NDC codes

FDA NDC Directory
Product NDC (as listed)54973-4008Labeler and product segments. Claims need a package NDC.
Product NDC at billing width54973-4008Add 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
54973-4008-1549734008011 BOTTLE in 1 CARTON (54973-4008-1) / 100 TABLET in 1 BOTTLEMarketed from Apr 3, 2020

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)
Headache Relief
Generic name (nonproprietary)
atropa belladonna, gelsemium sempervirens root, ipecac and iris versicolor root
Active ingredients
Gelsemium sempervirens root — 6 [hp_X]/1Ipecac — 6 [hp_X]/1Atropa belladonna — 12 [hp_X]/1Iris versicolor root — 6 [hp_X]/1
Dosage form
Tablet
Route
Oral
Product type
Over-the-counter drug
Marketing category
Unapproved homeopathic
Marketing start
Listing expires
Identifiers
Product ID 54973-4008_efa50f1b-2f79-510f-e053-2a95a90ad548SPL ID efa50f1b-2f79-510f-e053-2a95a90ad548SPL set ID a58f376e-90ed-d5f5-e053-2a95a90a0442UNII 639KR60Q1Q, 62I3C8233L, WQZ3G9PF0H, X43D4L3DQC

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

N454973400801 followed by a unit qualifier and the quantity

Package 54973-4008-01. 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 ■ Temporarily relieves headaches

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

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