Total Tri-Estro NDC 61657-2969

NDC codes

FDA NDC Directory

Product NDC (as listed)61657-2969Labeler and product segments. Claims need a package NDC.

Product NDC at billing width61657-2969Add 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
61657-2969-1	61657296901	30 mL in 1 BOTTLE, DROPPER (61657-2969-1)Marketed from Nov 1, 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): Total Tri-Estro
Generic name (nonproprietary): adrenalinum, cimicifuga, ignatia, lecithin, nicotinamidum, oophorinum, sepia.
Active ingredients: Epinephrine — 10 [hp_X]/30mLBlack cohosh — 10 [hp_X]/30mLStrychnos ignatii seed — 10 [hp_X]/30mLEgg phospholipids — 10 [hp_X]/30mLNiacinamide — 10 [hp_X]/30mLSus scrofa ovary — 10 [hp_X]/30mLSepia officinalis juice — 10 [hp_X]/30mL
Dosage form: Liquid
Route: Oral
Labeler: White Manufacturing Inc. DBA Micro-West
Product type: Prescription drug
Marketing category: Unapproved homeopathic
Marketing start: Nov 1, 2018
Listing expires: Dec 31, 2026
Other FDA classes: Adrenergic alpha-Agonists (Mechanism)Adrenergic beta-Agonists (Mechanism)Catecholamines (Chemical structure)
Identifiers: Product ID 61657-2969_b970a6fb-f11e-3d46-e053-2995a90a28cdSPL ID b970a6fb-f11e-3d46-e053-2995a90a28cdSPL set ID d3a5e7b6-a4d2-406e-b837-600a886b0ff4UNII YKH834O4BH, K73E24S6X9, 1NM3M2487K, 1Z74184RGV, 25X51I8RD4, S7YTV04R8O, QDL83WN8C2
Pharmacologic class: Catecholamine; alpha-Adrenergic Agonist; beta-Adrenergic Agonist

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

N461657296901 followed by a unit qualifier and the quantity

Package 61657-2969-01. 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: For the temporary relief of menopausal symptoms, menstrual disorders, hot flashes, depression, sleep disorders, fatigue, apathy. (**)

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)