NDC codes

FDA NDC Directory
Product NDC (as listed)63083-1003Labeler and product segments. Claims need a package NDC.
Product NDC at billing width63083-1003Add 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
63083-1003-26308310030259 mL in 1 BOTTLE, DROPPER (63083-1003-2)Marketed from Aug 15, 1985

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)
Caffeine Mix 1003Suffix: 1003
Generic name (nonproprietary)
caffeine mix
Active ingredients
Sus scrofa adrenal gland — 6 [hp_X]/59mLCorticotropin — 6 [hp_X]/59mLHistamine dihydrochloride — 12 [hp_X]/59mLBeef liver — 6 [hp_X]/59mLCaffeine — 6 [hp_X]/59mLCocoa — 6 [hp_X]/59mLCoffee bean — 6 [hp_X]/59mLHigh fructose corn syrup — 6 [hp_X]/59mLTea leaf — 6 [hp_X]/59mL
Dosage form
Liquid
Route
Oral
Labeler
Professional Complementary Health FormulasNDC labeler code 63083
Product type
Over-the-counter drug
Marketing category
Unapproved homeopathic
Marketing start
Listing expires
Other FDA classes
Adrenocorticotropic Hormone (Chemical structure)Allergens (Chemical structure)Allergens (Chemical structure)Allergens (Chemical structure)Allergens (Chemical structure)Cell-mediated Immunity (Physiologic effect)Cell-mediated Immunity (Physiologic effect)Cell-mediated Immunity (Physiologic effect)Cell-mediated Immunity (Physiologic effect)Central Nervous System Stimulation (Physiologic effect)Dietary Proteins (Chemical structure)Dietary Proteins (Chemical structure)Dietary Proteins (Chemical structure)Dietary Proteins (Chemical structure)Increased Histamine Release (Physiologic effect)Increased Histamine Release (Physiologic effect)Increased Histamine Release (Physiologic effect)Increased Histamine Release (Physiologic effect)Meat Proteins (EXT)Plant Proteins (Chemical structure)Plant Proteins (Chemical structure)Plant Proteins (Chemical structure)Xanthines (Chemical structure)
Identifiers
Product ID 63083-1003_15ca385a-2248-415d-8459-0bff76f3513bSPL ID 15ca385a-2248-415d-8459-0bff76f3513bSPL set ID ce7f9a40-6cb1-49d1-a36a-e0f292dd136eUNII 398IYQ16YV, K0U68Q2TXA, 3POA0Q644U, W8N8R55022, 3G6A5W338E, D9108TZ9KG, JFH385Y744, XY6UN3QB6S, GH42T47V24
Pharmacologic class
Adrenocorticotropic Hormone; Central Nervous System Stimulant; Methylxanthine; 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. Oral products like this are usually dispensed by a pharmacy and billed by NDC.

NDC on a medical claim

N463083100302 followed by a unit qualifier and the quantity

Package 63083-1003-02. 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)

INDICATIONS For the temporary relief of headache, anxiousness, irritability, fatigue, and itching of the nose or throat due to sensitivity to caffeine.*

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 63083-1003

What is NDC 63083-1003?
63083-1003 is the product NDC for Caffeine Mix 1003 (caffeine mix), Sus scrofa adrenal gland 6 [hp_X]/59mL + 8 more ingredients liquid, listed with the FDA by Professional Complementary Health Formulas. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Caffeine Mix 1003 (Caffeine Mix).
What is the active ingredient?
Sus scrofa adrenal gland, Corticotropin, Histamine dihydrochloride, Beef liver, Caffeine, Cocoa, Coffee bean, High fructose corn syrup, Tea leaf.
Who is the labeler?
Professional Complementary Health Formulas, NDC labeler code 63083. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Caffeine Mix 1003?
None: this is the only finished product listed under this name.
Is there a related HCPCS / J-code?
Not in Med-Code's curated HCPCS directory. See Billing references above.

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