NDC codes

FDA NDC Directory
Product NDC (as listed)43406-0678Labeler and product segments. Claims need a package NDC.
Product NDC at billing width43406-0678Add 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
43406-0678-14340606780130 mL in 1 BOTTLE, DROPPER (43406-0678-1)Marketed from May 2, 2018

How the 11-digit form is made: The package segment has 1 digit, so one leading zero is added to it (5-4-1 → 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)
Digestion
Generic name (nonproprietary)
gentiana lut, sambucus nig, arsenicum alb, bismuth sub, carbo veg, kali bic, lycopodium, nux vom, phosphorus, pulsatilla
Active ingredients
Gentiana lutea root — 4 [hp_X]/mLSambucus nigra flowering top — 4 [hp_X]/mLArsenic trioxide — 12 [hp_X]/mLBismuth subnitrate — 12 [hp_X]/mLActivated charcoal — 12 [hp_X]/mLPotassium dichromate — 12 [hp_X]/mLLycopodium clavatum spore — 12 [hp_X]/mLStrychnos nux-vomica seed — 12 [hp_X]/mLPhosphorus — 12 [hp_X]/mLPulsatilla vulgaris whole — 12 [hp_X]/mL
Dosage form
Liquid
Route
Oral
Product type
Over-the-counter drug
Marketing category
Unapproved homeopathic
Marketing start
Listing expires
Other FDA classes
Allergens (Chemical structure)Bismuth (Chemical structure)Cell-mediated Immunity (Physiologic effect)Increased Histamine Release (Physiologic effect)Increased IgG Production (Physiologic effect)Plant Proteins (Chemical structure)Seed Storage Proteins (Chemical structure)
Identifiers
Product ID 43406-0678_cd07f42f-c265-42a7-b409-93dbb1f9dacdSPL ID cd07f42f-c265-42a7-b409-93dbb1f9dacdSPL set ID eabd9ea9-e61d-4c18-b95f-60c9ab1b3dd8UNII S72O3284MS, CT03BSA18U, S7V92P67HO, H19J064BA5, 2P3VWU3H10, T4423S18FM, C88X29Y479, 269XH13919, 27YLU75U4W, I76KB35JEV
Pharmacologic class
Bismuth; Non-Standardized Plant Allergenic Extract

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

N443406067801 followed by a unit qualifier and the quantity

Package 43406-0678-01. 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: Temporarily relieves distention, belching, pressure, flatulence, burning sensation, &/or other symptoms related to weak digestion.**

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

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