Over-the-counter drug · UNAPPROVED HOMEOPATHIC
Polyhesion Formula NDC 83027-0104
Sanguinaria canadensis root 3 [hp_X]/mL + 6 more ingredients · Spray · Oral · Nutritional Specialties, Inc.
NDC codes
FDA NDC Directory| Package NDC | 11-digit (billing) | Package | Copy |
|---|---|---|---|
| 83027-0104-1 | 83027010401 | 60 mL in 1 BOTTLE, SPRAY (83027-0104-1)Marketed from Sep 12, 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)
- Polyhesion Formula
- Generic name (nonproprietary)
- sanguinaria canadensis, nitricum acidum, teucrium marum, thuja occidentalis, sanguinarinum nitricum, calcarea carbonica, phosphorus
- Active ingredients
- Sanguinaria canadensis root — 3 [hp_X]/mLNitric acid — 6 [hp_X]/mLTeucrium marum whole — 6 [hp_X]/mLThuja occidentalis leafy twig — 6 [hp_X]/mLSanguinarine nitrate — 15 [hp_X]/mLOyster shell calcium carbonate, Crude — 30 [hp_X]/mLPhosphorus — 30 [hp_X]/mL
- Dosage form
- Spray
- Route
- Oral
- Product type
- Over-the-counter drug
- Marketing category
- Unapproved homeopathic
- Marketing start
- Listing expires
- Identifiers
- Product ID 83027-0104_6d5f8f14-75b3-4156-a20a-eb612c33e029SPL ID 6d5f8f14-75b3-4156-a20a-eb612c33e029SPL set ID fb00394c-af0a-4ed0-abf8-c603938f0a25UNII N9288CD508, 411VRN1TV4, 10464S0TAA, 1NT28V9397, BOP122S791, 2E32821G6I, 27YLU75U4WUPC 0649818030504
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
N483027010401followed by a unit qualifier and the quantityPackage 83027-0104-01. 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 cramping and pain in the abdomen.† †Claims based on traditional homeopathic practice, not accepted medical evidence. Not FDA evaluated.
Excerpt only. Read the full label for complete information.