Over-the-counter drug · UNAPPROVED HOMEOPATHIC
Formula 3 Cough Syrup (cough syrup) NDC 64616-072
Pelargonium sidoides root 1 [hp_X]/mL + 2 more ingredients · Liquid · Oral · Vitality Works, Inc.
NDC codes
FDA NDC Directory| Package NDC | 11-digit (billing) | Package | Copy |
|---|---|---|---|
| 64616-072-01 | 64616007201 | 118 mL in 1 BOTTLE (64616-072-01)Marketed from Jul 7, 2010 |
How the 11-digit form is made: The product segment has 3 digits, so one leading zero is added to it (5-3-2 → 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)
- Formula 3 Cough Syrup
- Generic name (nonproprietary)
- cough syrup
- Active ingredients
- Pelargonium sidoides root — 1 [hp_X]/mLPrunus serotina bark — 1 [hp_X]/mLSambucus nigra flower — 1 [hp_X]/mL
- Dosage form
- Liquid
- Route
- Oral
- Labeler
- Vitality Works, Inc.
- Product type
- Over-the-counter drug
- Marketing category
- Unapproved homeopathic
- Marketing start
- Listing expires
- Identifiers
- Product ID 64616-072_462f5bc0-eea2-2be8-e063-6294a90a958dSPL ID 462f5bc0-eea2-2be8-e063-6294a90a958dSPL set ID 199bbe91-ebfe-45fa-acba-62b35c7e6fbaUNII H6J53HEX8E, 5D48E975HA, 07V4DX094TUPC 0608274109506
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
N464616007201followed by a unit qualifier and the quantityPackage 64616-0072-01. 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)
Formula 3 Cough Syrup Temprarily relieves symptoms of cough including dryness and minor throat and bronchial irritation associated with the common cold.
Excerpt only. Read the full label for complete information.