NDC codes

FDA NDC Directory
Product NDC (as listed)55714-2492Labeler and product segments. Claims need a package NDC.
Product NDC at billing width55714-2492Add 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
55714-2492-15571424920128 g in 1 BOTTLE, GLASS (55714-2492-1)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)
Nervousness - Anxiety
Generic name (nonproprietary)
passiflora incarnata, valeriana officinalis, aconitum napellus, ambra grisea, anacardium orientale, argentum nitricum, asafoetida, bryonia, chamomilla, cimicifuga racemosa, coffea cruda, cypripedium pubescens, gelsemium sempervirens, hyoscyamus niger, hypericum perforatum, ignatia amara, kali phosphoricum, nux vomica, sambucus nigra, strychninum, theridion, valeriana officinalis.
Active ingredients
Aconitum napellus — 15 [hp_X]/gAmbergris — 15 [hp_X]/gSemecarpus anacardium juice — 15 [hp_X]/gSilver nitrate — 15 [hp_X]/gFerula assa-foetida resin — 15 [hp_X]/gBryonia alba root — 15 [hp_X]/gMatricaria chamomilla — 15 [hp_X]/gBlack cohosh — 15 [hp_X]/gArabica coffee bean — 15 [hp_X]/gCypripedium parviflorum var. Pubescens root — 15 [hp_X]/gGelsemium sempervirens root — 15 [hp_X]/gHyoscyamus niger — 15 [hp_X]/gHypericum perforatum — 15 [hp_X]/gStrychnos ignatii seed — 15 [hp_X]/gDibasic potassium phosphate — 15 [hp_X]/gStrychnos nux-vomica seed — 15 [hp_X]/gSambucus nigra flowering top — 15 [hp_X]/gStrychnine — 15 [hp_X]/gTheridion curassavicum — 15 [hp_X]/gValerian — 15 [hp_X]/gPassiflora incarnata 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)Cell-mediated Immunity (Physiologic effect)Cell-mediated Immunity (Physiologic effect)Dietary Proteins (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)Seed Storage Proteins (Chemical structure)
Identifiers
Product ID 55714-2492_2d9524f7-1686-742c-e063-6294a90a4f6dSPL ID 2d9524f7-1686-742c-e063-6294a90a4f6dSPL set ID 9c94ff3a-2451-3617-e053-2a95a90a7cb9UNII U0NQ8555JD, XTC0D02P6C, Y0F0BU8RDU, 95IT3W8JZE, W9FZA51AS1, T7J046YI2B, G0R4UBI2ZZ, K73E24S6X9, 3SW678MX72, 21Y9GZ1LZA, 639KR60Q1Q, 4WRK2153H3, XK4IUX8MNB, 1NM3M2487K, CI71S98N1Z, 269XH13919, CT03BSA18U, H9Y79VD43J, 9Z8D3HEM8L, JWF5YAW3QW, CLF5YFS11O
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

N455714249201 followed by a unit qualifier and the quantity

Package 55714-2492-01. 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 nervous discomfort, irritability, racing thoughts, restlessness, tension and worry.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

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