NDC codes

FDA NDC Directory
Product NDC (as listed)76472-3012Labeler and product segments. Claims need a package NDC.
Product NDC at billing width76472-3012Add 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
76472-3012-17647230120180 PELLET in 1 CYLINDER (76472-3012-1)Marketed from Nov 24, 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)
Chamomilla 200ckSuffix: 200ck
Generic name (nonproprietary)
matricaria recutita
Active ingredients
Matricaria recutita — 200 [kp_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 76472-3012_2ddc3214-553a-dc02-e063-6394a90a0464SPL ID 2ddc3214-553a-dc02-e063-6394a90a0464SPL set ID c8d5b230-9ef9-d1f4-e053-2995a90ac0e6UNII G0R4UBI2ZZUPC 0850022941313

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

N476472301201 followed by a unit qualifier and the quantity

Package 76472-3012-01. 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

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