NDC codes

FDA NDC Directory
Product NDC (as listed)48951-4200Labeler and product segments. Claims need a package NDC.
Product NDC at billing width48951-4200Add 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
48951-4200-34895142000360 mL in 1 BOTTLE, DROPPER (48951-4200-3)Marketed from Sep 1, 2009

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)
Formica Stibium comp.
Generic name (nonproprietary)
formica stibium comp.
Active ingredients
Sus scrofa lung — 6 [hp_X]/mLAntimony — 8 [hp_X]/mLSilicon dioxide — 12 [hp_X]/mLFormica rufa — 15 [hp_X]/mL
Dosage form
Liquid
Route
Oral
Product type
Over-the-counter drug
Marketing category
Unapproved homeopathic
Marketing start
Listing expires
Identifiers
Product ID 48951-4200_43d0bb0c-2c3b-8959-e063-6294a90ac75fSPL ID 43d0bb0c-2c3b-8959-e063-6294a90ac75fSPL set ID 439073f2-1dee-4b4e-a65e-74aee1c73c2bUNII 7GL3G1COB3, 9IT35J3UV3, ETJ7Z6XBU4, 55H0W83JO5

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

N448951420003 followed by a unit qualifier and the quantity

Package 48951-4200-03. 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)

Directions: FOR ORAL USE ONLY.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

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