NDC codes

FDA NDC Directory
Product NDC (as listed)62795-1133Labeler and product segments. Claims need a package NDC.
Product NDC at billing width62795-1133Add 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
62795-1133-262795113302100 TABLET in 1 BOTTLE (62795-1133-2)Marketed from Aug 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)
Hendel Periodontal and Tooth Pain Relief
Generic name (nonproprietary)
sodium borate, tribasic calcium phosphate, mercurius solubilis, and silicon dioxide
Active ingredients
Sodium borate — 8 [hp_X]/1Tribasic calcium phosphate — 12 [hp_X]/1Mercurius solubilis — 12 [hp_X]/1Silicon dioxide — 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
Calcium (Chemical structure)Divalent (Chemical structure)Increased Coagulation Factor Activity (Physiologic effect)
Identifiers
Product ID 62795-1133_236170c9-286a-4ec1-901f-b9eb77d24e59SPL ID 236170c9-286a-4ec1-901f-b9eb77d24e59SPL set ID f34e9f77-69fd-4c7f-9eea-2d721a4d27fbUNII 91MBZ8H3QO, 91D9GV0Z28, 324Y4038G2, ETJ7Z6XBU4
Pharmacologic class
Blood Coagulation Factor

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

N462795113302 followed by a unit qualifier and the quantity

Package 62795-1133-02. 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

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