NDC codes

FDA NDC Directory
Product NDC (as listed)0220-9110Labeler and product segments. Claims need a package NDC.
Product NDC at billing width00220-9110Add 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
0220-9110-04002209110043 BLISTER PACK in 1 BOX (0220-9110-04) / 20 TABLET in 1 BLISTER PACKMarketed from Mar 12, 2025

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)
DiarrheaCalm
Generic name (nonproprietary)
arsenic trioxide, cinchona officinalis bark, podophyllum
Active ingredients
Cinchona officinalis bark — 5 [hp_C]/1Podophyllum — 9 [hp_C]/1Arsenic trioxide — 9 [hp_C]/1
Dosage form
Tablet
Route
Oral
Labeler
Boiron
Product type
Over-the-counter drug
Marketing category
Unapproved homeopathic
Marketing start
Listing expires
Identifiers
Product ID 0220-9110_302786a1-c6a3-f7ea-e063-6394a90a327bSPL ID 302786a1-c6a3-f7ea-e063-6394a90a327bSPL set ID 302786a1-c6a2-f7ea-e063-6394a90a327bUNII S003A158SB, 2S713A4VP3, S7V92P67HO

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

N400220911004 followed by a unit qualifier and the quantity

Package 00220-9110-04. 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 .

Indications (excerpt from the label)

Uses* temporarily relieves symptoms of diarrhea such as: ▪ traveler’s diarrhea ▪ intestinal pain ▪ bloating ▪ gas ▪ nausea ▪ vomiting

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

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