Guna-Stomach NDC 17089-302

NDC codes

FDA NDC Directory

Product NDC (as listed)17089-302Labeler and product segments. Claims need a package NDC.

Product NDC at billing width17089-0302Add 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	Copy
17089-302-20	17089030220	2 TUBE in 1 BOX (17089-302-20) / 4 g in 1 TUBEMarketed from May 15, 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): Guna-Stomach
Generic name (nonproprietary): activated charcoal - antimony trisulfide - bismuth subnitrate - dioscorea villosa root - dopamine - human epidermal growth factor - ipecac - oregano - picea mariana resin - robinia pseudoacacia bark - semecarpus anacardium juice - silver nitrate - sus scrofa stomach - sus scrofa sympathetic nerve - momordica balsamina immature fruit -
Active ingredients: Picea mariana resin — 3 [hp_X]/4gSemecarpus anacardium juice — 30 [hp_X]/4gAntimony trisulfide — 30 [hp_X]/4gSilver nitrate — 30 [hp_X]/4gBismuth subnitrate — 6 [hp_X]/4gActivated charcoal — 6 [hp_X]/4gIpecac — 30 [hp_X]/4gDioscorea villosa root — 3 [hp_X]/4gDopamine — 6 [hp_X]/4gHuman epidermal growth factor — 4 [hp_C]/4gMomordica balsamina immature fruit — 3 [hp_X]/4gOregano — 10 [hp_X]/4gRobinia pseudoacacia bark — 2 [hp_X]/4gSus scrofa stomach — 30 [hp_X]/4gSus scrofa sympathetic nerve — 6 [hp_X]/4g
Dosage form: Pellet
Route: Oral
Labeler: Guna spa
Product type: Over-the-counter drug
Marketing category: Unapproved homeopathic
Marketing start: May 15, 2018
Listing expires: Dec 31, 2026
Other FDA classes: Allergens (Chemical structure)Bismuth (Chemical structure)Catecholamines (Chemical structure)Cell-mediated Immunity (Physiologic effect)Dietary Proteins (Chemical structure)Food Additives (Chemical structure)Increased Histamine Release (Physiologic effect)
Identifiers: Product ID 17089-302_ed80d394-0e03-88a4-e053-2995a90a6b2bSPL ID ed80d394-0e03-88a4-e053-2995a90a6b2bSPL set ID 7805055c-e5f6-4d1d-9449-a5dce8a066ebUNII 71AOV0W131, Y0F0BU8RDU, F79059A38U, 95IT3W8JZE, H19J064BA5, 2P3VWU3H10, 62I3C8233L, IWY3IWX2G8, VTD58H1Z2X, TZK30RF92W, WUW1665V10, 0E5AT8T16U, 7TPC058OWY, T0920P9Z9A, H6L0IFR3FE
Pharmacologic class: Bismuth; Catecholamine; Non-Standardized Food 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

N417089030220 followed by a unit qualifier and the quantity

Package 17089-0302-20. 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 Nov 15, 2022.

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)