NDC codes

FDA NDC Directory
Product NDC (as listed)55714-1525Labeler and product segments. Claims need a package NDC.
Product NDC at billing width55714-1525Add 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
55714-1525-15571415250130 mL in 1 BOTTLE, GLASS (55714-1525-1)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)
Diarrhea
Generic name (nonproprietary)
aesculus hippocastanum, juglans regia, valeriana officinalis, aconitum napellus, argentum nitricum, arsenicum album, baptisia tinctoria, bryonia, carbo vegetabilis, chamomilla, cinchona officinalis, collinsonia canadensis, colocynthis, elaterium, gelsemium sempervirens, ipecacuanha, iris versicolor, lycopodium clavatum, magnesia carbonica, phosphorus, podophyllum peltatum, rheum, sulphur, tabacum, vaccinium myrtillus
Active ingredients
Silver nitrate — 15 [hp_X]/mLArsenic trioxide — 15 [hp_X]/mLBaptisia tinctoria root — 15 [hp_X]/mLBryonia alba root — 15 [hp_X]/mLActivated charcoal — 15 [hp_X]/mLMatricaria chamomilla — 15 [hp_X]/mLCinchona officinalis bark — 15 [hp_X]/mLCollinsonia canadensis root — 15 [hp_X]/mLGelsemium sempervirens root — 15 [hp_X]/mLIpecac — 15 [hp_X]/mLIris versicolor root — 15 [hp_X]/mLLycopodium clavatum spore — 15 [hp_X]/mLMagnesium carbonate — 15 [hp_X]/mLPhosphorus — 15 [hp_X]/mLPodophyllum — 15 [hp_X]/mLRheum officinale root — 15 [hp_X]/mLSulfur — 15 [hp_X]/mLTobacco leaf — 15 [hp_X]/mLBilberry — 15 [hp_X]/mLEcballium elaterium fruit — 15 [hp_X]/mLJuglans regia leaf — 6 [hp_X]/mLHorse chestnut — 6 [hp_X]/mLCitrullus colocynthis fruit pulp — 15 [hp_X]/mLValerian — 6 [hp_X]/mLAconitum napellus — 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)Cell-mediated Immunity (Physiologic effect)Increased Histamine Release (Physiologic effect)Increased IgG Production (Physiologic effect)Plant Proteins (Chemical structure)
Identifiers
Product ID 55714-1525_2cb88746-192d-6d28-e063-6394a90aa046SPL ID 2cb88746-192d-6d28-e063-6394a90aa046SPL set ID 9d7322da-c2fb-0fc3-e053-2a95a90ac70bUNII 95IT3W8JZE, S7V92P67HO, 5EF0HWI5WU, T7J046YI2B, 2P3VWU3H10, G0R4UBI2ZZ, S003A158SB, O2630F3XDR, 639KR60Q1Q, 62I3C8233L, X43D4L3DQC, C88X29Y479, 0E53J927NA, 27YLU75U4W, 2S713A4VP3, A47JP5ZG9M, 70FD1KFU70, 6YR2608RSU, 9P2U39H18W, 8P8HWT6ZWC, 85HKB87105, 3C18L6RJAZ, 23H32AOH17, JWF5YAW3QW, U0NQ8555JD
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

N455714152501 followed by a unit qualifier and the quantity

Package 55714-1525-01. 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 loose or liquid stools, cramping, gas, nausea, irritation and fatigue.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Free account

Keep searching with a free account

You’ve used your 3 free searches for this session. Log in or create a free Med-Code account to keep looking up NDCs, J-codes and drugs.

Create a free accountLog in