NDC codes

FDA NDC Directory
Product NDC (as listed)43742-2055Labeler and product segments. Claims need a package NDC.
Product NDC at billing width43742-2055Add 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
43742-2055-14374220550130 mL in 1 BOTTLE, DROPPER (43742-2055-1)Marketed from May 9, 2022

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)
Addiclenz
Generic name (nonproprietary)
boldo, carduus marianus, chelidonium majus, petroselinum sativum, taraxacum officinale, arsenicum album, bisphenol a, cobaltum metallicum, cuprum metallicum, glyphosate, iodium, lycopodium clavatum, phosphoricum acidum, selenium metallicum, zincum metallicum, aspartame, benzalkonium chloride, formalinum, methylene chloride, methyl paraben, propyl paraben, sodium benzoate, sodium citrate, titanium dioxide, zincum oxydatum
Active ingredients
Peumus boldus leaf — 3 [hp_X]/mLMilk thistle — 3 [hp_X]/mLChelidonium majus whole — 3 [hp_X]/mLPetroselinum crispum whole — 3 [hp_X]/mLTaraxacum officinale — 3 [hp_X]/mLArsenic trioxide — 12 [hp_X]/mLBisphenol a — 12 [hp_X]/mLCobalt — 12 [hp_X]/mLCopper — 12 [hp_X]/mLGlyphosate — 12 [hp_X]/mLIodine — 12 [hp_X]/mLLycopodium clavatum spore — 12 [hp_X]/mLPhosphoric acid — 12 [hp_X]/mLSelenium — 12 [hp_X]/mLZinc — 12 [hp_X]/mLAspartame — 30 [hp_X]/mLBenzalkonium chloride — 30 [hp_X]/mLFormaldehyde solution — 30 [hp_X]/mLMethylene chloride — 30 [hp_X]/mLMethylparaben — 30 [hp_X]/mLPropylparaben — 30 [hp_X]/mLSodium benzoate — 30 [hp_X]/mLSodium citrate, Unspecified form — 30 [hp_X]/mLTitanium dioxide — 30 [hp_X]/mLZinc oxide — 30 [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
Acidifying Activity (Mechanism)Allergens (Chemical structure)Allergens (Chemical structure)Allergens (Chemical structure)Ammonium Ion Binding Activity (Mechanism)Calcium Chelating Activity (Mechanism)Cell-mediated Immunity (Physiologic effect)Cell-mediated Immunity (Physiologic effect)Cell-mediated Immunity (Physiologic effect)Copper (Chemical structure)Decreased Coagulation Factor Activity (Physiologic effect)Decreased Copper Ion Absorption (Physiologic effect)Decreased Embryonic Implantation (Physiologic effect)Decreased Sperm Motility (Physiologic effect)Increased Histamine Release (Physiologic effect)Increased Histamine Release (Physiologic effect)Increased Histamine Release (Physiologic effect)Inhibit Ovum Fertilization (Physiologic effect)
Identifiers
Product ID 43742-2055_74d8d375-417b-4e4f-ad50-9faafdbcc09aSPL ID 74d8d375-417b-4e4f-ad50-9faafdbcc09aSPL set ID 8a3b75ca-8fec-4318-8a55-8bde0b82637dUNII Q4EWM09M3O, U946SH95EE, 7E889U5RNN, 1WZA4Y92EX, 39981FM375, S7V92P67HO, MLT3645I99, 3G0H8C9362, 789U1901C5, 4632WW1X5A, 9679TC07X4, C88X29Y479, E4GA8884NN, H6241UJ22B, J41CSQ7QDS, Z0H242BBR1, F5UM2KM3W7, T0H3L6C7I5, 588X2YUY0A, A2I8C7HI9T, Z8IX2SC1OH, OJ245FE5EU, 1Q73Q2JULR, 15FIX9V2JP, SOI2LOH54ZUPC 0810151880532
Pharmacologic class
Anti-coagulant; Calculi Dissolution Agent; Copper Absorption Inhibitor; Copper-containing Intrauterine Device; Nitrogen Binding Agent; 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

N443742205501 followed by a unit qualifier and the quantity

Package 43742-2055-01. 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 related to food additives including: • muscle weakness • skin irritation • poor muscle coordination • headache • liver support 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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