NDC codes

FDA NDC Directory
Product NDC (as listed)55714-4803Labeler and product segments. Claims need a package NDC.
Product NDC at billing width55714-4803Add 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
55714-4803-15571448030130 mL in 1 BOTTLE, GLASS (55714-4803-1)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)
Sciatica-Back Care
Generic name (nonproprietary)
aconitum nap., ammonium benzoicum, arsenicum alb., benzoicum acidum, bryonia, causticum, cinchona, colchicum, gnaphalium polycephalum, iris versicolor, kali iod., ledum, lithium carb., nux vom., phytolacca, rhus toxicoderon, ruta, sambucus nig., strychninum, hypericum, urtica ur
Active ingredients
Aconitum napellus — 20 [hp_X]/mLAmmonium benzoate — 20 [hp_X]/mLArsenic trioxide — 20 [hp_X]/mLBenzoic acid — 20 [hp_X]/mLBryonia alba root — 20 [hp_X]/mLCausticum — 20 [hp_X]/mLCinchona officinalis bark — 20 [hp_X]/mLColchicum autumnale bulb — 20 [hp_X]/mLPseudognaphalium obtusifolium — 20 [hp_X]/mLIris versicolor root — 20 [hp_X]/mLPotassium iodide — 20 [hp_X]/mLRhododendron tomentosum leafy twig — 20 [hp_X]/mLLithium carbonate — 20 [hp_X]/mLStrychnos nux-vomica seed — 20 [hp_X]/mLPhytolacca americana root — 20 [hp_X]/mLToxicodendron pubescens leaf — 20 [hp_X]/mLRuta graveolens flowering top — 20 [hp_X]/mLSambucus nigra flowering top — 20 [hp_X]/mLStrychnine — 20 [hp_X]/mLHypericum perforatum — 11 [hp_X]/mLUrtica urens — 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)Ammonium Ion Binding Activity (Mechanism)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 55714-4803_b5e3c3ce-a444-ea15-e053-2995a90af813SPL ID b5e3c3ce-a444-ea15-e053-2995a90af813SPL set ID 99ea75a9-3250-281b-e053-2a95a90aed45UNII U0NQ8555JD, AC80WD7GPF, S7V92P67HO, 8SKN0B0MIM, T7J046YI2B, DD5FO1WKFU, S003A158SB, 993QHL78E6, 36XQ854NWW, X43D4L3DQC, 1C4QK22F9J, 877L01IZ0P, 2BMD2GNA4V, 269XH13919, 11E6VI8VEG, 6IO182RP7A, N94C2U587S, CT03BSA18U, H9Y79VD43J, XK4IUX8MNB, IHN2NQ5OF9
Pharmacologic class
Mood Stabilizer; 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

N455714480301 followed by a unit qualifier and the quantity

Package 55714-4803-01. 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 inflammatoin, sharp or throbbing pain, numbness and backache.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

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