NDC codes

FDA NDC Directory
Product NDC (as listed)63083-2100Labeler and product segments. Claims need a package NDC.
Product NDC at billing width63083-2100Add 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
63083-2100-26308321000259 mL in 1 BOTTLE, DROPPER (63083-2100-2)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)
Stomach Formula 2100Suffix: 2100
Generic name (nonproprietary)
stomach formula
Active ingredients
Codonopsis pilosula root — 1 [hp_X]/59mLPteris ensiformis whole — 1 [hp_X]/59mLScutellaria baicalensis root — 1 [hp_X]/59mLAngelica gigas root — 3 [hp_X]/59mLSolanum virginianum whole — 3 [hp_X]/59mLRaphanus sativus var. Sativus seed — 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
Identifiers
Product ID 63083-2100_b1130313-1e2e-45c4-8261-060ada150313SPL ID b1130313-1e2e-45c4-8261-060ada150313SPL set ID 7cff7e96-6cdf-490a-b8c4-3963c218a6c5UNII 02VJ3CEY9G, 1G73Z7H22I, 7J95K7ID2S, 32766B2FHX, H57TO94940, A94I086Q5E

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

N463083210002 followed by a unit qualifier and the quantity

Package 63083-2100-02. 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 heartburn, indigestion, or bloating.*

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 63083-2100

What is NDC 63083-2100?
63083-2100 is the product NDC for Stomach Formula 2100 (stomach formula), Codonopsis pilosula root 1 [hp_X]/59mL + 5 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?
Stomach Formula 2100 (Stomach Formula).
What is the active ingredient?
Codonopsis pilosula root, Pteris ensiformis whole, Scutellaria baicalensis root, Angelica gigas root, Solanum virginianum whole, Raphanus sativus var. Sativus seed.
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 Stomach Formula 2100?
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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