NDC codes

FDA NDC Directory
Product NDC (as listed)0220-9307Labeler and product segments. Claims need a package NDC.
Product NDC at billing width00220-9307Add 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
0220-9307-04002209307043 BLISTER PACK in 1 BOX (0220-9307-04) / 20 TABLET in 1 BLISTER PACKMarketed from Mar 1, 2022
0220-9307-29002209307296 BLISTER PACK in 1 BOX (0220-9307-29) / 20 TABLET in 1 BLISTER PACKMarketed from Aug 1, 2022

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)
AllergyCalm
Generic name (nonproprietary)
onion, ambrosia artemisiifolia, euphrasia stricta, histamine dihydrochloride, schoenocaulon officinale seed, solidago virgaurea flowering top
Active ingredients
Euphrasia stricta — 5 [hp_C]/1Histamine dihydrochloride — 9 [hp_C]/1Schoenocaulon officinale seed — 5 [hp_C]/1Onion — 5 [hp_C]/1Solidago virgaurea flowering top — 5 [hp_C]/1Ambrosia artemisiifolia — 5 [hp_C]/1
Dosage form
Tablet
Route
Oral
Labeler
Boiron
Product type
Over-the-counter drug
Marketing category
Unapproved homeopathic
Marketing start
Listing expires
Other FDA classes
Allergens (Chemical structure)Cell-mediated Immunity (Physiologic effect)Dietary Proteins (Chemical structure)Increased Histamine Release (Physiologic effect)Vegetable Proteins (Chemical structure)
Identifiers
Product ID 0220-9307_4af58502-86b3-9d5f-e063-6294a90a5aedSPL ID 4af58502-86b3-9d5f-e063-6294a90a5aedSPL set ID d9a509d9-15c8-20bb-e053-2a95a90a3eddUNII C9642I91WL, 3POA0Q644U, 6NAF1689IO, 492225Q21H, 5405K23S50, 9W34L2CQ9A
Pharmacologic class
Non-Standardized Food Allergenic Extract

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

N400220930704 followed by a unit qualifier and the quantity

Package 00220-9307-04. 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 these symptoms of hay fever or other upper respiratory allergies: itchy and watery eyes sneezing itchy throat and nose runny nose

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

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