NDC codes

FDA NDC Directory
Product NDC (as listed)55714-2528Labeler and product segments. Claims need a package NDC.
Product NDC at billing width55714-2528Add 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
55714-2528-15571425280130 mL in 1 BOTTLE, GLASS (55714-2528-1)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)
Teeth-Gums
Generic name (nonproprietary)
chamomilla, echinacea, aconitum napellus, arnica montana, arsenicum album, baptisia tinctoria, belladonna, bryonia, calendula officinalis, chamomilla, chelidonium majus, crotalus horridus, gelsemium sempervirens, hepar sulphuris calcareum, kreosotum, mercurius vivus, myrrha, nux vomica, phosphorus, phytolacca decandra, plantago major, rhus toxicodendron, silicea, staphysagria
Active ingredients
Delphinium staphisagria seed — 15 [hp_X]/mLEchinacea, Unspecified — 6 [hp_X]/mLArsenic trioxide — 15 [hp_X]/mLBaptisia tinctoria root — 15 [hp_X]/mLAtropa belladonna — 15 [hp_X]/mLBryonia alba root — 15 [hp_X]/mLCalendula officinalis flowering top — 15 [hp_X]/mLMatricaria chamomilla — 15 [hp_X]/mLChelidonium majus — 15 [hp_X]/mLCrotalus horridus horridus venom — 15 [hp_X]/mLAconitum napellus — 15 [hp_X]/mLCalcium sulfide — 15 [hp_X]/mLWood creosote — 15 [hp_X]/mLMercury — 15 [hp_X]/mLMyrrh — 15 [hp_X]/mLStrychnos nux-vomica seed — 15 [hp_X]/mLPhosphorus — 15 [hp_X]/mLPhytolacca americana root — 15 [hp_X]/mLPlantago major — 15 [hp_X]/mLToxicodendron pubescens leaf — 15 [hp_X]/mLSilicon dioxide — 15 [hp_X]/mLArnica montana — 15 [hp_X]/mLGelsemium sempervirens root — 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)Plant Proteins (Chemical structure)Seed Storage Proteins (Chemical structure)
Identifiers
Product ID 55714-2528_2dd1c2a8-6aa6-e2c6-e063-6394a90a2872SPL ID 2dd1c2a8-6aa6-e2c6-e063-6394a90a2872SPL set ID 9d27b1e4-a966-5495-e053-2a95a90a965bUNII 00543AP1JV, 4N9P6CC1DX, S7V92P67HO, 5EF0HWI5WU, WQZ3G9PF0H, T7J046YI2B, 18E7415PXQ, G0R4UBI2ZZ, 7E889U5RNN, YHA2XLJ956, U0NQ8555JD, 1MBW07J51Q, 3JYG22FD73, FXS1BY2PGL, JC71GJ1F3L, 269XH13919, 27YLU75U4W, 11E6VI8VEG, W2469WNO6U, 6IO182RP7A, ETJ7Z6XBU4, O80TY208ZW, 639KR60Q1Q
Pharmacologic class
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

N455714252801 followed by a unit qualifier and the quantity

Package 55714-2528-01. 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

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