NDC codes

FDA NDC Directory
Product NDC (as listed)69676-0012Labeler and product segments. Claims need a package NDC.
Product NDC at billing width69676-0012Add 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
69676-0012-1696760012011 BOTTLE, PLASTIC in 1 CARTON (69676-0012-1) / 60 TABLET, CHEWABLE in 1 BOTTLE, PLASTICMarketed from Mar 21, 2016
69676-0012-3696760012032 TABLET, CHEWABLE in 1 POUCH (69676-0012-3)Marketed from Oct 30, 2017 · Sample package

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)
Sleepology
Generic name (nonproprietary)
alfalfa, avena sativa, chamomilla, eschscholtzia californica, gelsemium sempervirens, nux moschata, passiflora incarnata, piper methysticum, valeriana officinalis
Active ingredients
Avena sativa flowering top — 6 [hp_X]/1Alfalfa — 6 [hp_X]/1Eschscholzia californica — 6 [hp_X]/1Passiflora incarnata flowering top — 6 [hp_X]/1Nutmeg — 9 [hp_X]/1Valerian — 6 [hp_X]/1Piper methysticum root — 6 [hp_X]/1Gelsemium sempervirens root — 12 [hp_X]/1Matricaria chamomilla whole — 6 [hp_X]/1
Dosage form
Tablet, Chewable
Route
Oral
Product type
Over-the-counter drug
Marketing category
Unapproved homeopathic
Marketing start
Listing expires
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)Seed Storage Proteins (Chemical structure)
Identifiers
Product ID 69676-0012_31cc448e-4472-22fa-e063-6294a90a360fSPL ID 31cc448e-4472-22fa-e063-6294a90a360fSPL set ID 1e11f655-374c-59ac-e054-00144ff8d46cUNII MA9CQJ3F7F, DJO934BRBD, 9315HN272X, CLF5YFS11O, AEE24M3MQ9, JWF5YAW3QW, BOW48C81XP, 639KR60Q1Q, G0R4UBI2ZZUPC 0857630006090
Pharmacologic class
Non-Standardized Food Allergenic Extract; Non-Standardized Plant Allergenic Extract

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

N469676001201 followed by a unit qualifier and the quantity

Package 69676-0012-01. 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* addresses sleeplessness and/or restless sleep.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

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