NDC codes

FDA NDC Directory
Product NDC (as listed)53645-1621Labeler and product segments. Claims need a package NDC.
Product NDC at billing width53645-1621Add 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
53645-1621-65364516210630 mL in 1 BOTTLE (53645-1621-6)Marketed from Sep 29, 2025

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)
Agaricus Albus 30X
Generic name (nonproprietary)
agaricus albus 30x
Active ingredients
Agaricus bisporus whole — 30 [hp_X]/30mL
Dosage form
Liquid
Route
Oral
Product type
Over-the-counter drug
Marketing category
Unapproved homeopathic
Marketing start
Listing expires
Identifiers
Product ID 53645-1621_3bb3a128-253f-5290-e063-6394a90a1797SPL ID 3bb3a128-253f-5290-e063-6394a90a1797SPL set ID 3bb3a128-253e-5290-e063-6394a90a1797UNII B0FRQ940N7

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

N453645162106 followed by a unit qualifier and the quantity

Package 53645-1621-06. 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)

Use: For temporary relief of headache, cough. May also be used for standard homeopathic indications or as directed by your physician.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

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