NDC codes

FDA NDC Directory
Product NDC (as listed)55714-2597Labeler and product segments. Claims need a package NDC.
Product NDC at billing width55714-2597Add 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
55714-2597-15571425970130 mL in 1 BOTTLE, GLASS (55714-2597-1)Marketed from Dec 1, 2025

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)
Headache
Generic name (nonproprietary)
elaps corallinus, arsenicum alb., belladonna, bryonia, carduus benedictus, cimicifuga, coffea cruda, convallaria, crotalus horridus, digitalis, gelsemium, glonoinum, ignatia, lachesis, merc. viv., naja, nux vom., phosphorus, rhus toxicodendron, sanguinaria, secale, vipera berus, apis mel., hypericum, thuja occ..
Active ingredients
Micrurus corallinus venom — 30 [hp_X]/mLArsenic trioxide — 15 [hp_X]/mLAtropa belladonna — 15 [hp_X]/mLBryonia alba root — 15 [hp_X]/mLCentaurea benedicta — 15 [hp_X]/mLBlack cohosh — 15 [hp_X]/mLArabica coffee bean — 15 [hp_X]/mLConvallaria majalis — 15 [hp_X]/mLCrotalus horridus horridus venom — 15 [hp_X]/mLDigitalis — 15 [hp_X]/mLGelsemium sempervirens root — 15 [hp_X]/mLNitroglycerin — 15 [hp_X]/mLStrychnos ignatii seed — 15 [hp_X]/mLLachesis muta venom — 15 [hp_X]/mLMercury — 15 [hp_X]/mLNaja naja venom — 15 [hp_X]/mLStrychnos nux-vomica seed — 15 [hp_X]/mLPhosphorus — 15 [hp_X]/mLToxicodendron pubescens leaf — 15 [hp_X]/mLSanguinaria canadensis root — 15 [hp_X]/mLClaviceps purpurea sclerotium — 15 [hp_X]/mLVipera berus venom — 16 [hp_X]/mLApis mellifera — 6 [hp_X]/mLHypericum perforatum — 6 [hp_X]/mLThuja occidentalis leafy twig — 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)Allergens (Chemical structure)Allergens (Chemical structure)Bee Venoms (Chemical structure)Cell-mediated Immunity (Physiologic effect)Cell-mediated Immunity (Physiologic effect)Cell-mediated Immunity (Physiologic effect)Dietary Proteins (Chemical structure)Increased Histamine Release (Physiologic effect)Increased Histamine Release (Physiologic effect)Increased Histamine Release (Physiologic effect)Increased IgG Production (Physiologic effect)Increased IgG Production (Physiologic effect)Nitrates (Chemical structure)Plant Proteins (Chemical structure)Plant Proteins (Chemical structure)Seed Storage Proteins (Chemical structure)Seed Storage Proteins (Chemical structure)Vasodilation (Physiologic effect)
Identifiers
Product ID 55714-2597_44ffafef-d4af-755f-e063-6394a90a30edSPL ID 44ffafef-d4af-755f-e063-6394a90a30edSPL set ID 44ffafd7-8b43-5a24-e063-6294a90a80a3UNII V0S6H36980, S7V92P67HO, WQZ3G9PF0H, T7J046YI2B, 6L5ZL09795, K73E24S6X9, 3SW678MX72, QHH4HVF5QE, YHA2XLJ956, F1T8QT9U8B, 639KR60Q1Q, G59M7S0WS3, 1NM3M2487K, VSW71SS07I, FXS1BY2PGL, ZZ4AG7L7VM, 269XH13919, 27YLU75U4W, 6IO182RP7A, N9288CD508, 01G9XEA93N, 0ORO6NCA4M, 7S82P3R43Z, XK4IUX8MNB, 1NT28V9397
Pharmacologic class
Nitrate Vasodilator; Non-Standardized Food Allergenic Extract; 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

N455714259701 followed by a unit qualifier and the quantity

Package 55714-2597-01. 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 throbbing pain, pressure, congestion, dizziness, nausea and light sensitivity.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

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