NDC codes

FDA NDC Directory
Product NDC (as listed)15631-0331Labeler and product segments. Claims need a package NDC.
Product NDC at billing width15631-0331Add 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
15631-0331-015631033100100 PELLET in 1 PACKAGE (15631-0331-0)Marketed from Jan 1, 2018
15631-0331-115631033101200 PELLET in 1 PACKAGE (15631-0331-1)Marketed from Jan 1, 2018
15631-0331-215631033102400 PELLET in 1 PACKAGE (15631-0331-2)Marketed from Jan 1, 2018
15631-0331-315631033103750 PELLET in 1 PACKAGE (15631-0331-3)Marketed from Jan 1, 2018
15631-0331-4156310331042500 PELLET in 1 PACKAGE (15631-0331-4)Marketed from Jan 1, 2018
15631-0331-51563103310512500 PELLET in 1 PACKAGE (15631-0331-5)Marketed from Jan 1, 2018
15631-0331-615631033106500 PELLET in 1 PACKAGE (15631-0331-6)Marketed from Aug 23, 2021
15631-0331-7156310331071000 PELLET in 1 PACKAGE (15631-0331-7)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)
Passiflora Incarnata
Generic name (nonproprietary)
passiflora incarnata
Active ingredients
Passiflora incarnata flowering top — 1 [hp_X]/1
Dosage form
Pellet
Route
Oral
Product type
Over-the-counter drug
Marketing category
Unapproved homeopathic
Marketing start
Listing expires
Identifiers
Product ID 15631-0331_cf04ac6b-3b6e-fc24-e053-2995a90a56d1SPL ID cf04ac6b-3b6e-fc24-e053-2995a90a56d1SPL set ID 3c2a9fa1-0d7a-48db-ac73-f6e74d0aba98UNII CLF5YFS11OUPC 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

N415631033100 followed by a unit qualifier and the quantity

Package 15631-0331-00. 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 .

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)

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