NDC codes

FDA NDC Directory
Product NDC (as listed)63479-0401Labeler and product segments. Claims need a package NDC.
Product NDC at billing width63479-0401Add 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
63479-0401-16347904010130 mL in 1 BOTTLE, GLASS (63479-0401-1)Marketed from Mar 15, 1993

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)
D01 Drainage ComplexSuffix: DRAINAGE COMPLEX
Generic name (nonproprietary)
alfalfa, allium sativum, asparagus officinalis, avena sativa, belladonna, berberis vulgaris, chelidonium majus, glycyrrhiza glabra, hydrastis canadensis, juniperus virginiana, niccolum metallicum, passiflora incarnata, sarcolacticum acidum, solidago virgaurea, taraxacum officinale
Active ingredients
Solidago virgaurea flowering top — 6 [hp_X]/mLAlfalfa — 1 [hp_X]/mLGarlic — 8 [hp_X]/mLChelidonium majus — 10 [hp_X]/mLGlycyrrhiza glabra — 1 [hp_X]/mLNickel — 12 [hp_X]/mLPassiflora incarnata flowering top — 1 [hp_X]/mLJuniperus virginiana twig — 6 [hp_X]/mLTaraxacum officinale — 6 [hp_X]/mLAvena sativa flowering top — 1 [hp_X]/mLGoldenseal — 12 [hp_X]/mLLactic acid, L- — 30 [hp_X]/mLAsparagus — 8 [hp_X]/mLAtropa belladonna — 15 [hp_X]/mLBerberis vulgaris root bark — 6 [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)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)Increased Histamine Release (Physiologic effect)Increased Histamine Release (Physiologic effect)Increased Histamine Release (Physiologic effect)Increased Histamine Release (Physiologic effect)Plant Proteins (Chemical structure)Plant Proteins (Chemical structure)Vegetable Proteins (Chemical structure)
Identifiers
Product ID 63479-0401_0e76e634-d93f-70ac-e063-6294a90a6ad3SPL ID 0e76e634-d93f-70ac-e063-6294a90a6ad3SPL set ID ba7020bf-3fc5-4fbf-e053-2995a90a70d7UNII 5405K23S50, DJO934BRBD, V1V998DC17, 7E889U5RNN, 2788Z9758H, 7OV03QG267, CLF5YFS11O, 532BCG080L, 39981FM375, MA9CQJ3F7F, ZW3Z11D0JV, F9S9FFU82N, Z1EJP3037Z, WQZ3G9PF0H, 1TH8Q20J0U
Pharmacologic class
Non-Standardized Food Allergenic Extract; Non-Standardized Plant Allergenic Extract; Standardized Chemical Allergen

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

N463479040101 followed by a unit qualifier and the quantity

Package 63479-0401-01. 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: tiredness* irritability* muscle cramps* headache* sleeplessness* restlessness* *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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