Over-the-counter drug · UNAPPROVED DRUG OTHER
Emetrol Children Mixed Berry (phosphorated carbohydrate) NDC 65197-202
Dextrose 1.87 g/5mL + 2 more ingredients · Solution · Oral · WellSpring Pharmaceutical Corporation
NDC codes
FDA NDC Directory| Package NDC | 11-digit (billing) | Package | Copy |
|---|---|---|---|
| 65197-202-14 | 65197020214 | 1 BOTTLE in 1 CARTON (65197-202-14) / 118 mL in 1 BOTTLEMarketed from Jun 1, 2023 |
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)
- Emetrol Children Mixed Berry
- Generic name (nonproprietary)
- phosphorated carbohydrate
- Active ingredients
- Dextrose — 1.87 g/5mLPhosphoric acid — 21.5 mg/5mLFructose — 1.87 g/5mL
- Dosage form
- Solution
- Route
- Oral
- Product type
- Over-the-counter drug
- Marketing category
- Unapproved drug (other)
- Marketing start
- Listing expires
- Identifiers
- Product ID 65197-202_d54d95d2-c8a8-4eab-b966-5d24d2efde4aSPL ID d54d95d2-c8a8-4eab-b966-5d24d2efde4aSPL set ID ecff699b-d4d8-4407-8119-3e9a1100024aRxCUI 318146, 809602UNII IY9XDZ35W2, E4GA8884NN, 6YSS42VSEV
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
N465197020214followed by a unit qualifier and the quantityPackage 65197-0202-14. 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 relief of upset stomach associated with nausea
Excerpt only. Read the full label for complete information.