NDC codes

FDA NDC Directory
Product NDC (as listed)17089-068Labeler and product segments. Claims need a package NDC.
Product NDC at billing width17089-0068Add 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
17089-068-20170890068202 TUBE in 1 BOX (17089-068-20) / 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 Vein
Generic name (nonproprietary)
aconitum napellus - apis mellifera - arnica montana - arsenic trioxide - atropa belladonna - calcium fluoride - centella asiatica - cinchona officinalis bark - cranberry - horse chestnut - iron - lachesis muta venom - mercury - pineapple - pulsatilla vulgaris - sus scrofa artery - sus scrofa small intestine mucosa lymph follicle - sus scrofa vein - viscum album fruit - witch hazel -
Active ingredients
Aconitum napellus — 10 [hp_X]/4gHorse chestnut — 3 [hp_X]/4gPineapple — 3 [hp_X]/4gApis mellifera — 10 [hp_X]/4gArnica montana — 10 [hp_X]/4gArsenic trioxide — 12 [hp_C]/4gSus scrofa artery — 4 [hp_C]/4gAtropa belladonna — 10 [hp_X]/4gCalcium fluoride — 8 [hp_X]/4gCinchona officinalis bark — 10 [hp_X]/4gIron — 10 [hp_X]/4gWitch hazel — 3 [hp_X]/4gCentella asiatica — 3 [hp_X]/4gLachesis muta venom — 10 [hp_X]/4gSus scrofa small intestine mucosa lymph follicle — 7 [hp_C]/4gMercury — 10 [hp_X]/4gCranberry — 3 [hp_X]/4gPulsatilla vulgaris — 10 [hp_X]/4gSus scrofa vein — 4 [hp_C]/4gViscum album fruit — 3 [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
Allergens (Chemical structure)Allergens (Chemical structure)Allergens (Chemical structure)Bee Venoms (Chemical structure)Cell-mediated Immunity (Physiologic effect)Cell-mediated Immunity (Physiologic effect)Cell-mediated Immunity (Physiologic effect)Dietary Proteins (Chemical structure)Dietary Proteins (Chemical structure)Fruit Proteins (EXT)Fruit Proteins (EXT)Increased Histamine Release (Physiologic effect)Increased Histamine Release (Physiologic effect)Increased Histamine Release (Physiologic effect)Increased IgG Production (Physiologic effect)Plant Proteins (Chemical structure)
Identifiers
Product ID 17089-068_09282248-723a-dc5b-e063-6394a90a4d88SPL ID 09282248-723a-dc5b-e063-6394a90a4d88SPL set ID fbb27858-9e40-40c6-8c42-9fb04890097eUNII U0NQ8555JD, 3C18L6RJAZ, 2A88ZO081O, 7S82P3R43Z, O80TY208ZW, S7V92P67HO, 63O327782Q, WQZ3G9PF0H, O3B55K4YKI, S003A158SB, E1UOL152H7, 101I4J0U34, 7M867G6T1U, VSW71SS07I, 308LM01C72, FXS1BY2PGL, 0MVO31Q3QS, I76KB35JEV, 2510RH3I89, P83EQ521R3
Pharmacologic class
Non-Standardized Food Allergenic Extract; Non-Standardized Plant Allergenic Extract; Standardized Insect Venom Allergenic Extract

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

N417089006820 followed by a unit qualifier and the quantity

Package 17089-0068-20. 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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