Lachesis Mutus NDC 15631-0261

NDC codes

FDA NDC Directory

Product NDC (as listed)15631-0261Labeler and product segments. Claims need a package NDC.

Product NDC at billing width15631-0261Add 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
15631-0261-0	15631026100	100 PELLET in 1 VIAL, SINGLE-DOSE (15631-0261-0)Marketed from Jan 1, 2018
15631-0261-1	15631026101	200 PELLET in 1 PACKAGE (15631-0261-1)Marketed from Jan 1, 2018
15631-0261-2	15631026102	400 PELLET in 1 PACKAGE (15631-0261-2)Marketed from Jan 1, 2018
15631-0261-3	15631026103	750 PELLET in 1 PACKAGE (15631-0261-3)Marketed from Jan 1, 2018
15631-0261-4	15631026104	2500 PELLET in 1 PACKAGE (15631-0261-4)Marketed from Jan 1, 2018
15631-0261-5	15631026105	12500 PELLET in 1 PACKAGE (15631-0261-5)Marketed from Jan 1, 2018
15631-0261-6	15631026106	500 PELLET in 1 PACKAGE (15631-0261-6)Marketed from Aug 23, 2021
15631-0261-7	15631026107	1000 PELLET in 1 PACKAGE (15631-0261-7)Marketed from Aug 23, 2021

How the 11-digit form is made: The package segment has 1 digit, so one leading zero is added to it (5-4-1 → 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): Lachesis Mutus
Generic name (nonproprietary): lachesis mutus
Active ingredients: Lachesis muta venom — 8 [hp_X]/1
Dosage form: Pellet
Route: Oral
Labeler: Rxhomeo Private Limited d.b.a. Rxhomeo, Inc
Product type: Over-the-counter drug
Marketing category: Unapproved homeopathic
Marketing start: Sep 5, 2015
Listing expires: Dec 31, 2026
Identifiers: Product ID 15631-0261_ca9b3173-6db5-6de5-e053-2a95a90a9a82SPL ID ca9b3173-6db5-6de5-e053-2a95a90a9a82SPL set ID f0fb484b-1495-47b6-893a-ed67b74fe55fUNII VSW71SS07IUPC 8907460005526

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

N415631026100 followed by a unit qualifier and the quantity

Package 15631-0261-00. 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 Sep 2, 2021.

Indications (excerpt from the label)

INDICATIONS Condition listed above or as directed by the physician

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)