NDC codes

FDA NDC Directory
Product NDC (as listed)17312-030Labeler and product segments. Claims need a package NDC.
Product NDC at billing width17312-0030Add 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
17312-030-14173120030141 BOTTLE in 1 PACKAGE (17312-030-14) / 50 TABLET, ORALLY DISINTEGRATING in 1 BOTTLEMarketed from Apr 15, 2015

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)
Heartburn Relief
Generic name (nonproprietary)
carbo more
Active ingredients
Activated charcoal — 6 [hp_X]/1Potassium dichromate — 6 [hp_X]/1Chelidonium majus — 6 [hp_X]/1Sodium phosphate, Dibasic, Heptahydrate — 6 [hp_X]/1Ginger — 6 [hp_X]/1Iris versicolor root — 6 [hp_X]/1
Dosage form
Tablet, Orally disintegrating
Route
Oral
Product type
Over-the-counter drug
Marketing category
Unapproved homeopathic
Marketing start
Listing expires
Other FDA classes
Allergens (Chemical structure)Cell-mediated Immunity (Physiologic effect)Dietary Proteins (Chemical structure)Food Additives (Chemical structure)Increased Histamine Release (Physiologic effect)Increased Large Intestinal Motility (Physiologic effect)Inhibition Large Intestine Fluid/Electrolyte Absorption (Physiologic effect)Osmotic Activity (Mechanism)Plant Proteins (Chemical structure)
Identifiers
Product ID 17312-030_43ce5061-081c-6f4f-e063-6394a90afc59SPL ID 43ce5061-081c-6f4f-e063-6394a90afc59SPL set ID 14bd30e5-a981-597a-e054-00144ff8d46cUNII 2P3VWU3H10, T4423S18FM, 7E889U5RNN, 70WT22SF4B, C5529G5JPQ, X43D4L3DQC
Pharmacologic class
Non-Standardized Food Allergenic Extract; Non-Standardized Plant Allergenic Extract; Osmotic Laxative

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

N417312003014 followed by a unit qualifier and the quantity

Package 17312-0030-14. 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

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