BOLYM-EX Drops NDC 59469-201

NDC codes

FDA NDC Directory

Product NDC (as listed)59469-201Labeler and product segments. Claims need a package NDC.

Product NDC at billing width59469-0201Add 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
59469-201-10	59469020110	1 BOTTLE, DROPPER in 1 CARTON (59469-201-10) / 50 mL in 1 BOTTLE, DROPPERMarketed from Jun 1, 2015

How the 11-digit form is made: The product segment has 3 digits, so one leading zero is added to it (5-3-2 → 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): BOLYM-EX Drops
Generic name (nonproprietary): benzoic acid, formic acid, aristolochia clematitis root, ferula assa-foetida resin, avena sativa flowering top, berberis vulgaris root bark, calcium phosphate, unspecified form, capsella bursa-pastoris, galium aparine, daphne mezereum bark, and piper methysticum root
Active ingredients: Benzoic acid — 5 [hp_X]/50mLFormic acid — 5 [hp_X]/50mLAristolochia clematitis root — 24 [hp_X]/50mLFerula assa-foetida resin — 5 [hp_X]/50mLAvena sativa flowering top — 4 [hp_X]/50mLBerberis vulgaris root bark — 5 [hp_X]/50mLCalcium phosphate, Unspecified form — 8 [hp_X]/50mLCapsella bursa-pastoris whole — 5 [hp_X]/50mLGalium aparine whole — 5 [hp_X]/50mLDaphne mezereum bark — 8 [hp_X]/50mLMacropiper methysticum root — 10 [hp_X]/50mL
Dosage form: Liquid
Route: Oral
Labeler: PEKANA Naturheilmittel GmbH
Product type: Over-the-counter drug
Marketing category: Unapproved homeopathic
Marketing start: Jun 1, 2015
Listing expires: Dec 31, 2026
Other FDA classes: Ammonium Ion Binding Activity (Mechanism)Calcium (Chemical structure)Divalent (Chemical structure)Increased Coagulation Factor Activity (Physiologic effect)
Identifiers: Product ID 59469-201_3a627c71-037e-40c1-bd17-604157667dd2SPL ID 3a627c71-037e-40c1-bd17-604157667dd2SPL set ID 77ec6ee5-1c22-4799-b582-1c32056b14ffUNII 8SKN0B0MIM, 0YIW783RG1, ZY0NX0W00D, W9FZA51AS1, MA9CQJ3F7F, 1TH8Q20J0U, 97Z1WI3NDX, W0X9457M59, Z4B6561488, X2N6E405GV, BOW48C81XP
Pharmacologic class: Blood Coagulation Factor; Nitrogen Binding Agent

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

N459469020110 followed by a unit qualifier and the quantity

Package 59469-0201-10. 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 23, 2022.

Indications (excerpt from the label)

Indications For relief of minor musculoskeletal pain. Application of this homeopathic remedy for the designated usage is exclusively based on homeopathic experience. With severe forms of this disease, a clinically proven therapy is indicated.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)