Tummy Upset NDC 55714-1731

NDC codes

FDA NDC Directory

Product NDC (as listed)55714-1731Labeler and product segments. Claims need a package NDC.

Product NDC at billing width55714-1731Add 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
55714-1731-1	55714173101	28 g in 1 BOTTLE, GLASS (55714-1731-1)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): Tummy Upset
Generic name (nonproprietary): chamomilla, echinacea, iris versicolor, ruta graveolens, taraxacum officinale, aloe, angelica sinensis radix, antimonium , argentum nitricum, arnica montana, arsenicum album, baptisia tinctoria, bismuthum metallicum, bryonia, cinchona officinalis, graphites, hydrastis canadensis, ipecacuanha, lachesis mutus, lycopodium clavatum, myrrha, natrum carbonicum, nux vomica, phosphorus, pulsatilla, zingiber officinale.
Active ingredients: Lycopodium clavatum spore — 15 [hp_X]/gMyrrh — 15 [hp_X]/gMatricaria chamomilla — 6 [hp_X]/gSodium carbonate — 15 [hp_X]/gIris versicolor root — 6 [hp_X]/gRuta graveolens flowering top — 6 [hp_X]/gTaraxacum officinale — 6 [hp_X]/gAloe — 15 [hp_X]/gAngelica sinensis root — 15 [hp_X]/gAntimony trisulfide — 15 [hp_X]/gSilver nitrate — 15 [hp_X]/gArnica montana — 15 [hp_X]/gArsenic trioxide — 15 [hp_X]/gBaptisia tinctoria — 15 [hp_X]/gBismuth — 15 [hp_X]/gBryonia alba root — 15 [hp_X]/gCinchona officinalis bark — 15 [hp_X]/gGraphite — 15 [hp_X]/gGoldenseal — 15 [hp_X]/gIpecac — 15 [hp_X]/gLachesis muta venom — 15 [hp_X]/gPhosphorus — 15 [hp_X]/gAnemone pulsatilla — 15 [hp_X]/gGinger — 15 [hp_X]/gStrychnos nux-vomica seed — 15 [hp_X]/gEchinacea, Unspecified — 6 [hp_X]/g
Dosage form: Pellet
Route: Oral
Labeler: Newton Laboratories, Inc.
Product type: Over-the-counter drug
Marketing category: Unapproved homeopathic
Marketing start: Jan 1, 2019
Listing expires: Dec 31, 2026
Other FDA classes: Allergens (Chemical structure)Allergens (Chemical structure)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 55714-1731_2d813d91-7ac9-7366-e063-6294a90ad6c2SPL ID 2d813d91-7ac9-7366-e063-6294a90ad6c2SPL set ID 9dc307a2-4aa1-b02a-e053-2995a90a1788UNII C88X29Y479, JC71GJ1F3L, G0R4UBI2ZZ, 45P3261C7T, X43D4L3DQC, N94C2U587S, 39981FM375, V5VD430YW9, B66F4574UG, F79059A38U, 95IT3W8JZE, O80TY208ZW, S7V92P67HO, 5K1UO2888Y, U015TT5I8H, T7J046YI2B, S003A158SB, 4QQN74LH4O, ZW3Z11D0JV, 62I3C8233L, VSW71SS07I, 27YLU75U4W, I76KB35JEV, C5529G5JPQ, 269XH13919, 4N9P6CC1DX
Pharmacologic class: 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

N455714173101 followed by a unit qualifier and the quantity

Package 55714-1731-01. 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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