NDC codes

FDA NDC Directory
Product NDC (as listed)57955-9997Labeler and product segments. Claims need a package NDC.
Product NDC at billing width57955-9997Add 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
57955-9997-25795599970259 mL in 1 BOTTLE, SPRAY (57955-9997-2)Marketed from Oct 20, 2025

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)
Allergy Relief Indoor and Outdoor
Generic name (nonproprietary)
allium cepa, ambrosia artemisiaefolia, arsenicum album, arum triphyllum, arundo mauritanica, euphrasia officinalis, galphimia glauca, histaminum hydrochloricum, kali bichromicum, naphthalinum, natrum muriaticum, sabadilla, solidago virgaurea, sticta pulmonaria, sulphur, trifolium pratense, and wyethia helenioides.
Active ingredients
Onion — 10 [hp_X]/59mLAmbrosia artemisiifolia whole — 10 [hp_X]/59mLArsenic trioxide — 10 [hp_X]/59mLArisaema triphyllum root — 10 [hp_X]/59mLArundo pliniana root — 10 [hp_X]/59mLEuphrasia stricta — 10 [hp_X]/59mLGalphimia glauca flowering top — 10 [hp_X]/59mLHistamine dihydrochloride — 10 [hp_X]/59mLPotassium dichromate — 10 [hp_X]/59mLNaphthalene — 10 [hp_X]/59mLSodium chloride — 10 [hp_X]/59mLSchoenocaulon officinale seed — 10 [hp_X]/59mLSolidago virgaurea flowering top — 10 [hp_X]/59mLLobaria pulmonaria — 10 [hp_X]/59mLSulfur — 10 [hp_X]/59mLTrifolium pratense flower — 10 [hp_X]/59mLWyethia helenioides root — 10 [hp_X]/59mL
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)Cell-mediated Immunity (Physiologic effect)Dietary Proteins (Chemical structure)Increased Histamine Release (Physiologic effect)Vegetable Proteins (Chemical structure)
Identifiers
Product ID 57955-9997_ead77196-04d9-4de5-922c-7be79ecce52bSPL ID ead77196-04d9-4de5-922c-7be79ecce52bSPL set ID 9faa963e-4ddc-461f-95a1-2d10e1260612UNII 492225Q21H, 9W34L2CQ9A, S7V92P67HO, DM64K844DM, ZXE7LB03WC, C9642I91WL, 93PH5Q8M7E, 3POA0Q644U, T4423S18FM, 2166IN72UN, 451W47IQ8X, 6NAF1689IO, 5405K23S50, D1YM0P5Z2T, 70FD1KFU70, 4JS0838828, J10PD1AQ0N
Pharmacologic class
Non-Standardized Food 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

N457955999702 followed by a unit qualifier and the quantity

Package 57955-9997-02. 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

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