Backache Relief NDC 54973-4011

NDC codes

FDA NDC Directory

Product NDC (as listed)54973-4011Labeler and product segments. Claims need a package NDC.

Product NDC at billing width54973-4011Add 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 NDC	11-digit (billing)	Package	Copy
54973-4011-1	54973401101	1 BOTTLE in 1 CARTON (54973-4011-1) / 100 TABLET in 1 BOTTLEMarketed from Mar 30, 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): Backache Relief
Generic name (nonproprietary): aconitum napellus, bryonia alba root, magnesium phosphate, dibasic trihydrate, bellis perennis, toxicodendron pubescens leaf and arnica montana
Active ingredients: Arnica montana — 6 [hp_X]/1Bellis perennis — 6 [hp_X]/1Aconitum napellus — 6 [hp_X]/1Bryonia alba root — 6 [hp_X]/1Magnesium phosphate, Dibasic trihydrate — 6 [hp_X]/1Toxicodendron pubescens leaf — 6 [hp_X]/1
Dosage form: Tablet
Route: Oral
Labeler: Hyland's Inc.
Product type: Over-the-counter drug
Marketing category: Unapproved homeopathic
Marketing start: Mar 30, 2020
Listing expires: Dec 31, 2026
Other FDA classes: Increased Large Intestinal Motility (Physiologic effect)Inhibition Large Intestine Fluid/Electrolyte Absorption (Physiologic effect)Inhibition Small Intestine Fluid/Electrolyte Absorption (Physiologic effect)Magnesium Ion Exchange Activity (Mechanism)Osmotic Activity (Mechanism)Stimulation Large Intestine Fluid/Electrolyte Secretion (Physiologic effect)
Identifiers: Product ID 54973-4011_fb5962be-5af1-206f-e053-6294a90aa8b0SPL ID fb5962be-5af1-206f-e053-6294a90aa8b0SPL set ID a51452b3-0aba-6928-e053-2995a90a1619UNII O80TY208ZW, 2HU33I03UY, U0NQ8555JD, T7J046YI2B, HF539G9L3Q, 6IO182RP7A
Pharmacologic class: Calculi Dissolution Agent; Osmotic Laxative

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

N454973401101 followed by a unit qualifier and the quantity

Package 54973-4011-01. 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

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