NDC codes

FDA NDC Directory
Product NDC (as listed)17089-067Labeler and product segments. Claims need a package NDC.
Product NDC at billing width17089-0067Add 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
17089-067-20170890067202 TUBE in 1 BOX (17089-067-20) / 4 g in 1 TUBEMarketed from Dec 21, 2018

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)
Anti Age Stress
Generic name (nonproprietary)
acetylcysteine - ballota foetida - epinephrine - glutathione - interferon gamma-1b - lenograstim - lithium carbonate - melatonin - penicillium glabrum - potassium carbonate - pummelo - rhodotorula rubra - silver nitrate - strychnos nux-vomica seed - sus scrofa cerebral cortex - sus scrofa stomach - sus scrofa superior gastric plexus - sus scrofa thalamus -
Active ingredients
Melatonin — 15 [hp_C]/4gAcetylcysteine — 4 [hp_C]/4gStrychnos nux-vomica seed — 5 [hp_C]/4gPenicillium glabrum — 8 [hp_X]/4gRhodotorula rubra — 8 [hp_X]/4gSus scrofa stomach — 7 [hp_C]/4gSus scrofa superior gastric plexus — 7 [hp_C]/4gSus scrofa thalamus — 7 [hp_C]/4gEpinephrine — 9 [hp_C]/4gSilver nitrate — 9 [hp_C]/4gBallota foetida — 3 [hp_X]/4gPummelo — 3 [hp_X]/4gSus scrofa cerebral cortex — 4 [hp_C]/4gPotassium carbonate — 9 [hp_C]/4gLenograstim — 4 [hp_C]/4gGlutathione — 4 [hp_C]/4gInterferon gamma-1b — 5 [hp_C]/4gLithium carbonate — 8 [hp_X]/4g
Dosage form
Pellet
Route
Oral
Labeler
Guna spa
Product type
Over-the-counter drug
Marketing category
Unapproved homeopathic
Marketing start
Listing expires
Other FDA classes
Adrenergic alpha-Agonists (Mechanism)Adrenergic beta-Agonists (Mechanism)Allergens (Chemical structure)Allergens (Chemical structure)Catecholamines (Chemical structure)Cell-mediated Immunity (Physiologic effect)Cell-mediated Immunity (Physiologic effect)Decreased Respiratory Secretion Viscosity (Physiologic effect)Fungal Proteins (Chemical structure)Increased Glutathione Concentration (Physiologic effect)Increased Histamine Release (Physiologic effect)Increased Histamine Release (Physiologic effect)Increased IgG Production (Physiologic effect)Increased IgG Production (Physiologic effect)Interferon-gamma (Chemical structure)Plant Proteins (Chemical structure)Reduction Activity (Mechanism)Seed Storage Proteins (Chemical structure)
Identifiers
Product ID 17089-067_09280a09-14fa-dd5a-e063-6394a90a3eb0SPL ID 09280a09-14fa-dd5a-e063-6394a90a3eb0SPL set ID ce25f3c5-20c9-4ba8-ac58-546febf142ecUNII JL5DK93RCL, WYQ7N0BPYC, 269XH13919, 2IN23YUE0I, 15W81V867R, T0920P9Z9A, F4679CEE8H, 3D6Q7UV74J, YKH834O4BH, 95IT3W8JZE, ET1TN5W71X, 538Q433GB7, BQN1B9B9HA, 6WS4C399GB, GAN16C9B8O, 21K6M2I7AG, 2BMD2GNA4V
Pharmacologic class
Antidote; Antidote for Acetaminophen Overdose; Catecholamine; Interferon gamma; Mood Stabilizer; Mucolytic; Non-Standardized Fungal Allergenic Extract; Non-Standardized Plant Allergenic Extract; alpha-Adrenergic Agonist; beta-Adrenergic Agonist

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

N417089006720 followed by a unit qualifier and the quantity

Package 17089-0067-20. 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)

DIRECTIONS Turn tube upside down and rotate cap to release pellets into cap. Unscrew cap and without touching pellets tip them into the mouth under the tongue. Allow to dissolve Take 15 minutes before meals.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

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