NDC codes

FDA NDC Directory
Product NDC (as listed)17312-170Labeler and product segments. Claims need a package NDC.
Product NDC at billing width17312-0170Add 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
17312-170-14173120170141 BOTTLE in 1 PACKAGE (17312-170-14) / 70 TABLET, ORALLY DISINTEGRATING in 1 BOTTLEMarketed from Aug 20, 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)
Chronic Fatigue Therapy
Generic name (nonproprietary)
epinephrine, gold, chelidonium majus, echinacea, ginkgo, helleborus niger, phosphoric acid, scutellaria lateriflora, thuja occidentalis
Active ingredients
Scutellaria lateriflora — 6 [hp_X]/1Thuja occidentalis leafy twig — 6 [hp_X]/1Ginkgo — 3 [hp_X]/1Chelidonium majus — 6 [hp_X]/1Epinephrine — 7 [hp_X]/1Phosphoric acid — 6 [hp_X]/1Echinacea, Unspecified — 3 [hp_X]/1Gold — 8 [hp_X]/1Helleborus niger 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
Adrenergic alpha-Agonists (Mechanism)Adrenergic beta-Agonists (Mechanism)Allergens (Chemical structure)Catecholamines (Chemical structure)Cell-mediated Immunity (Physiologic effect)Increased Histamine Release (Physiologic effect)
Identifiers
Product ID 17312-170_4604f3de-7763-ddaa-e063-6394a90a78d0SPL ID 4604f3de-7763-ddaa-e063-6394a90a78d0SPL set ID 751334b8-f21b-3f94-e053-2a91aa0a9bb9UNII 7BP4DH5PDC, 1NT28V9397, 19FUJ2C58T, 7E889U5RNN, YKH834O4BH, E4GA8884NN, 4N9P6CC1DX, 79Y1949PYO, 608DGJ6815UPC 0858961001709
Pharmacologic class
Catecholamine; Standardized Chemical Allergen; 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

N417312017014 followed by a unit qualifier and the quantity

Package 17312-0170-14. 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 from symptoms such as: • Fatigue • Memory loss • Sleeplessness • Weakness • Weariness • Muscle pain after serious causes have been ruled out 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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