NDC codes

FDA NDC Directory
Product NDC (as listed)0220-3457Labeler and product segments. Claims need a package NDC.
Product NDC at billing width00220-3457Add 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
0220-3457-410022034574130 [hp_C] in 1 TUBE (0220-3457-41)Marketed from Mar 3, 1983

How the 11-digit form is made: The labeler segment has 4 digits, so one leading zero is added to it (4-4-2 → 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)
Momordica balsamina
Generic name (nonproprietary)
momordica balsamina immature fruit
Active ingredients
Momordica balsamina immature fruit — 30 [hp_C]/30[hp_C]
Dosage form
Pellet
Route
Oral
Labeler
BoironNDC labeler code 0220
Product type
Over-the-counter drug
Marketing category
Unapproved homeopathic
Marketing start
Listing expires
Identifiers
Product ID 0220-3457_0a0b1f9e-1675-1b36-e063-6394a90abcacSPL ID 0a0b1f9e-1675-1b36-e063-6394a90abcacSPL set ID 7d7a5168-28fe-f72a-e053-2991aa0a2e2bUNII WUW1665V10

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

N400220345741 followed by a unit qualifier and the quantity

Package 00220-3457-41. 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)

Flatulence, colic*

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 0220-3457

What is NDC 0220-3457?
0220-3457 is the product NDC for Momordica balsamina (momordica balsamina immature fruit), Momordica balsamina immature fruit 30 [hp_C]/30[hp_C] pellet, listed with the FDA by Boiron. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Momordica balsamina (Momordica balsamina immature fruit).
What is the active ingredient?
Momordica balsamina immature fruit.
Who is the labeler?
Boiron, NDC labeler code 0220. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Momordica balsamina?
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.

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