NDC codes

FDA NDC Directory
Product NDC (as listed)54973-3352Labeler and product segments. Claims need a package NDC.
Product NDC at billing width54973-3352Add 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
54973-3352-1549733352011 BOTTLE, PLASTIC in 1 CARTON (54973-3352-1) / 50 TABLET in 1 BOTTLE, PLASTICMarketed from Mar 14, 2018
54973-3352-2549733352024 TABLET in 1 PACKET (54973-3352-2)Marketed from Mar 14, 2018 · Sample package
54973-3352-4549733352041 BOTTLE, PLASTIC in 1 CARTON (54973-3352-4) / 16 TABLET in 1 BOTTLE, PLASTICMarketed from Mar 14, 2018
54973-3352-5549733352051 BOTTLE, PLASTIC in 1 CARTON (54973-3352-5) / 16 TABLET in 1 BOTTLE, PLASTICMarketed from Mar 14, 2018

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)
Restful Legs PM
Generic name (nonproprietary)
anemone patens,matricaria chamomilla,sulfur,zinc,toxicodendron pubescens leaf,arsenic trioxide,arabica coffee bean,lycopodium clavatum spore
Active ingredients
Arsenic trioxide — 12 [hp_X]/1Matricaria chamomilla — 3 [hp_X]/1Sulfur — 6 [hp_X]/1Zinc — 12 [hp_X]/1Arabica coffee bean — 3 [hp_X]/1Lycopodium clavatum spore — 6 [hp_X]/1Pulsatilla patens whole — 6 [hp_X]/1Toxicodendron pubescens leaf — 6 [hp_X]/1
Dosage form
Tablet
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)Dietary Proteins (Chemical structure)Increased Histamine Release (Physiologic effect)Plant Proteins (Chemical structure)Seed Storage Proteins (Chemical structure)
Identifiers
Product ID 54973-3352_58cd2939-aaf5-d50a-e063-6294a90aba67SPL ID 58cd2939-aaf5-d50a-e063-6294a90aba67SPL set ID 67667af8-b27b-1511-e053-2991aa0a3988UNII S7V92P67HO, G0R4UBI2ZZ, 70FD1KFU70, J41CSQ7QDS, 3SW678MX72, C88X29Y479, 4M1169RWJD, 6IO182RP7A
Pharmacologic class
Non-Standardized Food Allergenic Extract; Non-Standardized Plant 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

N454973335201 followed by a unit qualifier and the quantity

Package 54973-3352-01. 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 ■ Helps temporarily relieve occasional sleeplessness or disrupted sleep due to: ■ agitation or compelling urge to jerk or move legs ■ itching, tingling, or crawling sensations in legs

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

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