NDC codes

FDA NDC Directory
Product NDC (as listed)63083-2094Labeler and product segments. Claims need a package NDC.
Product NDC at billing width63083-2094Add 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
63083-2094-26308320940259 mL in 1 BOTTLE, DROPPER (63083-2094-2)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)
Ulcer Drops 2094Suffix: 2094
Generic name (nonproprietary)
ulcer drops
Active ingredients
Glycyrrhiza glabra — 2 [hp_X]/59mLSodium phosphate, Dibasic, Heptahydrate — 2 [hp_X]/59mLStarch, Rice — 2 [hp_X]/59mLPanicum miliaceum whole — 2 [hp_X]/59mLPlantago lanceolata leaf — 2 [hp_X]/59mLFu ling — 2 [hp_X]/59mLDaikon — 2 [hp_X]/59mLBlack mustard seed — 2 [hp_X]/59mLElymus repens root — 2 [hp_X]/59mLGinger — 2 [hp_X]/59mLGoldenseal — 5 [hp_X]/59mLActivated charcoal — 6 [hp_X]/59mLComfrey root — 6 [hp_X]/59mLArsenic trioxide — 12 [hp_X]/59mLHelicobacter pylori — 30 [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
Allergens (Chemical structure)Allergens (Chemical structure)Cell-mediated Immunity (Physiologic effect)Cell-mediated Immunity (Physiologic effect)Dietary Proteins (Chemical structure)Dietary Proteins (Chemical structure)Food Additives (Chemical structure)Increased Histamine Release (Physiologic effect)Increased Histamine Release (Physiologic effect)Plant Proteins (Chemical structure)Plant Proteins (Chemical structure)
Identifiers
Product ID 63083-2094_69b22328-1e59-47c1-a8d7-8941e1c8ec1bSPL ID 69b22328-1e59-47c1-a8d7-8941e1c8ec1bSPL set ID 92cfc484-e3bc-4f04-a06a-3299c8522e32UNII 2788Z9758H, 70WT22SF4B, 4DGK8B7I3S, 072D7X60WS, 2YWL9J7EE8, XH37TWY5O4, 86R5J6D01D, 8LTY55LQ8D, 3IXW0F6P8W, C5529G5JPQ, ZW3Z11D0JV, 2P3VWU3H10, M9VVZ08EKQ, S7V92P67HO, U09W5JOL3Z
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. Oral products like this are usually dispensed by a pharmacy and billed by NDC.

NDC on a medical claim

N463083209402 followed by a unit qualifier and the quantity

Package 63083-2094-02. 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 temporary relief of minor pain in the upper abdomen, heartburn, indigestion, flatulence, or nausea.*

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 63083-2094

What is NDC 63083-2094?
63083-2094 is the product NDC for Ulcer Drops 2094 (ulcer drops), Glycyrrhiza glabra 2 [hp_X]/59mL + 14 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?
Ulcer Drops 2094 (Ulcer Drops).
What is the active ingredient?
Glycyrrhiza glabra, Sodium phosphate, Dibasic, Heptahydrate, Starch, Rice, Panicum miliaceum whole, Plantago lanceolata leaf, Fu ling, Daikon, Black mustard seed, Elymus repens root, Ginger, Goldenseal, Activated charcoal, Comfrey root, Arsenic trioxide, Helicobacter pylori.
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 Ulcer Drops 2094?
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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