NDC codes

FDA NDC Directory
Product NDC (as listed)55714-2499Labeler and product segments. Claims need a package NDC.
Product NDC at billing width55714-2499Add 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
55714-2499-15571424990130 mL in 1 BOTTLE, GLASS (55714-2499-1)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)
Pollen-Weeds
Generic name (nonproprietary)
ginkgo biloba, hydrastis canadensis, taraxacum officinale, adrenalinum , aletris farinosa, alfalfa, allium cepa, antimonium tartaricum, arsenicum album, artemisia vulgaris, baptisia tinctoria, bellis perennis, berberis vulgaris, bryonia, calluna vulgaris, flos, chelidonium majus, chenopodium anthelminticum, dioscorea vilosa, euphrasia officinalis, fagus sylvatica, fraxinus americana, gelsemium sempervirens, histaminum hydrochloricum, kali bichromicum, kali iodatum, lachesis mutus, lilium tigrinum,
Active ingredients
Parthenium hysterophorus — 16 [hp_X]/mLXerophyllum asphodeloides — 15 [hp_X]/mLEpinephrine — 15 [hp_X]/mLAlfalfa — 15 [hp_X]/mLAletris farinosa root — 15 [hp_X]/mLArtemisia vulgaris root — 15 [hp_X]/mLBellis perennis — 15 [hp_X]/mLDysphania ambrosioides — 15 [hp_X]/mLLycopus virginicus — 15 [hp_X]/mLPhytolacca americana root — 15 [hp_X]/mLPopulus balsamifera leaf bud — 15 [hp_X]/mLPopulus tremuloides leaf — 15 [hp_X]/mLPtelea trifoliata bark — 15 [hp_X]/mLSambucus nigra flowering top — 15 [hp_X]/mLTrillium erectum root — 15 [hp_X]/mLElymus repens root — 15 [hp_X]/mLUrtica urens — 15 [hp_X]/mLWyethia helenioides root — 15 [hp_X]/mLYucca filamentosa — 16 [hp_X]/mLHistamine dihydrochloride — 15 [hp_X]/mLJuniperus virginiana twig — 16 [hp_X]/mLThyroid, Unspecified — 15 [hp_X]/mLUstilago maydis — 15 [hp_X]/mLOnion — 15 [hp_X]/mLAntimony potassium tartrate — 15 [hp_X]/mLArsenic trioxide — 15 [hp_X]/mLBaptisia tinctoria root — 15 [hp_X]/mLBerberis vulgaris root bark — 15 [hp_X]/mLBryonia alba root — 15 [hp_X]/mLChelidonium majus — 15 [hp_X]/mLEuphrasia stricta — 15 [hp_X]/mLGelsemium sempervirens root — 15 [hp_X]/mLPotassium dichromate — 15 [hp_X]/mLPotassium iodide — 15 [hp_X]/mLLachesis muta venom — 15 [hp_X]/mLLycopodium clavatum spore — 15 [hp_X]/mLAnemone pulsatilla — 15 [hp_X]/mLSchoenocaulon officinale seed — 15 [hp_X]/mLDioscorea villosa tuber — 15 [hp_X]/mLGinkgo — 6 [hp_X]/mLTaraxacum officinale — 6 [hp_X]/mLGoldenseal — 6 [hp_X]/mLQuercus robur nut — 15 [hp_X]/mLCalluna vulgaris flowering top — 15 [hp_X]/mLUlmus rubra bark — 16 [hp_X]/mLFagus sylvatica nut — 15 [hp_X]/mLFraxinus americana bark — 15 [hp_X]/mLLilium lancifolium whole flowering — 15 [hp_X]/mLRosa damascena flowering top — 15 [hp_X]/mLTrifolium pratense flower — 15 [hp_X]/mLSalix nigra bark — 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
Adrenergic alpha-Agonists (Mechanism)Adrenergic beta-Agonists (Mechanism)Allergens (Chemical structure)Allergens (Chemical structure)Catecholamines (Chemical structure)Cell-mediated Immunity (Physiologic effect)Cell-mediated Immunity (Physiologic effect)Dietary Proteins (Chemical structure)Fungal Proteins (Chemical structure)Increased Histamine Release (Physiologic effect)Increased Histamine Release (Physiologic effect)Increased IgG Production (Physiologic effect)Vegetable Proteins (Chemical structure)
Identifiers
Product ID 55714-2499_2d95405f-cd5c-7297-e063-6294a90a3795SPL ID 2d95405f-cd5c-7297-e063-6294a90a3795SPL set ID 9c9a4de7-2eb0-240c-e053-2995a90a8b23UNII 151F45R21P, 9I4XB1GP2B, YKH834O4BH, DJO934BRBD, O021JGR97X, 32MP823R8S, 2HU33I03UY, 4H5RSU087I, TWH5125Q6F, 11E6VI8VEG, 9CQ6C00G3C, 7IIH57D9E0, 5KQR6FTT0D, CT03BSA18U, AHW6F0T2X0, 3IXW0F6P8W, IHN2NQ5OF9, J10PD1AQ0N, T6VR38UJ9I, 3POA0Q644U, 532BCG080L, 0B4FDL9I6P, 4K7Z7K7SWG, 492225Q21H, DL6OZ476V3, S7V92P67HO, 5EF0HWI5WU, 1TH8Q20J0U, T7J046YI2B, 7E889U5RNN, C9642I91WL, 639KR60Q1Q, T4423S18FM, 1C4QK22F9J, VSW71SS07I, C88X29Y479, I76KB35JEV, 6NAF1689IO, IWY3IWX2G8, 19FUJ2C58T, 39981FM375, ZW3Z11D0JV, Q7MU1F4GLY, D9PC510CQV, 91QY4PXU8Q, I57ERU2601, 0B24UR1O1S, X67Z2963PI, 21W82Q764G, 4JS0838828, QU52J3A5B3
Pharmacologic class
Catecholamine; Non-Standardized Food Allergenic Extract; Non-Standardized Fungal Allergenic Extract; alpha-Adrenergic Agonist; beta-Adrenergic Agonist

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

N455714249901 followed by a unit qualifier and the quantity

Package 55714-2499-01. 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 of Spring and early Summer pollens such as itchy eyes, sneezing, post-nasal drip, sore throat and sinus pressure.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Free account

Keep searching with a free account

You’ve used your 3 free searches for this session. Log in or create a free Med-Code account to keep looking up NDCs, J-codes and drugs.

Create a free accountLog in