NDC codes

FDA NDC Directory
Product NDC (as listed)59672-0117Labeler and product segments. Claims need a package NDC.
Product NDC at billing width59672-0117Add 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
59672-0117-1596720117011 BLISTER PACK in 1 CARTON (59672-0117-1) / 16 TABLET in 1 BLISTER PACKMarketed from Dec 3, 2018

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)
No-Jet-Lag
Generic name (nonproprietary)
arnica montana, bellis perennis, matricaria chamomilla, ipecac, and lycopodium clavatum spore
Active ingredients
Arnica montana whole — 30 [hp_C]/1Bellis perennis whole — 30 [hp_C]/1Matricaria chamomilla whole — 30 [hp_C]/1Ipecac — 30 [hp_C]/1Lycopodium clavatum spore — 30 [hp_C]/1
Dosage form
Tablet
Route
Oral
Product type
Over-the-counter drug
Marketing category
Unapproved homeopathic
Marketing start
Listing expires
Identifiers
Product ID 59672-0117_6cfac065-7c01-4633-8ccd-c4bfeafb2b03SPL ID 6cfac065-7c01-4633-8ccd-c4bfeafb2b03SPL set ID 83e61c05-338e-467f-bb34-aadb345ca863UNII O80TY208ZW, 2HU33I03UY, G0R4UBI2ZZ, 62I3C8233L, C88X29Y479

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

N459672011701 followed by a unit qualifier and the quantity

Package 59672-0117-01. 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)

Uses For the relief of tiredness and jet lag associated with flying

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

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