NDC codes

FDA NDC Directory
Product NDC (as listed)55714-2460Labeler and product segments. Claims need a package NDC.
Product NDC at billing width55714-2460Add 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
55714-2460-15571424600128 g in 1 BOTTLE, GLASS (55714-2460-1)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)
Hives-Rashes
Generic name (nonproprietary)
antimon. crud., apis mel., arsenicum alb., berber. vulg., bovista, bryonia, cantharis, chelidonium majus, croton, dulcamara, graphites, histaminum hydrochloricum, lycopodium, mezereum, nux vom., petroleum, pulex irritans, pulsatilla, rhus toxicodendron, sarsaparilla, sulphur, echinacea, rumex crisp., taraxacum, urtica ur.
Active ingredients
Antimony trisulfide — 15 [hp_X]/gApis mellifera — 15 [hp_X]/gArsenic trioxide — 15 [hp_X]/gBerberis vulgaris root bark — 15 [hp_X]/gLycoperdon utriforme fruiting body — 15 [hp_X]/gBryonia alba root — 15 [hp_X]/gLytta vesicatoria — 15 [hp_X]/gDaphne mezereum bark — 15 [hp_X]/gStrychnos nux-vomica seed — 15 [hp_X]/gKerosene — 15 [hp_X]/gPulex irritans — 15 [hp_X]/gAnemone pulsatilla — 15 [hp_X]/gToxicodendron pubescens leaf — 15 [hp_X]/gSulfur — 15 [hp_X]/gEchinacea, Unspecified — 6 [hp_X]/gRumex crispus root — 6 [hp_X]/gTaraxacum officinale — 6 [hp_X]/gUrtica urens — 6 [hp_X]/gSmilax ornata root — 15 [hp_X]/gChelidonium majus — 15 [hp_X]/gCroton tiglium seed — 15 [hp_X]/gSolanum dulcamara top — 15 [hp_X]/gGraphite — 15 [hp_X]/gHistamine dihydrochloride — 15 [hp_X]/gLycopodium clavatum spore — 15 [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)Bee Venoms (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)Seed Storage Proteins (Chemical structure)
Identifiers
Product ID 55714-2460_2d81e3c0-661a-9ab4-e063-6294a90a9eeeSPL ID 2d81e3c0-661a-9ab4-e063-6294a90a9eeeSPL set ID 9c0a9375-d5f7-fe71-e053-2995a90a13b6UNII F79059A38U, 7S82P3R43Z, S7V92P67HO, 1TH8Q20J0U, K2A74U428F, T7J046YI2B, 3Q034RO3BT, X2N6E405GV, 269XH13919, 1C89KKC04E, L63DD62R8R, I76KB35JEV, 6IO182RP7A, 70FD1KFU70, 4N9P6CC1DX, 9N1RM2S62C, 39981FM375, IHN2NQ5OF9, 2H1576D5WG, 7E889U5RNN, 0HK2GZK66E, KPS1B1162N, 4QQN74LH4O, 3POA0Q644U, C88X29Y479
Pharmacologic class
Non-Standardized Plant Allergenic Extract; Standardized Insect Venom 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

N455714246001 followed by a unit qualifier and the quantity

Package 55714-2460-01. 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 associated symptoms such as allergic skin reactions, burning, itching, redness, swelling and discomfort.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

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