What is NDC 83027-0104?

83027-0104 is the product NDC for Polyhesion Formula, Sanguinaria canadensis root 3 [hp_X]/mL + 6 more ingredients spray, listed with the FDA by Nutritional Specialties, Inc.. It has 1 package NDC, shown above in 10- and 11-digit form.

What drug is associated with this NDC?

Polyhesion Formula (Sanguinaria Canadensis, Nitricum Acidum, Teucrium Marum, Thuja Occidentalis, Sanguinarinum Nitricum, Calcarea Carbonica, Phosphorus).

What is the active ingredient?

Sanguinaria canadensis root, Nitric acid, Teucrium marum whole, Thuja occidentalis leafy twig, Sanguinarine nitrate, Oyster shell calcium carbonate, Crude, Phosphorus.

Nutritional Specialties, Inc., NDC labeler code 83027. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.

What other NDCs exist for Polyhesion Formula?

None: this is the only finished product listed under this name.

Is there a related HCPCS / J-code?

Not in Med-Code's curated HCPCS directory.

Polyhesion Formula NDC 83027-0104 | National Drug Code

NDC codes

FDA NDC Directory

Product NDC (as listed)83027-0104Labeler and product segments. Claims need a package NDC.

Product NDC at billing width83027-0104Add 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 NDC	11-digit (billing)	Package	Copy
83027-0104-1	8302701040183027010401	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
Labeler: Nutritional Specialties, Inc.NDC labeler code 83027
Product type: Over-the-counter drug
Marketing category: Unapproved homeopathic
Marketing start: Sep 12, 2023
Listing expires: Dec 31, 2026
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

N483027010401 followed by a unit qualifier and the quantity

Package 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 Sep 12, 2023.

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.

Full label on DailyMed (opens in a new tab)

About NDC 83027-0104

What is NDC 83027-0104?: 83027-0104 is the product NDC for Polyhesion Formula, Sanguinaria canadensis root 3 [hp_X]/mL + 6 more ingredients spray, listed with the FDA by Nutritional Specialties, Inc.. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?: Polyhesion Formula (Sanguinaria Canadensis, Nitricum Acidum, Teucrium Marum, Thuja Occidentalis, Sanguinarinum Nitricum, Calcarea Carbonica, Phosphorus).
What is the active ingredient?: Sanguinaria canadensis root, Nitric acid, Teucrium marum whole, Thuja occidentalis leafy twig, Sanguinarine nitrate, Oyster shell calcium carbonate, Crude, Phosphorus.
Who is the labeler?: Nutritional Specialties, Inc., NDC labeler code 83027. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Polyhesion Formula?: None: this is the only finished product listed under this name.
Is there a related HCPCS / J-code?: Not in Med-Code's curated HCPCS directory. See Billing references above.