NDC codes

FDA NDC Directory
Product NDC (as listed)55714-1724Labeler and product segments. Claims need a package NDC.
Product NDC at billing width55714-1724Add 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
55714-1724-15571417240128 g in 1 BOTTLE, GLASS (55714-1724-1)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)
Detoxifier
Generic name (nonproprietary)
cynara scolymus, solidago virgaurea, taraxacum officinale, benzoicum acidum, berberis vulgaris, bryonia, cantharis, carduus benedictus, carduus marianus,ceanothus americanus, chelidonium majus, chionanthus virginica, cinchona officinalis, dioscorea villosa, dolichos pruriens, iris versicolor, juniperus communis, ptelea trifoliata, taraxacum officinale, nux vomica, uricum acidum.
Active ingredients
Cynara scolymus leaf — 6 [hp_X]/gDioscorea villosa tuber — 10 [hp_X]/gBenzoic acid — 10 [hp_X]/gBerberis vulgaris root bark — 10 [hp_X]/gBryonia alba root — 10 [hp_X]/gLytta vesicatoria — 10 [hp_X]/gCentaurea benedicta — 10 [hp_X]/gMilk thistle — 10 [hp_X]/gCeanothus americanus leaf — 10 [hp_X]/gChelidonium majus — 10 [hp_X]/gChionanthus virginicus bark — 10 [hp_X]/gCinchona officinalis bark — 10 [hp_X]/gIris versicolor root — 10 [hp_X]/gJuniper berry — 10 [hp_X]/gPtelea trifoliata bark — 10 [hp_X]/gTaraxacum officinale — 10 [hp_X]/gStrychnos nux-vomica seed — 15 [hp_X]/gUric acid — 15 [hp_X]/gMucuna pruriens fruit trichome — 10 [hp_X]/gSolidago virgaurea flowering top — 6 [hp_X]/g
Dosage form
Pellet
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)Ammonium Ion Binding Activity (Mechanism)Cell-mediated Immunity (Physiologic effect)Cell-mediated Immunity (Physiologic effect)Dietary Proteins (Chemical structure)Food Additives (Chemical structure)Increased Histamine Release (Physiologic effect)Increased Histamine Release (Physiologic effect)Increased IgG Production (Physiologic effect)Plant Proteins (Chemical structure)Plant Proteins (Chemical structure)Seed Storage Proteins (Chemical structure)
Identifiers
Product ID 55714-1724_3a89e751-d310-1a28-e063-6394a90a8d59SPL ID 3a89e751-d310-1a28-e063-6394a90a8d59SPL set ID 9d72d9ec-c7c3-7b45-e053-2a95a90afe96UNII B71UA545DE, IWY3IWX2G8, 8SKN0B0MIM, 1TH8Q20J0U, T7J046YI2B, 3Q034RO3BT, 6L5ZL09795, U946SH95EE, 25B1Y14T8N, 7E889U5RNN, S003A158SB, X43D4L3DQC, O84B5194RL, 5KQR6FTT0D, 39981FM375, 269XH13919, 268B43MJ25, 3E271BSI0C, 5405K23S50
Pharmacologic class
Nitrogen Binding Agent; 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

N455714172401 followed by a unit qualifier and the quantity

Package 55714-1724-01. 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 & USAGE SECTION Formulated for symptoms associated with toxicity such as hypersensitivity and sluggish elimination.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

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