NDC codes

FDA NDC Directory
Product NDC (as listed)0220-9033Labeler and product segments. Claims need a package NDC.
Product NDC at billing width00220-9033Add 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
0220-9033-28002209033281 SYRUP in 1 BOX (0220-9033-28)Marketed from Aug 1, 1996

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)
Chestal for Children
Generic name (nonproprietary)
antimony potassium tartrate, bryonia alba root, protortonia cacti, drosera rotundifolia, ipecac, pulsatilla vulgaris, rumex crispus root, pongia officinalis skeleton, roasted, lobaria pulmonaria
Active ingredients
Bryonia alba root — 3 [hp_C]/1Protortonia cacti — 3 [hp_C]/1Drosera rotundifolia flowering top — 3 [hp_C]/1Ipecac — 3 [hp_C]/1Pulsatilla vulgaris — 6 [hp_C]/1Rumex crispus root — 6 [hp_C]/1Spongia officinalis skeleton, Roasted — 3 [hp_C]/1Lobaria pulmonaria — 3 [hp_C]/1Antimony potassium tartrate — 6 [hp_C]/1
Dosage form
Syrup
Route
Oral
Product type
Over-the-counter drug
Marketing category
Unapproved homeopathic
Marketing start
Listing expires
Identifiers
Product ID 0220-9033_00c80802-be3c-5fc8-e063-6394a90a7e86SPL ID 00c80802-be3c-5fc8-e063-6394a90a7e86SPL set ID e4fb4963-31a4-44d7-bade-0eb695ac417fUNII T7J046YI2B, LZB7TFX1LT, 75O014T1HG, 62I3C8233L, I76KB35JEV, 9N1RM2S62C, 1PIP394IID, D1YM0P5Z2T, DL6OZ476V3

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

N400220903328 followed by a unit qualifier and the quantity

Package 00220-9033-28. 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)

temporarily relieves dry cough due to minor throat and bronchial irritation as may occur with cold helps relieve chest congestion due to common colds by loosening mucus and thinning bronchial secretions to make coughs more productive

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

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