NDC codes

FDA NDC Directory
Product NDC (as listed)55714-4828Labeler and product segments. Claims need a package NDC.
Product NDC at billing width55714-4828Add 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
55714-4828-15571448280130 mL in 1 BOTTLE, GLASS (55714-4828-1)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)
Breast Care - Fibrocystic
Generic name (nonproprietary)
bufo rana, apis mel., asterias rubens, belladonna, bryonia, calc. carb., chamomilla, chimaphila umbellata, cinchona, conium, croton, echinacea, graphites, helonias dioica, lachesis, merc. viv., phellandrium aquaticum phosphorus, phytolacca, pulsatilla, sanguinaria, silicea, hamamelis, ruta, taraxacum
Active ingredients
Bufo bufo cutaneous gland — 15 [hp_X]/mLApis mellifera — 15 [hp_X]/mLAsterias rubens — 15 [hp_X]/mLAtropa belladonna — 15 [hp_X]/mLBryonia alba root — 15 [hp_X]/mLOyster shell calcium carbonate, Crude — 15 [hp_X]/mLMatricaria chamomilla — 15 [hp_X]/mLChimaphila umbellata — 15 [hp_X]/mLCinchona officinalis bark — 15 [hp_X]/mLConium maculatum flowering top — 15 [hp_X]/mLCroton tiglium seed — 15 [hp_X]/mLEchinacea, Unspecified — 15 [hp_X]/mLGraphite — 15 [hp_X]/mLChamaelirium luteum root — 15 [hp_X]/mLLachesis muta venom — 15 [hp_X]/mLMercury — 15 [hp_X]/mLOenanthe aquatica fruit — 15 [hp_X]/mLPhosphorus — 15 [hp_X]/mLPhytolacca americana root — 15 [hp_X]/mLAnemone pulsatilla — 15 [hp_X]/mLSanguinaria canadensis root — 15 [hp_X]/mLSilicon dioxide — 15 [hp_X]/mLHamamelis virginiana root bark/stem bark — 6 [hp_X]/mLRuta graveolens flowering top — 6 [hp_X]/mLTaraxacum officinale — 6 [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)Bee Venoms (Chemical structure)Cell-mediated Immunity (Physiologic effect)Increased Histamine Release (Physiologic effect)Increased IgG Production (Physiologic effect)
Identifiers
Product ID 55714-4828_b5804ae4-1b82-3f5f-e053-2a95a90a440dSPL ID b5804ae4-1b82-3f5f-e053-2a95a90a440dSPL set ID 98d01128-9887-12ce-e053-2a95a90a7329UNII Q59QU6N72Q, 7S82P3R43Z, A7FYY9Q742, WQZ3G9PF0H, T7J046YI2B, 2E32821G6I, G0R4UBI2ZZ, WCK21A9W9J, S003A158SB, Q28R5GF371, 0HK2GZK66E, 4N9P6CC1DX, 4QQN74LH4O, DQV54Y5H3U, VSW71SS07I, FXS1BY2PGL, N4LEE4Z93J, 27YLU75U4W, 11E6VI8VEG, I76KB35JEV, N9288CD508, ETJ7Z6XBU4, T7S323PKJS, N94C2U587S, 39981FM375
Pharmacologic class
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

N455714482801 followed by a unit qualifier and the quantity

Package 55714-4828-01. 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 breast tenderness, nursing discomfort and pre-menstrual swelling.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

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