NDC codes

FDA NDC Directory
Product NDC (as listed)83027-0103Labeler and product segments. Claims need a package NDC.
Product NDC at billing width83027-0103Add 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
83027-0103-18302701030160 mL in 1 BOTTLE, SPRAY (83027-0103-1)Marketed from Nov 20, 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)
Pain Formula
Generic name (nonproprietary)
salix alba, ascorbicum acidum, vitamin a, vitamin e, acetylsalicylicum acidum
Active ingredients
Salix alba bark — 4 [hp_X]/mLAscorbic acid — 6 [hp_X]/mLVitamin a — 6 [hp_X]/mL.alpha.-tocopherol — 6 [hp_X]/mLAspirin — 6 [hp_X]/mL
Dosage form
Spray
Route
Oral
Product type
Over-the-counter drug
Marketing category
Unapproved homeopathic
Marketing start
Listing expires
Other FDA classes
Non-Steroidal (Chemical structure)Ascorbic Acid (Chemical structure)Cyclooxygenase Inhibitors (Mechanism)Decreased Platelet Aggregation (Physiologic effect)Decreased Prostaglandin Production (Physiologic effect)Vitamin A (Chemical structure)
Identifiers
Product ID 83027-0103_ea5be260-d197-423c-9e0c-7f118e419b38SPL ID ea5be260-d197-423c-9e0c-7f118e419b38SPL set ID 0cc0d205-83c2-4205-a93c-6a8ba55956d4UNII 205MXS71H7, PQ6CK8PD0R, 81G40H8B0T, H4N855PNZ1, R16CO5Y76EUPC 0649818030467
Pharmacologic class
Nonsteroidal Anti-inflammatory Drug; Platelet Aggregation Inhibitor; Vitamin A; Vitamin C

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

N483027010301 followed by a unit qualifier and the quantity

Package 83027-0103-01. 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)

INDICATIONS: Aids in temporary relief of minor aches and pains of muscles and joints† †Claims based on traditional homeopathic practice, not accepted medical evidence. Not FDA evaluated.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

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