Acetylcholine Chloride NDC 43742-2121

NDC codes

FDA NDC Directory

Product NDC (as listed)43742-2121Labeler and product segments. Claims need a package NDC.

Product NDC at billing width43742-2121Add 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 NDC	11-digit (billing)	Package	Copy
43742-2121-1	43742212101	30 mL in 1 BOTTLE, DROPPER (43742-2121-1)Marketed from Mar 12, 2024

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): Acetylcholine Chloride
Generic name (nonproprietary): acetylcholine chloride, helicobacter pylori dna
Active ingredients: Acetylcholine chloride — 6 [hp_X]/mLHelicobacter pylori DNA — 8 [hp_X]/mL
Dosage form: Liquid
Route: Oral
Labeler: Deseret Biologicals, Inc.
Product type: Over-the-counter drug
Marketing category: Unapproved homeopathic
Marketing start: Mar 12, 2024
Listing expires: Dec 31, 2026
Other FDA classes: Cholinergic Agonists (Mechanism)
Identifiers: Product ID 43742-2121_2c3f0cb0-55f0-4041-a8e0-65f554a389baSPL ID 2c3f0cb0-55f0-4041-a8e0-65f554a389baSPL set ID 8586b46c-4853-4b26-ac39-88e701930081UNII AF73293C2R, 14ZY3JP7M6UPC 0810151880303
Pharmacologic class: Cholinergic Receptor Agonist

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

N443742212101 followed by a unit qualifier and the quantity

Package 43742-2121-01. 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

Label details couldn’t be retrieved right now. Open the label on DailyMed.