NDC codes

FDA NDC Directory
Product NDC (as listed)13411-856Labeler and product segments. Claims need a package NDC.
Product NDC at billing width13411-0856Add 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
13411-856-151341108561515 CAPSULE in 1 BOTTLE (13411-856-15)Marketed from Aug 13, 2024
13411-856-301341108563030 CAPSULE in 1 BOTTLE (13411-856-30)Marketed from Aug 13, 2024
13411-856-601341108566060 CAPSULE in 1 BOTTLE (13411-856-60)Marketed from Aug 13, 2024

How the 11-digit form is made: The product segment has 3 digits, so one leading zero is added to it (5-3-2 → 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)
JBA Joint Revive
Generic name (nonproprietary)
glucosamine sulfate potassium chloride,white willow bark extract,eggshell membrane collagen,chondroitin sulfate,turmeric root extract,bromelain,soy lecithin
Active ingredients
Salix alba bark — 160 mg/1Glucosamine sulfate potassium chloride — 300 mg/1Egg shell membrane — 150 mg/1Chondroitin sulfate (Bovine) — 100 mg/1Turmeric — 50 mg/1Stem bromelain — 10 mg/1Soybean lecithin — 5 mg/1
Dosage form
Capsule
Route
Oral
Product type
Over-the-counter drug
Marketing category
Unapproved drug (other)
Marketing start
Listing expires
Identifiers
Product ID 13411-856_31a5f8ac-00b3-b780-e063-6294a90ac75eSPL ID 31a5f8ac-00b3-b780-e063-6294a90ac75eSPL set ID 27f5acf3-04f6-49d7-bbf5-f1c3ad6200ccUNII 205MXS71H7, 15VQ11I66N, N7QBR4212V, 6IC1M3OG5Z, 856YO1Z64F, ZLM4P8929R, 1DI56QDM62

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

N413411085615 followed by a unit qualifier and the quantity

Package 13411-0856-15. 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 .

Full label on DailyMed (opens in a new tab)

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