NDC codes

FDA NDC Directory
Product NDC (as listed)55714-2498Labeler and product segments. Claims need a package NDC.
Product NDC at billing width55714-2498Add 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
55714-2498-15571424980128 g in 1 BOTTLE, GLASS (55714-2498-1)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)
Poison Ivy
Generic name (nonproprietary)
xerophyllum asphodeloides, aconitum nap., anacardium orientale, apis mel., bryonia, cantharis, croton, graphites, grindelia, mezereum, nux vom., ranunc. bulb., rhus toxicodendron, sarsaparilla, sulphur, echinacea, rumex crisp.,taraxacum, urtica ur.
Active ingredients
Xerophyllum asphodeloides — 30 [hp_X]/gAconitum napellus — 15 [hp_X]/gSemecarpus anacardium juice — 15 [hp_X]/gApis mellifera — 15 [hp_X]/gBryonia alba root — 15 [hp_X]/gLytta vesicatoria — 15 [hp_X]/gCroton tiglium seed — 15 [hp_X]/gGraphite — 15 [hp_X]/gGrindelia hirsutula flowering top — 15 [hp_X]/gDaphne mezereum bark — 15 [hp_X]/gStrychnos nux-vomica seed — 15 [hp_X]/gRanunculus bulbosus — 15 [hp_X]/gToxicodendron pubescens leaf — 15 [hp_X]/gSmilax ornata root — 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]/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 55714-2498_2d951add-0dae-5e36-e063-6394a90a1071SPL ID 2d951add-0dae-5e36-e063-6394a90a1071SPL set ID 9c9999b9-8d48-67f7-e053-2995a90aac96UNII 9I4XB1GP2B, U0NQ8555JD, Y0F0BU8RDU, 7S82P3R43Z, T7J046YI2B, 3Q034RO3BT, 0HK2GZK66E, 4QQN74LH4O, IDB0NAZ6AI, X2N6E405GV, 269XH13919, AEQ8NXJ0MB, 6IO182RP7A, 2H1576D5WG, 70FD1KFU70, 4N9P6CC1DX, 9N1RM2S62C, 39981FM375, IHN2NQ5OF9
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

N455714249801 followed by a unit qualifier and the quantity

Package 55714-2498-01. 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 poison ivy, oak and sumac such as itching, burning, pain, swelling and blistering.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

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