NDC codes

FDA NDC Directory
Product NDC (as listed)75053-0010Labeler and product segments. Claims need a package NDC.
Product NDC at billing width75053-0010Add 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
75053-0010-175053001001118 mL in 1 BOTTLE, DROPPER (75053-0010-1)Marketed from May 11, 2021

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)
Hypothaltem
Generic name (nonproprietary)
eupatorium perfoliatum, berberis vulgaris, mentha pulegium, moschus, benzinum, sepia, baryta carbonica, glandula suprarenalis suis, hypophysis suis, hypothalamus suis, thyroidinum (suis), pyridoxinum hydrochloricum, gelsemium sempervirens, natrum carbonicum, nux vomica, staphysagria
Active ingredients
Eupatorium perfoliatum flowering top — 6 [hp_X]/mLBerberis vulgaris root bark — 9 [hp_X]/mLMentha pulegium whole — 9 [hp_X]/mLMoschus moschiferus musk sac resin — 9 [hp_X]/mLBenzene — 9 [hp_X]/mLSepia officinalis juice — 9 [hp_X]/mLBarium carbonate — 12 [hp_X]/mLSus scrofa adrenal gland — 7 [hp_C]/mLSus scrofa pituitary gland — 7 [hp_C]/mLSus scrofa hypothalamus — 7 [hp_C]/mLThyroid, Unspecified — 7 [hp_C]/mLPyridoxine hydrochloride — 12 [hp_C]/mLGelsemium sempervirens root — 30 [hp_C]/mLSodium carbonate — 30 [hp_C]/mLStrychnos nux-vomica seed — 30 [hp_C]/mLDelphinium staphisagria seed — 30 [hp_C]/mL
Dosage form
Liquid
Route
Oral
Product type
Over-the-counter drug
Marketing category
Unapproved homeopathic
Marketing start
Listing expires
Other FDA classes
Allergens (Chemical structure)Analogs/Derivatives (Chemical/Ingredient)Cell-mediated Immunity (Physiologic effect)Increased Histamine Release (Physiologic effect)Increased IgG Production (Physiologic effect)Plant Proteins (Chemical structure)Seed Storage Proteins (Chemical structure)Vitamin B 6 (Chemical/Ingredient)
Identifiers
Product ID 75053-0010_4e326cd0-c586-4d82-80ef-0ae5dd294dccSPL ID 4e326cd0-c586-4d82-80ef-0ae5dd294dccSPL set ID b95050f2-f40d-4e84-8752-4d7ad75390c9UNII 1W0775VX6E, 1TH8Q20J0U, 5Q6Y7K4846, 8KFK4W7KP7, J64922108F, QDL83WN8C2, 6P669D8HQ8, 398IYQ16YV, L0PFEMQ1DT, N6R0856Z79, 0B4FDL9I6P, 68Y4CF58BV, 639KR60Q1Q, 45P3261C7T, 269XH13919, 00543AP1JV
Pharmacologic class
Non-Standardized Plant Allergenic Extract; Vitamin B6 Analog

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

N475053001001 followed by a unit qualifier and the quantity

Package 75053-0010-01. 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: Temporarily helps alleviate symptoms of hormone imbalance.* *These “uses” have not been evaluated by the Food and Drug Administration.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

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