NDC codes

FDA NDC Directory
Product NDC (as listed)17312-041Labeler and product segments. Claims need a package NDC.
Product NDC at billing width17312-0041Add 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
17312-041-14173120041141 BOTTLE in 1 PACKAGE (17312-041-14) / 50 TABLET, ORALLY DISINTEGRATING in 1 BOTTLEMarketed from Apr 1, 2016

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)
Migraine Headache Therapy
Generic name (nonproprietary)
atropa belladonna - bryonia alba root - black cohosh - arabica coffee bean - nitroglycerin - iris versicolor root - sodium chloride -
Active ingredients
Atropa belladonna — 6 [hp_X]/1Bryonia alba root — 6 [hp_X]/1Black cohosh — 6 [hp_X]/1Arabica coffee bean — 3 [hp_X]/1Nitroglycerin — 12 [hp_X]/1Iris versicolor root — 6 [hp_X]/1Sodium chloride — 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)Increased Histamine Release (Physiologic effect)Increased Large Intestinal Motility (Physiologic effect)Inhibition Large Intestine Fluid/Electrolyte Absorption (Physiologic effect)Nitrates (Chemical structure)Osmotic Activity (Mechanism)Plant Proteins (Chemical structure)Seed Storage Proteins (Chemical structure)Vasodilation (Physiologic effect)
Identifiers
Product ID 17312-041_4604cabb-ce20-ae65-e063-6394a90a200eSPL ID 4604cabb-ce20-ae65-e063-6394a90a200eSPL set ID 317d3f42-783e-02b7-e054-00144ff88e88UNII WQZ3G9PF0H, T7J046YI2B, K73E24S6X9, 3SW678MX72, G59M7S0WS3, X43D4L3DQC, 451W47IQ8X
Pharmacologic class
Nitrate Vasodilator; 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

N417312004114 followed by a unit qualifier and the quantity

Package 17312-0041-14. 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

Current FDA label (SPL), effective .

Indications (excerpt from the label)

Uses:* According to homeopathic indications, these ingredients provide temporary relief for symptoms such as: • Pressure • Throbbing • Light and noise sensitivity after diagnosis by a physician. *These statements are based upon traditional homeopathic practice. They have not been reviewed by the Food and Drug Administration.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

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