INTESTINE Formula NDC 63479-2508

NDC codes

FDA NDC Directory

Product NDC (as listed)63479-2508Labeler and product segments. Claims need a package NDC.

Product NDC at billing width63479-2508Add 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 NDC	11-digit (billing)	Package	Copy
63479-2508-1	63479250801	30 mL in 1 BOTTLE, GLASS (63479-2508-1)Marketed from Mar 22, 2022

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): INTESTINE Formula
Generic name (nonproprietary): adenosine triphosphate, ammonium muriaticum, baptisia tinctoria, colchicum autumnale, juniperus communis, levothyroxine, podophyllinum, rhus toxicodendron
Active ingredients: Ammonium chloride — 5 [hp_C]/mLJuniper berry — 7 [hp_C]/mLBaptisia tinctoria root — 4 [hp_C]/mLToxicodendron pubescens leaf — 7 [hp_C]/mLAdenosine triphosphate — 5 [hp_X]/mLPodophyllum resin — 5 [hp_C]/mLColchicum autumnale bulb — 7 [hp_C]/mLLevothyroxine — 4 [hp_C]/mL
Dosage form: Solution/ drops
Route: Sublingual
Labeler: Apex Energetics Inc.
Product type: Over-the-counter drug
Marketing category: Unapproved homeopathic
Marketing start: Mar 22, 2022
Listing expires: Dec 31, 2026
Other FDA classes: Allergens (Chemical structure)Cell-mediated Immunity (Physiologic effect)Dietary Proteins (Chemical structure)Food Additives (Chemical structure)Increased Histamine Release (Physiologic effect)Plant Proteins (Chemical structure)Thyroxine (Chemical structure)
Identifiers: Product ID 63479-2508_0e775b4a-84f3-ff58-e063-6394a90a64f7SPL ID 0e775b4a-84f3-ff58-e063-6394a90a64f7SPL set ID d8c79ed5-6973-9b52-e053-2995a90ad740UNII 01Q9PC255D, O84B5194RL, 5EF0HWI5WU, 6IO182RP7A, 8L70Q75FXE, 16902YVY2B, 993QHL78E6, Q51BO43MG4
Pharmacologic class: Non-Standardized Food Allergenic Extract; Non-Standardized Plant Allergenic Extract; l-Thyroxine

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

N463479250801 followed by a unit qualifier and the quantity

Package 63479-2508-01. 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

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