Cyclease PMS NDC 0220-9081

NDC codes

FDA NDC Directory

Product NDC (as listed)0220-9081Labeler and product segments. Claims need a package NDC.

Product NDC at billing width00220-9081Add 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
0220-9081-04	00220908104	60 TABLET in 1 BLISTER PACK (0220-9081-04)Marketed from Aug 12, 2002

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): Cyclease PMS
Generic name (nonproprietary): estrone, sodium chloride, sepia officinalis juice
Active ingredients: Estrone — 15 [hp_C]/1Sodium chloride — 12 [hp_C]/1Sepia officinalis juice — 12 [hp_C]/1
Dosage form: Tablet
Route: Oral
Labeler: Laboratoires Boiron
Product type: Over-the-counter drug
Marketing category: Unapproved homeopathic
Marketing start: Aug 12, 2002
Listing expires: Dec 31, 2026
Other FDA classes: Increased Large Intestinal Motility (Physiologic effect)Inhibition Large Intestine Fluid/Electrolyte Absorption (Physiologic effect)Osmotic Activity (Mechanism)
Identifiers: Product ID 0220-9081_fcea41e7-b1a6-8718-e053-6294a90a117aSPL ID fcea41e7-b1a6-8718-e053-6294a90a117aSPL set ID 09ff0633-2992-4aba-96ed-45a69f3ee589UNII 2DI9HA706A, 451W47IQ8X, QDL83WN8C2
Pharmacologic class: Osmotic Laxative

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

N400220908104 followed by a unit qualifier and the quantity

Package 00220-9081-04. 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 May 30, 2023.

Indications (excerpt from the label)

Temporary relieves premenstrual symptoms such as: bloating, water retention, minor aches, lower back pain, discomfort, emotional changes, irritability

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)