NDC codes

FDA NDC Directory
Product NDC (as listed)55714-4732Labeler and product segments. Claims need a package NDC.
Product NDC at billing width55714-4732Add 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
55714-4732-15571447320130 mL in 1 BOTTLE, GLASS (55714-4732-1)Marketed from Sep 2, 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)
Tobacco Withdrawal
Generic name (nonproprietary)
arsenicum alb., benzoicum acidum, berber. vulg., bryonia, caladium seguinum, cantharis, ceanothus, chelidonium majus, chionanthus virginica, cinchona, daphne indica, ignatia, iris versicolor, lycopodium, nicotinum, nux vom., rhus toxicodendron, scutellaria lateriflora, tabacum, echinacea, taraxacum, valeriana
Active ingredients
Arsenic trioxide — 15 [hp_X]/mLBenzoic acid — 15 [hp_X]/mLBerberis vulgaris root bark — 15 [hp_X]/mLBryonia alba root — 15 [hp_X]/mLDieffenbachia seguine — 15 [hp_X]/mLLytta vesicatoria — 15 [hp_X]/mLCeanothus americanus leaf — 15 [hp_X]/mLChelidonium majus — 15 [hp_X]/mLChionanthus virginicus bark — 15 [hp_X]/mLCinchona officinalis bark — 15 [hp_X]/mLDaphne odora bark — 15 [hp_X]/mLStrychnos ignatii seed — 15 [hp_X]/mLIris versicolor root — 15 [hp_X]/mLLycopodium clavatum spore — 15 [hp_X]/mLNicotine — 15 [hp_X]/mLStrychnos nux-vomica seed — 15 [hp_X]/mLToxicodendron pubescens leaf — 15 [hp_X]/mLScutellaria lateriflora whole — 15 [hp_X]/mLTobacco leaf — 15 [hp_X]/mLEchinacea, Unspecified — 6 [hp_X]/mLTaraxacum officinale — 6 [hp_X]/mLValerian — 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)Ammonium Ion Binding Activity (Mechanism)Cell-mediated Immunity (Physiologic effect)Cell-mediated Immunity (Physiologic effect)Increased Histamine Release (Physiologic effect)Increased Histamine Release (Physiologic effect)Increased IgG Production (Physiologic effect)Increased IgG Production (Physiologic effect)Nicotine (Chemical structure)Plant Proteins (Chemical structure)Plant Proteins (Chemical structure)Seed Storage Proteins (Chemical structure)
Identifiers
Product ID 55714-4732_b5e505a7-ca35-0d0a-e053-2a95a90ae77bSPL ID b5e505a7-ca35-0d0a-e053-2a95a90ae77bSPL set ID 99eda7db-ce40-446f-e053-2995a90a95aaUNII S7V92P67HO, 8SKN0B0MIM, 1TH8Q20J0U, T7J046YI2B, 01800C6E6B, 3Q034RO3BT, 25B1Y14T8N, 7E889U5RNN, S003A158SB, JSJ34YQJ5D, 1NM3M2487K, X43D4L3DQC, C88X29Y479, 6M3C89ZY6R, 269XH13919, 6IO182RP7A, 7BP4DH5PDC, 6YR2608RSU, 4N9P6CC1DX, 39981FM375, JWF5YAW3QW
Pharmacologic class
Cholinergic Nicotinic Agonist; Nitrogen Binding Agent; 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

N455714473201 followed by a unit qualifier and the quantity

Package 55714-4732-01. 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 anxiety, cravings, irritability, stress, cough, excess mucus and headaches.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

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