/mLColchicum autumnale bulb — 30 [hp_X]/mLEchinacea purpurea — 1 [hp_X]/mLAchillea millefolium — 1 [hp_X]/mLCow milk — 200 [hp_X]/mLSulfur — 12 [hp_X]/mLUric acid — 15 [hp_X]/mLCinchona officinalis bark — 3 [hp_X]/mLBaptisia tinctoria root — 15 [hp_X]/mLSolidago virgaurea flowering top — 1 [hp_X]/mLGarlic — 1 [hp_X]/mLAloe — 15 [hp_X]/mLArsenic triiodide — 15 [hp_X]/mLAsterias rubens — 8 [hp_X]/mLIndole — 30 [hp_X]/mLLactic acid, Dl- — 200 [hp_X]/mLLactic acid, L- — 200 [hp_X]/mLSkatole — 30 [hp_X]/mL
Dosage form
Solution/ drops
Route
Sublingual
Product type
Over-the-counter drug
Marketing category
Unapproved homeopathic
Marketing start
Listing expires
Other FDA classes
Allergens (Chemical structure)Allergens (Chemical structure)Allergens (Chemical structure)Allergens (Chemical structure)Calcium (Chemical structure)Divalent (Chemical structure)Cell-mediated Immunity (Physiologic effect)Cell-mediated Immunity (Physiologic effect)Cell-mediated Immunity (Physiologic effect)Cell-mediated Immunity (Physiologic effect)Dietary Proteins (Chemical structure)Dietary Proteins (Chemical structure)Dietary Proteins (Chemical structure)Fungal Proteins (Chemical structure)Increased Coagulation Factor Activity (Physiologic effect)Increased Histamine Release (Physiologic effect)Increased Histamine Release (Physiologic effect)Increased Histamine Release (Physiologic effect)Increased Histamine Release (Physiologic effect)Increased IgG Production (Physiologic effect)Milk Proteins (Chemical structure)Phosphate Chelating Activity (Mechanism)Plant Proteins (Chemical structure)Vegetable Proteins (Chemical structure)
Identifiers
Product ID 63479-0104_0e765c65-dfe7-b0fa-e063-6294a90a4b51SPL ID 0e765c65-dfe7-b0fa-e063-6294a90a4b51SPL set ID b9bbbddf-b822-4780-e053-2a95a90afbbaUNII 492225Q21H, VB06AV5US8, C151H8M554, 7H443NUB2T, 4D7G21HDBC, 8EKI9QEE2H, 2P3VWU3H10, 7E889U5RNN, 28M1820ACT, 993QHL78E6, QI7G114Y98, 2FXJ6SW4PK, 917J3173FT, 70FD1KFU70, 268B43MJ25, S003A158SB, 5EF0HWI5WU, 5405K23S50, V1V998DC17, V5VD430YW9, 3029988O2T, A7FYY9Q742, 8724FJW4M5, 3B8D35Y7S4, F9S9FFU82N, 9W945B5H7R
Pharmacologic class
Blood Coagulation Factor; Non-Standardized Food Allergenic Extract; Non-Standardized Fungal Allergenic Extract; Phosphate Binder

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. Sublingual products like this are usually dispensed by a pharmacy and billed by NDC.

NDC on a medical claim

N463479010401 followed by a unit qualifier and the quantity

Package 63479-0104-01. 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)

Uses: For temporary relief of minor: intestinal discomfort* headaches* muscle aches* coughing* skin itching* flatulence* constipation* *Claims based on traditional homeopathic practice, not accepted medical evidence. Not FDA evaluated.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

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