NDC codes

FDA NDC Directory
Product NDC (as listed)55714-4802Labeler and product segments. Claims need a package NDC.
Product NDC at billing width55714-4802Add 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
55714-4802-15571448020130 mL in 1 BOTTLE, GLASS (55714-4802-1)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)
Herpes Sores
Generic name (nonproprietary)
arsenicum alb., bryonia, cantharis, chelidonium majus, cistus canadensis, conium, croton, dulcamara, graphites, kali bic., lycopodium, mezereum, nux vom., petroleum, pulsatilla, ranunc. bulb., rhus toxicodendron, sarsaparilla, sepia, sulphur, thuja occ., echinacea, hypericum
Active ingredients
Arsenic trioxide — 20 [hp_X]/mLBryonia alba root — 20 [hp_X]/mLLytta vesicatoria — 20 [hp_X]/mLChelidonium majus — 20 [hp_X]/mLHelianthemum canadense — 20 [hp_X]/mLConium maculatum flowering top — 20 [hp_X]/mLCroton tiglium seed — 20 [hp_X]/mLSolanum dulcamara top — 20 [hp_X]/mLGraphite — 20 [hp_X]/mLPotassium dichromate — 20 [hp_X]/mLLycopodium clavatum spore — 20 [hp_X]/mLDaphne mezereum bark — 20 [hp_X]/mLStrychnos nux-vomica seed — 20 [hp_X]/mLKerosene — 20 [hp_X]/mLAnemone pulsatilla — 20 [hp_X]/mLRanunculus bulbosus — 20 [hp_X]/mLToxicodendron pubescens leaf — 20 [hp_X]/mLSmilax ornata root — 20 [hp_X]/mLHypericum perforatum — 11 [hp_X]/mLSepia officinalis juice — 20 [hp_X]/mLSulfur — 20 [hp_X]/mLThuja occidentalis leafy twig — 20 [hp_X]/mLEchinacea, Unspecified — 11 [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)Cell-mediated Immunity (Physiologic effect)Increased Histamine Release (Physiologic effect)Increased IgG Production (Physiologic effect)Plant Proteins (Chemical structure)Seed Storage Proteins (Chemical structure)
Identifiers
Product ID 55714-4802_b594ccb7-140f-8e68-e053-2a95a90a79d4SPL ID b594ccb7-140f-8e68-e053-2a95a90a79d4SPL set ID 99d9133b-6eea-511c-e053-2a95a90a74cbUNII S7V92P67HO, T7J046YI2B, 3Q034RO3BT, 7E889U5RNN, 46G3W789Q3, Q28R5GF371, 0HK2GZK66E, KPS1B1162N, 4QQN74LH4O, T4423S18FM, C88X29Y479, X2N6E405GV, 269XH13919, 1C89KKC04E, I76KB35JEV, AEQ8NXJ0MB, 6IO182RP7A, 2H1576D5WG, XK4IUX8MNB, QDL83WN8C2, 70FD1KFU70, 1NT28V9397, 4N9P6CC1DX
Pharmacologic class
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

N455714480201 followed by a unit qualifier and the quantity

Package 55714-4802-01. 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 itching, tingling, crusting and painful skin eruptions or ulcerations.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

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