NDC codes

FDA NDC Directory
Product NDC (as listed)76277-123Labeler and product segments. Claims need a package NDC.
Product NDC at billing width76277-0123Add 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
76277-123-32762770123321 PATCH in 1 POUCH (76277-123-32) / 113.4 g in 1 PATCHMarketed from Feb 9, 2021

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)
ActivMend Pro
Generic name (nonproprietary)
arnica montana, hypericum perforatum, ledum palustre, rhus toxicodendron, ruta graveolens
Active ingredients
Hypericum perforatum — 50 [hp_M]/gLedum palustre twig — 50 [hp_M]/gArnica montana — 50 [hp_M]/gToxicodendron pubescens leaf — 50 [hp_M]/gRuta graveolens flowering top — 50 [hp_M]/g
Dosage form
Patch
Route
Topical
Product type
Over-the-counter drug
Marketing category
Unapproved homeopathic
Marketing start
Listing expires
Identifiers
Product ID 76277-123_f1eb77a2-687c-1cc4-e053-2a95a90a8009SPL ID f1eb77a2-687c-1cc4-e053-2a95a90a8009SPL set ID baf1a1fe-dc23-d7ca-e053-2995a90ab4fbUNII XK4IUX8MNB, 877L01IZ0P, O80TY208ZW, 6IO182RP7A, N94C2U587S

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

N476277012332 followed by a unit qualifier and the quantity

Package 76277-0123-32. 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 the reduction of swelling and pain associated with joint sprains, muscle strains, shin splints, dislocations, overuse injuries, and bruising.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

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