NDC codes

FDA NDC Directory
Product NDC (as listed)17312-171Labeler and product segments. Claims need a package NDC.
Product NDC at billing width17312-0171Add 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
17312-171-14173120171141 BOTTLE in 1 PACKAGE (17312-171-14) / 70 TABLET, ORALLY DISINTEGRATING in 1 BOTTLEMarketed from May 28, 2020

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)
Fibromyalgia Relief
Generic name (nonproprietary)
bryonia alba root - causticum - loeselia mexicana whole - magnesium phosphate - pulsatilla vulgaris - toxicodendron pubescens leaf - valerian
Active ingredients
Loeselia mexicana whole — 6 [hp_C]/1Bryonia alba root — 6 [hp_C]/1Causticum — 6 [hp_C]/1Magnesium phosphate, Dibasic trihydrate — 6 [hp_C]/1Pulsatilla vulgaris — 6 [hp_C]/1Toxicodendron pubescens leaf — 6 [hp_C]/1
Dosage form
Tablet, Orally disintegrating
Route
Oral
Labeler
TRP CompanyNDC labeler code 17312
Product type
Over-the-counter drug
Marketing category
Unapproved homeopathic
Marketing start
Listing expires
Other FDA classes
Increased Large Intestinal Motility (Physiologic effect)Inhibition Large Intestine Fluid/Electrolyte Absorption (Physiologic effect)Inhibition Small Intestine Fluid/Electrolyte Absorption (Physiologic effect)Magnesium Ion Exchange Activity (Mechanism)Osmotic Activity (Mechanism)Stimulation Large Intestine Fluid/Electrolyte Secretion (Physiologic effect)
Identifiers
Product ID 17312-171_4604abd2-4b86-95d9-e063-6394a90a60d8SPL ID 4604abd2-4b86-95d9-e063-6394a90a60d8SPL set ID a6ba3058-ec39-715f-e053-2995a90aa32aUNII XA8YCV5M3E, T7J046YI2B, DD5FO1WKFU, HF539G9L3Q, I76KB35JEV, 6IO182RP7AUPC 0858961001716
Pharmacologic class
Calculi Dissolution Agent; 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

N417312017114 followed by a unit qualifier and the quantity

Package 17312-0171-14. 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: • Muscle soreness • Fatigue • Nerve / soft tissue tenderness • Multiple tender points; 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)

About NDC 17312-171

What is NDC 17312-171?
17312-171 is the product NDC for Fibromyalgia Relief, Loeselia mexicana whole 6 [hp_C]/1 + 5 more ingredients tablet, orally disintegrating, listed with the FDA by TRP Company. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Fibromyalgia Relief (Bryonia alba root - causticum - loeselia mexicana whole - magnesium phosphate - pulsatilla vulgaris - toxicodendron pubescens leaf - valerian).
What is the active ingredient?
Loeselia mexicana whole, Bryonia alba root, Causticum, Magnesium phosphate, Dibasic trihydrate, Pulsatilla vulgaris, Toxicodendron pubescens leaf.
Who is the labeler?
TRP Company, NDC labeler code 17312. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Fibromyalgia Relief?
None: this is the only finished product listed under this name.
Is there a related HCPCS / J-code?
Not in Med-Code's curated HCPCS directory. See Billing references above.

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