NDC codes

FDA NDC Directory
Product NDC (as listed)55714-2592Labeler and product segments. Claims need a package NDC.
Product NDC at billing width55714-2592Add 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
55714-2592-15571425920130 mL in 1 BOTTLE, GLASS (55714-2592-1)Marketed from Mar 11, 2024

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)
Vitiligo
Generic name (nonproprietary)
echinacea, iris versicolor, rumex crispus, berberis vulgaris, bovista, dolichos pruriens, hura brasiliensis, hydrocotyle asiatica, lycopodium clavatum, mezereum, rhus toxicodendron, sepia, taraxacum officinale, thuja occidentalis, urtica urens, arsenicum album
Active ingredients
Echinacea, Unspecified — 15 [hp_X]/mLHura crepitans sap — 15 [hp_X]/mLCentella asiatica — 15 [hp_X]/mLLycopodium clavatum spore — 15 [hp_X]/mLDaphne mezereum bark — 15 [hp_X]/mLToxicodendron pubescens leaf — 15 [hp_X]/mLRumex crispus root — 15 [hp_X]/mLSepia officinalis juice — 15 [hp_X]/mLTaraxacum officinale — 15 [hp_X]/mLThuja occidentalis leafy twig — 15 [hp_X]/mLUrtica urens — 15 [hp_X]/mLArsenic trioxide — 15 [hp_X]/mLBerberis vulgaris root bark — 15 [hp_X]/mLIris versicolor root — 6 [hp_X]/mLLycoperdon utriforme fruiting body — 15 [hp_X]/mLMucuna pruriens fruit trichome — 15 [hp_X]/mL
Dosage form
Liquid
Route
Oral
Product type
Over-the-counter drug
Marketing category
Unapproved homeopathic
Marketing start
Listing expires
Identifiers
Product ID 55714-2592_136939aa-bd34-38a6-e063-6394a90abad0SPL ID 136939aa-bd34-38a6-e063-6394a90abad0SPL set ID 136945e2-6f2a-a0df-e063-6294a90a994bUNII 4N9P6CC1DX, 8UHN1I06UP, 7M867G6T1U, C88X29Y479, X2N6E405GV, 6IO182RP7A, 9N1RM2S62C, QDL83WN8C2, 39981FM375, 1NT28V9397, IHN2NQ5OF9, S7V92P67HO, 1TH8Q20J0U, X43D4L3DQC, K2A74U428F, 3E271BSI0C

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

N455714259201 followed by a unit qualifier and the quantity

Package 55714-2592-01. 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 loss of pigmentation, changes in the skin, inflammation, itching and premature graying.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

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