NDC codes

FDA NDC Directory
Product NDC (as listed)51096-0001Labeler and product segments. Claims need a package NDC.
Product NDC at billing width51096-0001Add 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
51096-0001-151096000101180 mg in 1 BOTTLE (51096-0001-1)Marketed from Mar 1, 2013

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)
Gluten Sensitivity Formula
Generic name (nonproprietary)
lycopodium clavatum, pulsatilla
Active ingredients
Lycopodium clavatum spore — 12 [hp_X]/mgPulsatilla vulgaris — 12 [hp_X]/mg
Dosage form
Capsule
Route
Oral
Labeler
The Wise AlternativeNDC labeler code 51096
Product type
Over-the-counter drug
Marketing category
Unapproved homeopathic
Marketing start
Marketing end
Identifiers
Product ID 51096-0001_04a36afe-0f09-47fe-8d8d-ad77bf658ee4SPL ID 04a36afe-0f09-47fe-8d8d-ad77bf658ee4SPL set ID 42b2d54a-5e02-44ed-8172-a45c5addf7c2UNII C88X29Y479, I76KB35JEV

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

N451096000101 followed by a unit qualifier and the quantity

Package 51096-0001-01. 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)

INDICATIONS AND USAGE For temporary relief of symptoms associated with constipation, bloating, diarrhea and othe symptoms of poor digetsion.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 51096-0001

What is NDC 51096-0001?
51096-0001 is the product NDC for Gluten Sensitivity Formula, Lycopodium clavatum spore 12 [hp_X]/mg; Pulsatilla vulgaris 12 [hp_X]/mg capsule, listed with the FDA by The Wise Alternative. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Gluten Sensitivity Formula (Lycopodium Clavatum, Pulsatilla).
What is the active ingredient?
Lycopodium clavatum spore, Pulsatilla vulgaris.
Who is the labeler?
The Wise Alternative, NDC labeler code 51096. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Gluten Sensitivity Formula?
None: this is the only finished product listed under this name.
Is there a related HCPCS / J-code?
Not in Med-Code's curated HCPCS directory. See Billing references above.

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