NDC codes

FDA NDC Directory
Product NDC (as listed)83027-0022Labeler and product segments. Claims need a package NDC.
Product NDC at billing width83027-0022Add 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
83027-0022-18302700220160 mL in 1 BOTTLE, SPRAY (83027-0022-1)Marketed from Mar 13, 2023

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)
Fatigue Formula
Generic name (nonproprietary)
medulla ossis suis, spleen (bovine), thymus (bovine), carcinosin, cytomegalovirus nosode, influenzinum (2022-2023), streptococcus viridans, toxoplasma gondii, epstein-bar virus nosode
Active ingredients
Sus scrofa bone marrow — 6 [hp_X]/mLBos taurus spleen — 6 [hp_X]/mLBos taurus thymus — 6 [hp_X]/mLHuman breast tumor cell — 16 [hp_X]/mLHuman herpesvirus 5 — 16 [hp_X]/mLInfluenza a virus a/victoria/2570/2019 ivr-215 (H1n1) antigen (Uv, Formaldehyde inactivated) — 16 [hp_X]/mLInfluenza a virus a/darwin/9/2021 ivr-228 (H3n2) antigen (Uv, Formaldehyde inactivated) — 16 [hp_X]/mLInfluenza b virus b/austria/1359417/2021 bvr-26 antigen (Uv, Formaldehyde inactivated) — 16 [hp_X]/mLInfluenza b virus b/phuket/3073/2013 antigen (Uv, Formaldehyde inactivated) — 16 [hp_X]/mLStreptococcus viridans group — 16 [hp_X]/mLToxoplasma gondii — 16 [hp_X]/mLHuman herpesvirus 4 — 16 [hp_C]/mL
Dosage form
Spray
Route
Oral
Product type
Over-the-counter drug
Marketing category
Unapproved homeopathic
Marketing start
Marketing end
Identifiers
Product ID 83027-0022_59857a8f-c5a9-4c50-9fab-a9b643958df6SPL ID 59857a8f-c5a9-4c50-9fab-a9b643958df6SPL set ID eaec858d-6a86-403a-b07b-62d7bd4fca4aUNII VP2CN2G7Y8, 190Q9MB3U3, 8XEJ88V2T8, C62OO7VD9K, 7COI029E6K, 34C49NV47P, P483J7GX6D, TBV2PPG6EF, H2198F8ZNA, NNV2379HKR, BMV90JF469, 2A26YW7PNXUPC 0649818030214

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

N483027002201 followed by a unit qualifier and the quantity

Package 83027-0022-01. 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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