NDC codes

FDA NDC Directory
Product NDC (as listed)55714-2471Labeler and product segments. Claims need a package NDC.
Product NDC at billing width55714-2471Add 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
55714-2471-15571424710130 mL in 1 BOTTLE, GLASS (55714-2471-1)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)
Jet Lag
Generic name (nonproprietary)
echinacea, alumina, aralia quinquefolia, argentum, arnica montana, arsenicum album, baptisia tinctoria, bryonia, cantharis, chelidonium majus, conium maculatum, gelsemium sempervirens, iodium, kali carbonicum, kali iodatum, lycopodium clavatum, lycopus virginicus, natrum muriaticum, nux vomica, phosphorus, phytolacca decandra, pulsatilla, rhus toxicodendron, sabal serrulata, thyroidinum.
Active ingredients
Echinacea, Unspecified — 6 [hp_X]/mLAmerican ginseng — 15 [hp_X]/mLSilver nitrate — 15 [hp_X]/mLArnica montana — 15 [hp_X]/mLArsenic trioxide — 15 [hp_X]/mLBaptisia tinctoria root — 15 [hp_X]/mLBryonia alba root — 15 [hp_X]/mLLytta vesicatoria — 15 [hp_X]/mLChelidonium majus — 15 [hp_X]/mLConium maculatum flowering top — 15 [hp_X]/mLGelsemium sempervirens root — 15 [hp_X]/mLIodine — 15 [hp_X]/mLPotassium carbonate — 15 [hp_X]/mLPotassium iodide — 15 [hp_X]/mLLycopodium clavatum spore — 15 [hp_X]/mLLycopus virginicus — 15 [hp_X]/mLSodium chloride — 15 [hp_X]/mLStrychnos nux-vomica seed — 15 [hp_X]/mLPhosphorus — 15 [hp_X]/mLPhytolacca americana root — 15 [hp_X]/mLAnemone pulsatilla — 15 [hp_X]/mLToxicodendron pubescens leaf — 15 [hp_X]/mLSaw palmetto — 15 [hp_X]/mLAluminum oxide — 15 [hp_X]/mLThyroid, Unspecified — 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)Increased Large Intestinal Motility (Physiologic effect)Inhibition Large Intestine Fluid/Electrolyte Absorption (Physiologic effect)Osmotic Activity (Mechanism)Plant Proteins (Chemical structure)Seed Storage Proteins (Chemical structure)
Identifiers
Product ID 55714-2471_3f196d46-c2ad-a4d8-e063-6294a90a8143SPL ID 3f196d46-c2ad-a4d8-e063-6294a90a8143SPL set ID 9c21c935-4ebc-1efd-e053-2995a90aa156UNII 4N9P6CC1DX, 8W75VCV53Q, 95IT3W8JZE, O80TY208ZW, S7V92P67HO, 5EF0HWI5WU, T7J046YI2B, 3Q034RO3BT, 7E889U5RNN, Q28R5GF371, 639KR60Q1Q, 9679TC07X4, BQN1B9B9HA, 1C4QK22F9J, C88X29Y479, TWH5125Q6F, 451W47IQ8X, 269XH13919, 27YLU75U4W, 11E6VI8VEG, I76KB35JEV, 6IO182RP7A, J7WWH9M8QS, LMI26O6933, 0B4FDL9I6P
Pharmacologic class
Non-Standardized Plant Allergenic Extract; Osmotic Laxative

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

N455714247101 followed by a unit qualifier and the quantity

Package 55714-2471-01. 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 travel and time change such as fatigue, sleeplessness, headaches, vomiting and cramping.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

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