NDC codes

FDA NDC Directory
Product NDC (as listed)43742-1342Labeler and product segments. Claims need a package NDC.
Product NDC at billing width43742-1342Add 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
43742-1342-14374213420130 mL in 1 BOTTLE, DROPPER (43742-1342-1)Marketed from Jul 10, 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)
PMS Relief
Generic name (nonproprietary)
agnus castus, cimicifuga racemosa, kali carbonicum, lycopodium clavatum, saccharum officinale, thyroidinum (bovine), hypothalamus suis, aristolochia clematitis, folliculinum, aurum sulphuratum, candida albicans, cocculus indicus, conium maculatum, cyclamen europaeum, elaps corallinus, lac caninum, lachesis mutus, magnesia carbonica, pulsatilla (pratensis), stannum metallicum
Active ingredients
Chaste tree fruit — 6 [hp_X]/mLBlack cohosh — 6 [hp_X]/mLPotassium carbonate — 6 [hp_X]/mLLycopodium clavatum spore — 6 [hp_X]/mLSucrose — 6 [hp_X]/mLThyroid, Bovine — 6 [hp_X]/mLSus scrofa hypothalamus — 8 [hp_X]/mLAristolochia clematitis root — 9 [hp_X]/mLEstrone — 10 [hp_X]/mLGold monosulfide — 12 [hp_X]/mLCandida albicans — 12 [hp_X]/mLAnamirta cocculus seed — 12 [hp_X]/mLConium maculatum flowering top — 12 [hp_X]/mLCyclamen purpurascens tuber — 12 [hp_X]/mLMicrurus corallinus venom — 12 [hp_X]/mLCanis lupus familiaris milk — 12 [hp_X]/mLLachesis muta venom — 12 [hp_X]/mLMagnesium carbonate — 12 [hp_X]/mLPulsatilla pratensis whole — 12 [hp_X]/mLTin — 12 [hp_X]/mL
Dosage form
Liquid
Route
Oral
Product type
Over-the-counter drug
Marketing category
Unapproved homeopathic
Marketing start
Marketing end
Other FDA classes
Allergens (Chemical structure)Cell-mediated Immunity (Physiologic effect)Fungal Proteins (Chemical structure)Increased Histamine Release (Physiologic effect)Increased IgG Production (Physiologic effect)
Identifiers
Product ID 43742-1342_e3ca505b-7cf3-405a-a44e-9ad18472a141SPL ID e3ca505b-7cf3-405a-a44e-9ad18472a141SPL set ID ca073beb-330d-406c-9bf5-196a89f3ab58UNII 433OSF3U8A, K73E24S6X9, BQN1B9B9HA, C88X29Y479, C151H8M554, MN18OTN73W, N6R0856Z79, ZY0NX0W00D, 2DI9HA706A, 03VC3O9F7W, 4D7G21HDBC, 810258W28U, Q28R5GF371, G728143D8Q, V0S6H36980, G39P120JQT, VSW71SS07I, 0E53J927NA, 8E272251DI, 387GMG9FH5
Pharmacologic class
Non-Standardized Fungal 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

N443742134201 followed by a unit qualifier and the quantity

Package 43742-1342-01. 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 the temporary relief of symptoms related to premenstrual syndrome, such as mood swings, irritability, anger, sadness, weeping, anxiety, acne, bowel congestion, head pain, muscle pain before menses.** **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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