NDC codes

FDA NDC Directory
Product NDC (as listed)55714-4830Labeler and product segments. Claims need a package NDC.
Product NDC at billing width55714-4830Add 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
55714-4830-15571448300130 mL in 1 BOTTLE, GLASS (55714-4830-1)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)
Viral
Generic name (nonproprietary)
echinacea, hydrastis canadensis, aconitum napellus, antimonium tartaricum, arnica montana, arsenicum album, baptisia tinctoria, belladonna, bryonia, cantharis, chamomilla, gaultheria procumbens, hepar sulphuris calcareum, iodium, lachesis mutus, lycopodium clavatum, mercurius vivus, phosphorus, pulsatilla, rhus toxicodendron, trifolium pratense, influenzinum, morbillinum.
Active ingredients
Measles virus — 30 [hp_X]/mLEchinacea, Unspecified — 6 [hp_X]/mLInfluenza a virus — 30 [hp_X]/mLAconitum napellus — 15 [hp_X]/mLAntimony potassium tartrate — 15 [hp_X]/mLArnica montana — 15 [hp_X]/mLArsenic trioxide — 15 [hp_X]/mLBaptisia tinctoria root — 15 [hp_X]/mLAtropa belladonna — 15 [hp_X]/mLBryonia alba root — 15 [hp_X]/mLLytta vesicatoria — 15 [hp_X]/mLMatricaria chamomilla — 15 [hp_X]/mLGaultheria procumbens top — 15 [hp_X]/mLCalcium sulfide — 15 [hp_X]/mLIodine — 15 [hp_X]/mLLachesis muta venom — 15 [hp_X]/mLLycopodium clavatum spore — 15 [hp_X]/mLMercury — 15 [hp_X]/mLPhosphorus — 15 [hp_X]/mLAnemone pulsatilla — 15 [hp_X]/mLToxicodendron pubescens leaf — 15 [hp_X]/mLTrifolium pratense flower — 15 [hp_X]/mLGoldenseal — 6 [hp_X]/mLInfluenza b virus — 30 [hp_X]/mL
Dosage form
Liquid
Route
Oral
Product type
Over-the-counter drug
Marketing category
Unapproved homeopathic
Marketing start
Listing expires
Identifiers
Product ID 55714-4830_b5e53534-9fa9-7e76-e053-2a95a90a4102SPL ID b5e53534-9fa9-7e76-e053-2a95a90a4102SPL set ID 9a673e6b-e0d7-77c2-e053-2995a90ac766UNII HT3R7C012Q, 4N9P6CC1DX, R9HH0NDE2E, U0NQ8555JD, DL6OZ476V3, O80TY208ZW, S7V92P67HO, 5EF0HWI5WU, WQZ3G9PF0H, T7J046YI2B, 3Q034RO3BT, G0R4UBI2ZZ, 830295X963, 1MBW07J51Q, 9679TC07X4, VSW71SS07I, C88X29Y479, FXS1BY2PGL, 27YLU75U4W, I76KB35JEV, 6IO182RP7A, 4JS0838828, ZW3Z11D0JV, 1314JZ2X6W

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

N455714483001 followed by a unit qualifier and the quantity

Package 55714-4830-01. 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 symptoms such as aches, fatigue, fever, cough and inflammation.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

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