NDC codes

FDA NDC Directory
Product NDC (as listed)61727-331Labeler and product segments. Claims need a package NDC.
Product NDC at billing width61727-0331Add 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
61727-331-21617270331214 g in 1 TUBE (61727-331-21)Marketed from Jun 8, 2012

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)
Acid Reflux Relief
Generic name (nonproprietary)
capsicum, sodium phosphate, dibasic, heptahydrate, strychnos nux-vomica seed, robinia pseudoacacia bark, sulfur, sepia officinalis juice
Active ingredients
Capsicum — 7 [hp_C]/4gSodium phosphate, Dibasic, Heptahydrate — 6 [hp_X]/4gStrychnos nux-vomica seed — 9 [hp_C]/4gRobinia pseudoacacia bark — 9 [hp_C]/4gSulfur — 5 [hp_C]/4gSepia officinalis juice — 5 [hp_C]/4g
Dosage form
Pellet
Route
Sublingual
Product type
Over-the-counter drug
Marketing category
Unapproved homeopathic
Marketing start
Listing expires
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 61727-331_848ca4be-1f89-b274-e053-2a91aa0ad774SPL ID 848ca4be-1f89-b274-e053-2a91aa0ad774SPL set ID 01ddf3ee-e925-404d-9b41-7876d5fd6634UNII 00UK7646FG, 70WT22SF4B, 269XH13919, 7TPC058OWY, 70FD1KFU70, QDL83WN8C2UPC 0361727331212
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. Sublingual products like this are usually dispensed by a pharmacy and billed by NDC.

NDC on a medical claim

N461727033121 followed by a unit qualifier and the quantity

Package 61727-0331-21. 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)

Indications & Usage: Turn tube upside down, twist cap to break seal & release pellets. Using clear cap, place 3 pellets to dissolve under your tongue before meals or as needed. Take apart from food or drinks. To preserve purity avoid touching pellets with fingers.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

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