Capsiva NDC 72522-104

NDC codes

FDA NDC Directory

Product NDC (as listed)72522-104Labeler and product segments. Claims need a package NDC.

Product NDC at billing width72522-0104Add 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
72522-104-03	72522010403	1 CONTAINER in 1 CARTON (72522-104-03) / 88.7 mL in 1 CONTAINERMarketed from May 6, 2022

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): Capsiva
Generic name (nonproprietary): capsicum annuum, arnica montana
Active ingredients: Capsicum — 1 [hp_X]/88.7mLArnica montana — 1 [hp_X]/88.7mL
Dosage form: Gel
Route: Topical
Labeler: ANESIS LIFE, LLC
Product type: Over-the-counter drug
Marketing category: Unapproved homeopathic
Marketing start: May 6, 2022
Listing expires: Dec 31, 2026
Other FDA classes: Allergens (Chemical structure)Cell-mediated Immunity (Physiologic effect)Dietary Proteins (Chemical structure)Increased Histamine Release (Physiologic effect)Plant Proteins (Chemical structure)Vegetable Proteins (Chemical structure)
Identifiers: Product ID 72522-104_08b4af19-3927-477f-e063-6294a90a5a4aSPL ID 08b4af19-3927-477f-e063-6294a90a5a4aSPL set ID de5f8ab8-941b-0fbe-e053-2a95a90a78bbUNII 00UK7646FG, O80TY208ZW
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. Topical products like this are usually dispensed by a pharmacy and billed by NDC.

NDC on a medical claim

N472522010403 followed by a unit qualifier and the quantity

Package 72522-0104-03. 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 Oct 27, 2023.

Indications (excerpt from the label)

Uses Temporarily relieves minor pain associated with: arthritis muscle back joint Claims based on traditional homeopathic practices, 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)