NDC codes

FDA NDC Directory
Product NDC (as listed)15631-0425Labeler and product segments. Claims need a package NDC.
Product NDC at billing width15631-0425Add 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
15631-0425-015631042500100 PELLET in 1 VIAL, SINGLE-DOSE (15631-0425-0)Marketed from Jan 1, 2018
15631-0425-115631042501200 PELLET in 1 PACKAGE (15631-0425-1)Marketed from Jan 1, 2018
15631-0425-215631042502400 PELLET in 1 PACKAGE (15631-0425-2)Marketed from Jan 1, 2018
15631-0425-315631042503750 PELLET in 1 PACKAGE (15631-0425-3)Marketed from Jan 1, 2018
15631-0425-4156310425042500 PELLET in 1 PACKAGE (15631-0425-4)Marketed from Jan 1, 2018
15631-0425-51563104250512500 PELLET in 1 PACKAGE (15631-0425-5)Marketed from Jan 1, 2018
15631-0425-615631042506500 PELLET in 1 PACKAGE (15631-0425-6)Marketed from Aug 23, 2021
15631-0425-7156310425071000 PELLET in 1 PACKAGE (15631-0425-7)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)
Syzygium Jambolanum
Generic name (nonproprietary)
syzygium jambolanum
Active ingredients
Juniperus sabina leafy twig — 3 [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 15631-0425_cd12ba04-9ef8-5b56-e053-2995a90a9786SPL ID cd12ba04-9ef8-5b56-e053-2995a90a9786SPL set ID 2bc9a175-a928-49e7-885b-403eda10dae7UNII Z5BEX9K2G1UPC 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

N415631042500 followed by a unit qualifier and the quantity

Package 15631-0425-00. 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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