Vermafuge -AG Lycopodium NDC 61657-1026

NDC codes

FDA NDC Directory

Product NDC (as listed)61657-1026Labeler and product segments. Claims need a package NDC.

Product NDC at billing width61657-1026Add 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
61657-1026-1	61657102601	30 mL in 1 BOTTLE, DROPPER (61657-1026-1)Marketed from Aug 3, 1993

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): Vermafuge -AG LycopodiumSuffix: Lycopodium
Generic name (nonproprietary): nux vomica,arsenicum album,cinchona officinalis,capsicum annuum,nitric acid,mercuriuscorrosivus,belladonna,cajuputum,lycopodium clavatum,phosphorus,phytolacca decandra,rhamnus purshiana,fragaria vesca
Active ingredients: Strychnos nux-vomica seed — 12 [hp_X]/30mLArsenic trioxide — 12 [hp_X]/30mLCinchona officinalis bark — 12 [hp_X]/30mLCapsicum — 3 [hp_X]/30mLNitric acid — 12 [hp_X]/30mLMercuric chloride — 12 [hp_X]/30mLAtropa belladonna — 12 [hp_X]/30mLCajuput oil — 4 [hp_X]/30mLLycopodium clavatum spore — 12 [hp_X]/30mLPhosphorus — 12 [hp_X]/30mLPhytolacca americana root — 6 [hp_X]/30mLFrangula purshiana bark — 3 [hp_X]/30mLAlpine strawberry — 12 [hp_X]/30mL
Dosage form: Liquid
Route: Oral
Labeler: White Manufacturing Inc. DBA Micro-West
Product type: Over-the-counter drug
Marketing category: Unapproved homeopathic
Marketing start: Aug 3, 1993
Listing expires: Dec 31, 2026
Other FDA classes: Allergens (Chemical structure)Allergens (Chemical structure)Cell-mediated Immunity (Physiologic effect)Cell-mediated Immunity (Physiologic effect)Dietary Proteins (Chemical structure)Increased Histamine Release (Physiologic effect)Increased Histamine Release (Physiologic effect)Increased IgG Production (Physiologic effect)Plant Proteins (Chemical structure)Plant Proteins (Chemical structure)Seed Storage Proteins (Chemical structure)Vegetable Proteins (Chemical structure)
Identifiers: Product ID 61657-1026_b97044f4-0e78-5eb0-e053-2995a90a8021SPL ID b97044f4-0e78-5eb0-e053-2995a90a8021SPL set ID 447c7971-e7ea-4f47-82a2-ed6da883098fUNII 269XH13919, S7V92P67HO, S003A158SB, 00UK7646FG, 411VRN1TV4, 53GH7MZT1R, WQZ3G9PF0H, J3TO6BUQ37, C88X29Y479, 27YLU75U4W, 11E6VI8VEG, 4VBP01X99F, CG6IX3GCMU
Pharmacologic class: Non-Standardized Food Allergenic Extract; Non-Standardized Plant 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

N461657102601 followed by a unit qualifier and the quantity

Package 61657-1026-01. 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 Jan 21, 2021.

Indications (excerpt from the label)

INDICATIONS INDICATIONS : FOR THE TEMPORARY RELIEF OF DYSENTARY, FLATULENCE, AND COLIC

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)