NDC codes

FDA NDC Directory
Product NDC (as listed)42731-033Labeler and product segments. Claims need a package NDC.
Product NDC at billing width42731-0033Add 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
42731-033-02427310033021 BOTTLE, DROPPER in 1 CARTON (42731-033-02) / 55 mL in 1 BOTTLE, DROPPERMarketed from Sep 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)
Triple Allergy Defense
Generic name (nonproprietary)
allium cepa, ambrosia artemisiifolia, euphrasia officinalis, galphimia glauca, histaminum hydrochloricum, hydrastis canadensis, lemna minor, luffa operculata, natrum muriaticum, polyporus pinicola, sabadilla
Active ingredients
Galphimia glauca flowering top — 30 [hp_C]/60mLHistamine dihydrochloride — 30 [hp_C]/60mLHydrastis canadensis whole — 30 [hp_C]/60mLLemna minor — 30 [hp_C]/60mLLuffa operculata fruit — 30 [hp_C]/60mLSodium chloride — 30 [hp_C]/60mLAllium cepa whole — 30 [hp_C]/60mLAmbrosia artemisiifolia — 30 [hp_C]/60mLEuphrasia stricta — 30 [hp_C]/60mLFomitopsis pinicola fruiting body — 30 [hp_C]/60mLSchoenocaulon officinale seed — 30 [hp_C]/60mL
Dosage form
Liquid
Route
Oral
Product type
Over-the-counter drug
Marketing category
Unapproved homeopathic
Marketing start
Listing expires
Identifiers
Product ID 42731-033_46cb268e-dd0d-9340-e063-6294a90ad93bSPL ID 46cb268e-dd0d-9340-e063-6294a90ad93bSPL set ID e1459ef4-6980-4b2b-94c1-6c896a9cb6bdUNII 93PH5Q8M7E, 3POA0Q644U, R763EBH88T, 621HHM46SV, C4MO6809HU, 451W47IQ8X, 8P2VLG2456, 9W34L2CQ9A, C9642I91WL, 30D02U2IRN, 6NAF1689IO

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

N442731003302 followed by a unit qualifier and the quantity

Package 42731-0033-02. 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)

Drug Facts Uses: To reduce the duration and severity of allergy symptoms from pollen, mold and dust such as sneezing, runny nose, nasal and sinus congestion, cough, itchy and watery eyes, headache and fatigue.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

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