NDC codes

FDA NDC Directory
Product NDC (as listed)62630-003Labeler and product segments. Claims need a package NDC.
Product NDC at billing width62630-0003Add 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
62630-003-0162630000301100 TABLET in 1 BOTTLE (62630-003-01)Marketed from Oct 15, 2024

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)
PreQuimm
Generic name (nonproprietary)
silver nitrate,colchicum autumnale bulb,conium maculatum flowering top,ipecac,strychnos nux vomica seed,pulsatilla pratensis whole,veratrum album root
Active ingredients
Silver nitrate — 6 [hp_X]/1Colchicum autumnale bulb — 4 [hp_X]/1Conium maculatum flowering top — 4 [hp_X]/1Ipecac — 4 [hp_X]/1Strychnos nux-vomica seed — 5 [hp_X]/1Pulsatilla pratensis whole — 6 [hp_X]/1Veratrum album root — 8 [hp_X]/1
Dosage form
Tablet
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)Increased Histamine Release (Physiologic effect)Increased IgG Production (Physiologic effect)Plant Proteins (Chemical structure)Seed Storage Proteins (Chemical structure)
Identifiers
Product ID 62630-003_42246a7e-5f14-68c0-e063-6394a90af8c6SPL ID 42246a7e-5f14-68c0-e063-6394a90af8c6SPL set ID 6db848aa-bf72-466e-8bc8-d02d073ed120UNII 95IT3W8JZE, 993QHL78E6, Q28R5GF371, 62I3C8233L, 269XH13919, 8E272251DI, QNS6W5US1Z
Pharmacologic class
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

N462630000301 followed by a unit qualifier and the quantity

Package 62630-0003-01. 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)

INDICATIONS: Temporarily relieves side effects, digestive symptoms (colic, reflux, dyspepsia, nausea, loss of appetite, vomiting, etc.) and nervousness (anxiety, etc.) occurring with chemotherapy treatments.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

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