NDC codes

FDA NDC Directory
Product NDC (as listed)55714-4858Labeler and product segments. Claims need a package NDC.
Product NDC at billing width55714-4858Add 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
55714-4858-15571448580130 mL in 1 BOTTLE, GLASS (55714-4858-1)Marketed from Mar 26, 2024

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)
Edema
Generic name (nonproprietary)
elaps corallinus, apis mel., arsenicum alb., cantharis, cinchona, colchicum, convallaria, crotalus horridus, digitalis, juniperus com., lachesis, merc. viv., naja, nat. carb., nat.sulphuricum, rhus toxicodendron, sambucus nig., strophanthus hispidus, thuja occ., vipera berus, echinacea, lappa, solidago, taraxacum, urtica ur.
Active ingredients
Micrurus corallinus venom — 35 [hp_X]/mLApis mellifera — 20 [hp_X]/mLArsenic trioxide — 20 [hp_X]/mLLytta vesicatoria — 20 [hp_X]/mLCinchona officinalis bark — 20 [hp_X]/mLColchicum autumnale bulb — 20 [hp_X]/mLConvallaria majalis — 20 [hp_X]/mLCrotalus horridus horridus venom — 20 [hp_X]/mLNaja naja venom — 20 [hp_X]/mLDigitalis — 20 [hp_X]/mLLachesis muta venom — 20 [hp_X]/mLMercury — 20 [hp_X]/mLSodium carbonate — 20 [hp_X]/mLSodium sulfate — 20 [hp_X]/mLToxicodendron pubescens leaf — 20 [hp_X]/mLSambucus nigra flowering top — 20 [hp_X]/mLStrophanthus hispidus seed — 20 [hp_X]/mLThuja occidentalis leafy twig — 20 [hp_X]/mLVipera berus venom — 21 [hp_X]/mLEchinacea, Unspecified — 11 [hp_X]/mLArctium lappa root — 11 [hp_X]/mLSolidago virgaurea flowering top — 11 [hp_X]/mLTaraxacum officinale — 11 [hp_X]/mLUrtica urens — 11 [hp_X]/mLJuniper berry — 20 [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)Allergens (Chemical structure)Bee Venoms (Chemical structure)Cell-mediated Immunity (Physiologic effect)Cell-mediated Immunity (Physiologic effect)Dietary Proteins (Chemical structure)Food Additives (Chemical structure)Increased Histamine Release (Physiologic effect)Increased Histamine Release (Physiologic effect)Increased IgG Production (Physiologic effect)Plant Proteins (Chemical structure)
Identifiers
Product ID 55714-4858_149590a8-d33b-dcf8-e063-6294a90ad442SPL ID 149590a8-d33b-dcf8-e063-6294a90ad442SPL set ID 14957500-1b2a-8427-e063-6394a90a371aUNII V0S6H36980, 7S82P3R43Z, S7V92P67HO, 3Q034RO3BT, S003A158SB, 993QHL78E6, QHH4HVF5QE, YHA2XLJ956, ZZ4AG7L7VM, F1T8QT9U8B, VSW71SS07I, FXS1BY2PGL, 45P3261C7T, 0YPR65R21J, 6IO182RP7A, CT03BSA18U, MO892VI77K, 1NT28V9397, 0ORO6NCA4M, 4N9P6CC1DX, 597E9BI3Z3, 5405K23S50, 39981FM375, IHN2NQ5OF9, O84B5194RL
Pharmacologic class
Non-Standardized Food Allergenic Extract; Non-Standardized Plant Allergenic Extract; 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

N455714485801 followed by a unit qualifier and the quantity

Package 55714-4858-01. 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 smptoms such as skin discoloration, discomfort and swelling.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

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