NDC codes

FDA NDC Directory
Product NDC (as listed)76472-1132Labeler and product segments. Claims need a package NDC.
Product NDC at billing width76472-1132Add 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
76472-1132-17647211320180 PELLET in 1 CYLINDER (76472-1132-1)Marketed from Nov 30, 2011

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)
Arsenicum Album 30c
Generic name (nonproprietary)
arsenic trioxide
Active ingredients
Arsenic trioxide — 30 [hp_C]/1
Dosage form
Pellet
Route
Sublingual
Labeler
SEVENE USA
Product type
Over-the-counter drug
Marketing category
Unapproved homeopathic
Marketing start
Listing expires
Identifiers
Product ID 76472-1132_0fa4bb41-2efc-176d-e063-6394a90a226dSPL ID 0fa4bb41-2efc-176d-e063-6394a90a226dSPL set ID 97e7b573-bdc0-4b04-bf24-a24a037cdd19UNII S7V92P67HOUPC 0855717003208

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. Sublingual products like this are usually dispensed by a pharmacy and billed by NDC.

NDC on a medical claim

N476472113201 followed by a unit qualifier and the quantity

Package 76472-1132-01. 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)

USE Condition listed above or as directed by a physician.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

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