NDC codes

FDA NDC Directory
Product NDC (as listed)43742-0970Labeler and product segments. Claims need a package NDC.
Product NDC at billing width43742-0970Add 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
43742-0970-14374209700130 mL in 1 BOTTLE, DROPPER (43742-0970-1)Marketed from Feb 8, 2017

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)
Biological Complex ISuffix: I
Generic name (nonproprietary)
variolinum
Active ingredients
Vaccinia virus strain new york city board of health live antigen — 30 [hp_C]/mL
Dosage form
Liquid
Route
Oral
Product type
Over-the-counter drug
Marketing category
Unapproved homeopathic
Marketing start
Listing expires
Other FDA classes
Actively Acquired Immunity (Physiologic effect)Smallpox Vaccine (Chemical structure)Unattenuated (Chemical structure)
Identifiers
Product ID 43742-0970_85f2eb31-a973-43b2-b161-5e80f662405bSPL ID 85f2eb31-a973-43b2-b161-5e80f662405bSPL set ID a60d8dcf-331f-403b-a36d-9eac7eed17d5UNII 4SV59689SK
Pharmacologic class
Live Vaccinia Virus Vaccine

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.

Administration

Immunization administration (CPT 90460–90474)

Giving a vaccine is reported separately from the vaccine product code, with an immunization administration code. Which code applies depends on the patient's age, the route and whether counselling was provided.

How CPT relates to drug billing

NDC on a medical claim

N443742097001 followed by a unit qualifier and the quantity

Package 43742-0970-01. 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)

HOMEOPATHIC INDICATIONS: For temporary relief of symptoms of smallpox, such as flu, discomfort, headache, fatigue and vomiting.** **These statements are based upon traditional homeopathic principles. 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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