NDC codes

FDA NDC Directory
Product NDC (as listed)55714-2554Labeler and product segments. Claims need a package NDC.
Product NDC at billing width55714-2554Add 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
55714-2554-15571425540130 mL in 1 BOTTLE, GLASS (55714-2554-1)Marketed from Aug 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)
Restless Leg
Generic name (nonproprietary)
mygale, agaricus musc., causticum, cinchona, conium, cuprum met., gelsemium, hyoscyamus, hypericum, kali carb., mag. carb., merc. viv., nux vom., plumb. met., rhus toxicodendron, secale, strychninum, tarentula hispana, valeriana, verbascum, zinc. met., chamomilla,passiflora
Active ingredients
Amanita muscaria fruiting body — 15 [hp_X]/mLAvicularia avicularia — 16 [hp_X]/mLCausticum — 15 [hp_X]/mLCinchona officinalis bark — 15 [hp_X]/mLConium maculatum flowering top — 15 [hp_X]/mLCopper — 15 [hp_X]/mLGelsemium sempervirens root — 15 [hp_X]/mLHyoscyamus niger — 15 [hp_X]/mLHypericum perforatum — 15 [hp_X]/mLPotassium carbonate — 15 [hp_X]/mLMagnesium carbonate — 15 [hp_X]/mLMercury — 15 [hp_X]/mLStrychnos nux-vomica seed — 15 [hp_X]/mLLead — 15 [hp_X]/mLToxicodendron pubescens leaf — 15 [hp_X]/mLClaviceps purpurea sclerotium — 15 [hp_X]/mLStrychnine — 15 [hp_X]/mLLycosa tarantula — 15 [hp_X]/mLValerian — 15 [hp_X]/mLVerbascum thapsus — 15 [hp_X]/mLZinc — 15 [hp_X]/mLMatricaria chamomilla — 6 [hp_X]/mLPassiflora incarnata flowering top — 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)Copper (Chemical structure)Decreased Embryonic Implantation (Physiologic effect)Decreased Sperm Motility (Physiologic effect)Increased Histamine Release (Physiologic effect)Increased IgG Production (Physiologic effect)Inhibit Ovum Fertilization (Physiologic effect)Plant Proteins (Chemical structure)Seed Storage Proteins (Chemical structure)
Identifiers
Product ID 55714-2554_2dd1e735-17ac-e97e-e063-6294a90a26a8SPL ID 2dd1e735-17ac-e97e-e063-6294a90a26a8SPL set ID 9b2e2194-fda3-6837-e053-2995a90ac61aUNII DIF093I037, 8ZTK6T93B6, DD5FO1WKFU, S003A158SB, Q28R5GF371, 789U1901C5, 639KR60Q1Q, 4WRK2153H3, XK4IUX8MNB, BQN1B9B9HA, 0E53J927NA, FXS1BY2PGL, 269XH13919, 2P299V784P, 6IO182RP7A, 01G9XEA93N, H9Y79VD43J, 86M454L2TT, JWF5YAW3QW, C9TD27U172, J41CSQ7QDS, G0R4UBI2ZZ, CLF5YFS11O
Pharmacologic class
Copper-containing Intrauterine Device; 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

N455714255401 followed by a unit qualifier and the quantity

Package 55714-2554-01. 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 the constant need to move the legs and feet, cramping, jerking, twitching and trembling.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

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