NDC codes

FDA NDC Directory
Product NDC (as listed)55714-1523Labeler and product segments. Claims need a package NDC.
Product NDC at billing width55714-1523Add 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
55714-1523-15571415230130 mL in 1 BOTTLE, GLASS (55714-1523-1)Marketed from Jan 1, 2019

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)
Constipation
Generic name (nonproprietary)
echinacea, iris versicolor, phytolacca decandra, taraxacum officinale, abies nigra, aesculus hippocastanum, aloe, alumina, bryonia, carbo vegetabilis, chelidonium majus, collinsonia canadensis, graphite, hydrastis canadensis 15x, kali carbonicum 15x, lycopodium clavatum 15x, magnesia muriatica 15x, mezereum, nux vomica, podophyllum peltatum, rhamnus purshiana, sanicula, selenium metallicum, sepia, silicea, tabacum, veratrum album, zincum metallicum
Active ingredients
Echinacea, Unspecified — 6 [hp_X]/mLCollinsonia canadensis root — 15 [hp_X]/mLPhytolacca americana root — 6 [hp_X]/mLTaraxacum officinale — 6 [hp_X]/mLPicea mariana resin — 15 [hp_X]/mLHorse chestnut — 15 [hp_X]/mLAloe — 15 [hp_X]/mLAluminum oxide — 15 [hp_X]/mLBryonia alba root — 15 [hp_X]/mLActivated charcoal — 15 [hp_X]/mLChelidonium majus — 15 [hp_X]/mLGoldenseal — 15 [hp_X]/mLPotassium carbonate — 15 [hp_X]/mLLycopodium clavatum spore — 15 [hp_X]/mLMagnesium chloride — 15 [hp_X]/mLDaphne mezereum bark — 15 [hp_X]/mLStrychnos nux-vomica seed — 15 [hp_X]/mLPodophyllum — 15 [hp_X]/mLKrameria lappacea root — 15 [hp_X]/mLSanicula europaea leaf — 15 [hp_X]/mLSelenium — 15 [hp_X]/mLSepia officinalis juice — 15 [hp_X]/mLSilicon dioxide — 15 [hp_X]/mLTobacco leaf — 15 [hp_X]/mLVeratrum album root — 15 [hp_X]/mLGraphite — 15 [hp_X]/mLIris versicolor root — 6 [hp_X]/mLZinc — 15 [hp_X]/mL
Dosage form
Liquid
Route
Oral
Product type
Over-the-counter drug
Marketing category
Unapproved homeopathic
Marketing start
Listing expires
Other FDA classes
Allergens (Chemical structure)Allergens (Chemical structure)Cell-mediated Immunity (Physiologic effect)Cell-mediated Immunity (Physiologic effect)Increased Histamine Release (Physiologic effect)Increased Histamine Release (Physiologic effect)Increased IgG Production (Physiologic effect)Increased IgG Production (Physiologic effect)Plant Proteins (Chemical structure)Plant Proteins (Chemical structure)Seed Storage Proteins (Chemical structure)
Identifiers
Product ID 55714-1523_2c7b6786-dfeb-b4f0-e063-6394a90a1533SPL ID 2c7b6786-dfeb-b4f0-e063-6394a90a1533SPL set ID 9d626292-7abb-1afb-e053-2995a90a2818UNII 4N9P6CC1DX, O2630F3XDR, 11E6VI8VEG, 39981FM375, 71AOV0W131, 3C18L6RJAZ, V5VD430YW9, LMI26O6933, T7J046YI2B, 2P3VWU3H10, 7E889U5RNN, ZW3Z11D0JV, BQN1B9B9HA, C88X29Y479, 02F3473H9O, X2N6E405GV, 269XH13919, 2S713A4VP3, P29ZH1A35Z, JYZ6110L9I, H6241UJ22B, QDL83WN8C2, ETJ7Z6XBU4, 6YR2608RSU, QNS6W5US1Z, 4QQN74LH4O, X43D4L3DQC, J41CSQ7QDS
Pharmacologic class
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

N455714152301 followed by a unit qualifier and the quantity

Package 55714-1523-01. 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 SECTION Formulated for associated symptoms such as difficult elimination, hard stools, pain, tenderness, pressure and irritability.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

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