Poison Ivy NDC 55714-4801

NDC codes

FDA NDC Directory

Product NDC (as listed)55714-4801Labeler and product segments. Claims need a package NDC.

Product NDC at billing width55714-4801Add 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 NDC	11-digit (billing)	Package	Copy
55714-4801-1	55714480101	30 mL in 1 BOTTLE, GLASS (55714-4801-1)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): Poison Ivy
Generic name (nonproprietary): xerophyllum asphodeloides, aconitum nap., anacardium orientale, apis mel., bryonia, cantharis, croton, graphites, grindelia, mezereum, nux vom., ranunc. bulb., rhus toxicodendron, sarsaparilla, sulphur, echinacea, rumex crisp.,taraxacum, urtica ur.
Active ingredients: Xerophyllum asphodeloides — 30 [hp_X]/mLAconitum napellus — 15 [hp_X]/mLSemecarpus anacardium juice — 15 [hp_X]/mLApis mellifera — 15 [hp_X]/mLBryonia alba root — 15 [hp_X]/mLLytta vesicatoria — 15 [hp_X]/mLCroton tiglium seed — 15 [hp_X]/mLGraphite — 15 [hp_X]/mLGrindelia hirsutula flowering top — 15 [hp_X]/mLDaphne mezereum bark — 15 [hp_X]/mLStrychnos nux-vomica seed — 15 [hp_X]/mLRanunculus bulbosus — 15 [hp_X]/mLToxicodendron pubescens leaf — 15 [hp_X]/mLSmilax ornata root — 15 [hp_X]/mLSulfur — 15 [hp_X]/mLEchinacea, Unspecified — 6 [hp_X]/mLRumex crispus root — 6 [hp_X]/mLTaraxacum officinale — 6 [hp_X]/mLUrtica urens — 6 [hp_X]/mL
Dosage form: Liquid
Route: Oral
Labeler: Newton Laboratories, Inc.
Product type: Over-the-counter drug
Marketing category: Unapproved homeopathic
Marketing start: Sep 2, 2019
Listing expires: Dec 31, 2026
Other FDA classes: Allergens (Chemical structure)Allergens (Chemical structure)Bee Venoms (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)Increased IgG Production (Physiologic effect)Plant Proteins (Chemical structure)Seed Storage Proteins (Chemical structure)
Identifiers: Product ID 55714-4801_b5e2eb33-ec1d-b6b9-e053-2995a90a7384SPL ID b5e2eb33-ec1d-b6b9-e053-2995a90a7384SPL set ID 99e8ca63-4ec3-92a2-e053-2995a90ac9a6UNII 9I4XB1GP2B, U0NQ8555JD, Y0F0BU8RDU, 7S82P3R43Z, T7J046YI2B, 3Q034RO3BT, 0HK2GZK66E, 4QQN74LH4O, IDB0NAZ6AI, X2N6E405GV, 269XH13919, AEQ8NXJ0MB, 6IO182RP7A, 2H1576D5WG, 70FD1KFU70, 4N9P6CC1DX, 9N1RM2S62C, 39981FM375, IHN2NQ5OF9
Pharmacologic class: 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

N455714480101 followed by a unit qualifier and the quantity

Package 55714-4801-01. 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 Dec 7, 2020.

Indications (excerpt from the label)

INDICATIONS & USAGE SECTION Formulated for symptoms associated with poison ivy, oak and sumac such as itching, burning, pain, swelling and blistering.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)