NDC codes

FDA NDC Directory
Product NDC (as listed)43742-1257Labeler and product segments. Claims need a package NDC.
Product NDC at billing width43742-1257Add 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
43742-1257-14374212570130 mL in 1 BOTTLE, DROPPER (43742-1257-1)Marketed from Jun 7, 2019

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)
Bio Glyoxal Phase
Generic name (nonproprietary)
arnica montana, baptisia tinctoria, echinacea (angustifolia), sanguinaria canadensis, eupatorium perfoliatum, euphorbium officinarum, dopamine hydrochloride, phytolacca decandra, aconitum napellus, argentum nitricum, arsenicum album, bryonia (alba), gelsemium sempervirens, mercurius corrosivus, phosphorus, pulsatilla (pratensis), rhus tox, sulphur, thuja occidentalis, cortisone aceticum, acetaldehyde, formalinum, hepar sulphuris calcareum, lachesis mutus, zincum metallicum
Active ingredients
Arnica montana whole — 4 [hp_X]/mLBaptisia tinctoria root — 4 [hp_X]/mLEchinacea angustifolia whole — 5 [hp_X]/mLSanguinaria canadensis root — 5 [hp_X]/mLEupatorium perfoliatum flowering top — 6 [hp_X]/mLEuphorbia resinifera resin — 6 [hp_X]/mLDopamine hydrochloride — 6 [hp_X]/mLPhytolacca americana root — 7 [hp_X]/mLAconitum napellus whole — 8 [hp_X]/mLSilver nitrate — 8 [hp_X]/mLArsenic trioxide — 8 [hp_X]/mLBryonia alba root — 8 [hp_X]/mLGelsemium sempervirens root — 8 [hp_X]/mLMercuric chloride — 8 [hp_X]/mLPhosphorus — 8 [hp_X]/mLPulsatilla pratensis whole — 8 [hp_X]/mLToxicodendron pubescens leaf — 8 [hp_X]/mLSulfur — 8 [hp_X]/mLThuja occidentalis leafy twig — 8 [hp_X]/mLCortisone acetate — 8 [hp_X]/mLAcetaldehyde — 10 [hp_X]/mLFormaldehyde — 10 [hp_X]/mLCalcium sulfide — 10 [hp_X]/mLLachesis muta venom — 10 [hp_X]/mLZinc — 10 [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)Catecholamines (Chemical structure)Cell-mediated Immunity (Physiologic effect)Corticosteroid Hormone Receptor Agonists (Mechanism)Increased Histamine Release (Physiologic effect)
Identifiers
Product ID 43742-1257_03d71963-e6ad-4b8d-9563-baff77787b37SPL ID 03d71963-e6ad-4b8d-9563-baff77787b37SPL set ID d43db203-7756-43a5-bd68-aa070d429f60UNII O80TY208ZW, 5EF0HWI5WU, VB06AV5US8, N9288CD508, 1W0775VX6E, 1TI1O9028K, 7L3E358N9L, 11E6VI8VEG, U0NQ8555JD, 95IT3W8JZE, S7V92P67HO, T7J046YI2B, 639KR60Q1Q, 53GH7MZT1R, 27YLU75U4W, 8E272251DI, 6IO182RP7A, 70FD1KFU70, 1NT28V9397, 883WKN7W8X, GO1N1ZPR3B, 1HG84L3525, 1MBW07J51Q, VSW71SS07I, J41CSQ7QDSUPC 0810151881676
Pharmacologic class
Catecholamine; Corticosteroid; Standardized Chemical Allergen

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

N443742125701 followed by a unit qualifier and the quantity

Package 43742-1257-01. 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: • For the temporary relief of symptoms including: • cold symptoms • flu symptoms • low energy These statements are based upon 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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