NDC codes

FDA NDC Directory
Product NDC (as listed)43742-2199Labeler and product segments. Claims need a package NDC.
Product NDC at billing width43742-2199Add 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
43742-2199-14374221990130 mL in 1 BOTTLE, DROPPER (43742-2199-1)Marketed from Sep 23, 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)
PMS Relief
Generic name (nonproprietary)
agnus castus, aurum sulphuratum, candida albicans, cimicifuga racemosa, cocculus indicus, conium maculatum, cyclamen europaeum, elaps corallinus, folliculinum, hypothalamus suis, kali carbonicum, lac caninum, lachesis mutus, lycopodium clavatum, magnesia carbonica, pulsatilla (pratensis), saccharum officinale, stannum metallicum, thuja occidentalis, thyroidinum (bovine)
Active ingredients
Chaste tree fruit — 6 [hp_X]/mLGold monosulfide — 12 [hp_X]/mLCandida albicans — 12 [hp_X]/mLBlack cohosh — 6 [hp_X]/mLAnamirta cocculus seed — 12 [hp_X]/mLConium maculatum flowering top — 12 [hp_X]/mLCyclamen purpurascens tuber — 12 [hp_X]/mLMicrurus corallinus venom — 15 [hp_X]/mLEstrone — 10 [hp_X]/mLSus scrofa hypothalamus — 8 [hp_X]/mLPotassium carbonate — 6 [hp_X]/mLCanis lupus familiaris milk — 12 [hp_X]/mLLachesis muta venom — 12 [hp_X]/mLLycopodium clavatum spore — 6 [hp_X]/mLMagnesium carbonate — 12 [hp_X]/mLPulsatilla pratensis whole — 12 [hp_X]/mLSucrose — 6 [hp_X]/mLTin — 12 [hp_X]/mLThuja occidentalis leafy twig — 9 [hp_X]/mLThyroid, Bovine — 6 [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)Cell-mediated Immunity (Physiologic effect)Fungal Proteins (Chemical structure)Increased Histamine Release (Physiologic effect)Increased IgG Production (Physiologic effect)
Identifiers
Product ID 43742-2199_853f60d8-4f7a-4f18-9ece-122de4aefe7eSPL ID 853f60d8-4f7a-4f18-9ece-122de4aefe7eSPL set ID f03d8463-0a6d-4577-8fba-9cba246d3d45UNII 433OSF3U8A, 03VC3O9F7W, 4D7G21HDBC, K73E24S6X9, 810258W28U, Q28R5GF371, G728143D8Q, V0S6H36980, 2DI9HA706A, N6R0856Z79, BQN1B9B9HA, G39P120JQT, VSW71SS07I, C88X29Y479, 0E53J927NA, 8E272251DI, C151H8M554, 387GMG9FH5, 1NT28V9397, MN18OTN73WUPC 0810151883403
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

N443742219901 followed by a unit qualifier and the quantity

Package 43742-2199-01. 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: • symptoms of PMS • 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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