NDC codes

FDA NDC Directory
Product NDC (as listed)62106-1322Labeler and product segments. Claims need a package NDC.
Product NDC at billing width62106-1322Add 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
62106-1322-0621061322001 BOTTLE, GLASS in 1 BOX (62106-1322-0) / 30 mL in 1 BOTTLE, GLASSMarketed from Feb 9, 2015

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)
Passiflora Plex
Generic name (nonproprietary)
passiflora incarnata, ignatia amara, jalapa, coffea cruda, magnesium metalicum, palladium metallicum, tellurium metallicum, phosphoricum acidum
Active ingredients
Passiflora incarnata flowering top — 3 [hp_X]/30mLIpomoea purga root — 8 [hp_X]/30mLArabica coffee bean — 10 [hp_X]/30mLMagnesium — 10 [hp_X]/30mLPalladium — 10 [hp_X]/30mLTellurium — 10 [hp_X]/30mLPhosphoric acid — 14 [hp_X]/30mLStrychnos ignatii seed — 8 [hp_X]/30mL
Dosage form
Liquid
Route
Sublingual
Product type
Over-the-counter drug
Marketing category
Unapproved homeopathic
Marketing start
Listing expires
Other FDA classes
Allergens (Chemical structure)Cell-mediated Immunity (Physiologic effect)Dietary Proteins (Chemical structure)Increased Histamine Release (Physiologic effect)Plant Proteins (Chemical structure)Seed Storage Proteins (Chemical structure)
Identifiers
Product ID 62106-1322_c72da14a-dfce-c8a3-e053-2995a90a7983SPL ID c72da14a-dfce-c8a3-e053-2995a90a7983SPL set ID 0eabdf34-4d4c-3282-e054-00144ff8d46cUNII CLF5YFS11O, 4UDO46YBK2, 3SW678MX72, I38ZP9992A, 5TWQ1V240M, NQA0O090ZJ, E4GA8884NN, 1NM3M2487K
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

N462106132200 followed by a unit qualifier and the quantity

Package 62106-1322-00. 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 temporary relief of symptoms associated with irregular sleep patterns ordinary restlessness Directions To be taken ten minutes away from food. Invert bottle and shake lightly allowing drops to fall directly under the tongue or into ¼ oz of water. Hold contents for about 20 seconds and swallow. To promote drop flow, invert bottle and shake before each use. Dosage frequency may be increased up to six times daily depending on the severity of symptoms. Adults and adolescents (12 years and older) Take 10 drops three times daily or as recommended by your healthcare practitioner. Children (under 12 years) Take under the direction of your healthcare practitioner.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

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