NDC codes

FDA NDC Directory
Product NDC (as listed)55714-4751Labeler and product segments. Claims need a package NDC.
Product NDC at billing width55714-4751Add 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
55714-4751-15571447510130 mL in 1 BOTTLE, GLASS (55714-4751-1)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)
Diabase
Generic name (nonproprietary)
cynara, echinacea, iris vers., thuja occ., urtica ur., arg. met., arsenicum alb., aur. met., bovista, bryonia, chelidonium maj., chionanthus, gaultheria, helonias, iris vers., lycopodium, nux vom., phos., rhus tox., sabal, syzygium
Active ingredients
Phosphorus — 15 [hp_X]/mLToxicodendron pubescens leaf — 15 [hp_X]/mLThuja occidentalis leafy twig — 6 [hp_X]/mLSilver — 15 [hp_X]/mLSaw palmetto — 15 [hp_X]/mLGold — 15 [hp_X]/mLIris versicolor root — 15 [hp_X]/mLStrychnos nux-vomica seed — 15 [hp_X]/mLEchinacea, Unspecified — 6 [hp_X]/mLLycoperdon utriforme fruiting body — 15 [hp_X]/mLGaultheria procumbens top — 15 [hp_X]/mLSyzygium cumini seed — 15 [hp_X]/mLChionanthus virginicus bark — 15 [hp_X]/mLChamaelirium luteum root — 15 [hp_X]/mLArsenic trioxide — 15 [hp_X]/mLLycopodium clavatum spore — 15 [hp_X]/mLCynara scolymus leaf — 6 [hp_X]/mLUrtica urens — 6 [hp_X]/mLBryonia alba root — 15 [hp_X]/mLChelidonium majus — 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)Allergens (Chemical structure)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)Plant Proteins (Chemical structure)Seed Storage Proteins (Chemical structure)
Identifiers
Product ID 55714-4751_b5827c57-cec4-947e-e053-2995a90ad297SPL ID b5827c57-cec4-947e-e053-2995a90ad297SPL set ID 9948bd7a-2ca2-272c-e053-2a95a90a4dc0UNII 27YLU75U4W, 6IO182RP7A, 1NT28V9397, 3M4G523W1G, J7WWH9M8QS, 79Y1949PYO, X43D4L3DQC, 269XH13919, 4N9P6CC1DX, K2A74U428F, 830295X963, 820LSF646I, DQV54Y5H3U, S7V92P67HO, C88X29Y479, B71UA545DE, IHN2NQ5OF9, T7J046YI2B, 7E889U5RNN
Pharmacologic class
Non-Standardized Plant Allergenic Extract; Standardized Chemical Allergen

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

N455714475101 followed by a unit qualifier and the quantity

Package 55714-4751-01. 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

Label details couldn’t be retrieved right now. Open the label on DailyMed.

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