NDC codes

FDA NDC Directory
Product NDC (as listed)55714-2479Labeler and product segments. Claims need a package NDC.
Product NDC at billing width55714-2479Add 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
55714-2479-15571424790130 mL in 1 BOTTLE, GLASS (55714-2479-1)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)
Menopause
Generic name (nonproprietary)
elaps corallinus, agnus, angelica sinensis radix, arsenicum alb., bryonia, cantharis, caulophyllum, cimicifuga, cinchona, crotalus horridus, damiana, glonoinum, helonias dioica, ignatia, kali carb., lachesis, naja, nux vom., phosphorus, pulsatilla, salix nigra, sanguinaria, sepia, echinacea, valeriana
Active ingredients
Micrurus corallinus venom — 30 [hp_X]/mLChaste tree fruit — 10 [hp_X]/mLAngelica sinensis root — 10 [hp_X]/mLArsenic trioxide — 15 [hp_X]/mLBryonia alba root — 10 [hp_X]/mLLytta vesicatoria — 10 [hp_X]/mLCaulophyllum thalictroides root — 10 [hp_X]/mLBlack cohosh — 10 [hp_X]/mLCinchona officinalis bark — 10 [hp_X]/mLCrotalus horridus horridus venom — 10 [hp_X]/mLTurnera diffusa leafy twig — 10 [hp_X]/mLNitroglycerin — 10 [hp_X]/mLChamaelirium luteum root — 10 [hp_X]/mLStrychnos ignatii seed — 10 [hp_X]/mLPotassium carbonate — 10 [hp_X]/mLLachesis muta venom — 10 [hp_X]/mLNaja naja venom — 10 [hp_X]/mLStrychnos nux-vomica seed — 15 [hp_X]/mLPhosphorus — 10 [hp_X]/mLAnemone pulsatilla — 10 [hp_X]/mLSalix nigra bark — 10 [hp_X]/mLSanguinaria canadensis root — 10 [hp_X]/mLSepia officinalis juice — 10 [hp_X]/mLEchinacea, Unspecified — 6 [hp_X]/mLValerian — 6 [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)Nitrates (Chemical structure)Plant Proteins (Chemical structure)Seed Storage Proteins (Chemical structure)Vasodilation (Physiologic effect)
Identifiers
Product ID 55714-2479_2d92af15-9a5a-e254-e063-6294a90a127fSPL ID 2d92af15-9a5a-e254-e063-6294a90a127fSPL set ID 9c4718ef-86ac-7bb7-e053-2a95a90a5627UNII V0S6H36980, 433OSF3U8A, B66F4574UG, S7V92P67HO, T7J046YI2B, 3Q034RO3BT, JTJ6HH6YEH, K73E24S6X9, S003A158SB, YHA2XLJ956, RQ2CFA7WWJ, G59M7S0WS3, DQV54Y5H3U, 1NM3M2487K, BQN1B9B9HA, VSW71SS07I, ZZ4AG7L7VM, 269XH13919, 27YLU75U4W, I76KB35JEV, QU52J3A5B3, N9288CD508, QDL83WN8C2, 4N9P6CC1DX, JWF5YAW3QW
Pharmacologic class
Nitrate Vasodilator; 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

N455714247901 followed by a unit qualifier and the quantity

Package 55714-2479-01. 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 hot flashes, decreased libido, sleeplessness, mood swings, discomfort and fatigue.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

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