NDC codes

FDA NDC Directory
Product NDC (as listed)62795-1114Labeler and product segments. Claims need a package NDC.
Product NDC at billing width62795-1114Add 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
62795-1114-262795111402100 TABLET in 1 BOTTLE (62795-1114-2)Marketed from Aug 1, 2016

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)
Dr. Hendel Back Pain Relief
Generic name (nonproprietary)
horse chestnut, bryonia alba root, citrullus colocynthis fruit pulp, solanum dulcamara top, pseudognaphalium obtusifolium, hypericum perforatum, strychnos nux-vomica seed, and toxicodendron pubescens leaf
Active ingredients
Horse chestnut — 6 [hp_X]/1Bryonia alba root — 6 [hp_X]/1Citrullus colocynthis fruit pulp — 6 [hp_X]/1Solanum dulcamara top — 6 [hp_X]/1Pseudognaphalium obtusifolium — 6 [hp_X]/1Hypericum perforatum — 6 [hp_X]/1Strychnos nux-vomica seed — 6 [hp_X]/1Toxicodendron pubescens leaf — 12 [hp_X]/1
Dosage form
Tablet
Route
Oral
Product type
Over-the-counter drug
Marketing category
Unapproved homeopathic
Marketing start
Marketing end
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 62795-1114_a0d1f708-8647-44fa-839c-44f8fa9a6db3SPL ID a0d1f708-8647-44fa-839c-44f8fa9a6db3SPL set ID df7c5fb6-9d23-49af-a273-bb123e7f95d4UNII 3C18L6RJAZ, T7J046YI2B, 23H32AOH17, KPS1B1162N, 36XQ854NWW, XK4IUX8MNB, 269XH13919, 6IO182RP7A
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. Oral products like this are usually dispensed by a pharmacy and billed by NDC.

NDC on a medical claim

N462795111402 followed by a unit qualifier and the quantity

Package 62795-1114-02. 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: Shoulder, back & hip pain Aches & stiffness in back muscles Back spasms and cramps

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

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