Pollen-Weeds NDC 55714-4804

NDC codes

FDA NDC Directory

Product NDC (as listed)55714-4804Labeler and product segments. Claims need a package NDC.

Product NDC at billing width55714-4804Add 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
55714-4804-1	55714480401	30 mL in 1 BOTTLE, GLASS (55714-4804-1)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): Pollen-Weeds
Generic name (nonproprietary): ginkgo biloba, hydrastis canadensis, taraxacum officinale, adrenalinum , aletris farinosa, alfalfa, allium cepa, antimonium tartaricum, arsenicum album, artemisia vulgaris, baptisia tinctoria, bellis perennis, berberis vulgaris, bryonia, calluna vulgaris, flos, chelidonium majus, chenopodium anthelminticum, dioscorea vilosa, euphrasia officinalis, fagus sylvatica, fraxinus americana, gelsemium sempervirens, histaminum hydrochloricum, kali bichromicum, kali iodatum, lachesis mutus, lilium tigrinum,
Active ingredients: Calluna vulgaris flowering top — 20 [hp_X]/mLUlmus rubra bark — 21 [hp_X]/mLFagus sylvatica nut — 20 [hp_X]/mLFraxinus americana bark — 20 [hp_X]/mLLilium lancifolium whole flowering — 20 [hp_X]/mLBellis perennis — 20 [hp_X]/mLRosa damascena flowering top — 20 [hp_X]/mLTrifolium pratense flower — 20 [hp_X]/mLSalix nigra bark — 20 [hp_X]/mLParthenium hysterophorus — 21 [hp_X]/mLXerophyllum asphodeloides — 20 [hp_X]/mLEpinephrine — 20 [hp_X]/mLAlfalfa — 20 [hp_X]/mLAletris farinosa root — 20 [hp_X]/mLArtemisia vulgaris root — 20 [hp_X]/mLDysphania ambrosioides — 20 [hp_X]/mLLycopus virginicus — 20 [hp_X]/mLPhytolacca americana root — 20 [hp_X]/mLPopulus balsamifera leaf bud — 20 [hp_X]/mLPopulus tremuloides leaf — 20 [hp_X]/mLPtelea trifoliata bark — 20 [hp_X]/mLSambucus nigra flowering top — 20 [hp_X]/mLTrillium erectum root — 20 [hp_X]/mLElymus repens root — 20 [hp_X]/mLUrtica urens — 20 [hp_X]/mLWyethia helenioides root — 20 [hp_X]/mLYucca filamentosa — 21 [hp_X]/mLUstilago maydis — 20 [hp_X]/mLHistamine dihydrochloride — 20 [hp_X]/mLJuniperus virginiana twig — 21 [hp_X]/mLThyroid, Unspecified — 20 [hp_X]/mLOnion — 20 [hp_X]/mLAntimony potassium tartrate — 20 [hp_X]/mLArsenic trioxide — 20 [hp_X]/mLBaptisia tinctoria root — 20 [hp_X]/mLBerberis vulgaris root bark — 20 [hp_X]/mLBryonia alba root — 20 [hp_X]/mLChelidonium majus — 20 [hp_X]/mLEuphrasia stricta — 20 [hp_X]/mLGelsemium sempervirens root — 20 [hp_X]/mLPotassium dichromate — 20 [hp_X]/mLPotassium iodide — 20 [hp_X]/mLLachesis muta venom — 20 [hp_X]/mLLycopodium clavatum spore — 20 [hp_X]/mLAnemone pulsatilla — 20 [hp_X]/mLSchoenocaulon officinale seed — 20 [hp_X]/mLDioscorea villosa tuber — 20 [hp_X]/mLGinkgo — 11 [hp_X]/mLTaraxacum officinale — 11 [hp_X]/mLQuercus robur nut — 20 [hp_X]/mLGoldenseal — 11 [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: Adrenergic alpha-Agonists (Mechanism)Adrenergic beta-Agonists (Mechanism)Allergens (Chemical structure)Allergens (Chemical structure)Catecholamines (Chemical structure)Cell-mediated Immunity (Physiologic effect)Cell-mediated Immunity (Physiologic effect)Dietary Proteins (Chemical structure)Fungal Proteins (Chemical structure)Increased Histamine Release (Physiologic effect)Increased Histamine Release (Physiologic effect)Increased IgG Production (Physiologic effect)Vegetable Proteins (Chemical structure)
Identifiers: Product ID 55714-4804_b5e30eb6-f814-bb45-e053-2995a90a2c93SPL ID b5e30eb6-f814-bb45-e053-2995a90a2c93SPL set ID 99e92cc0-2c25-d814-e053-2a95a90aa258UNII D9PC510CQV, 91QY4PXU8Q, I57ERU2601, 0B24UR1O1S, X67Z2963PI, 2HU33I03UY, 21W82Q764G, 4JS0838828, QU52J3A5B3, 151F45R21P, 9I4XB1GP2B, YKH834O4BH, DJO934BRBD, O021JGR97X, 32MP823R8S, 4H5RSU087I, TWH5125Q6F, 11E6VI8VEG, 9CQ6C00G3C, 7IIH57D9E0, 5KQR6FTT0D, CT03BSA18U, AHW6F0T2X0, 3IXW0F6P8W, IHN2NQ5OF9, J10PD1AQ0N, T6VR38UJ9I, 4K7Z7K7SWG, 3POA0Q644U, 532BCG080L, 0B4FDL9I6P, 492225Q21H, DL6OZ476V3, S7V92P67HO, 5EF0HWI5WU, 1TH8Q20J0U, T7J046YI2B, 7E889U5RNN, C9642I91WL, 639KR60Q1Q, T4423S18FM, 1C4QK22F9J, VSW71SS07I, C88X29Y479, I76KB35JEV, 6NAF1689IO, IWY3IWX2G8, 19FUJ2C58T, 39981FM375, Q7MU1F4GLY, ZW3Z11D0JV
Pharmacologic class: Catecholamine; Non-Standardized Food Allergenic Extract; Non-Standardized Fungal Allergenic Extract; alpha-Adrenergic Agonist; beta-Adrenergic Agonist

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

N455714480401 followed by a unit qualifier and the quantity

Package 55714-4804-01. 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 associated symptoms of Spring and early Summer pollens such as nasal catarrh, post-nasal drip, sneezing, glandular swellings and sore throat,

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)