NDC codes

FDA NDC Directory
Product NDC (as listed)63083-2101Labeler and product segments. Claims need a package NDC.
Product NDC at billing width63083-2101Add 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
63083-2101-26308321010259 mL in 1 BOTTLE, DROPPER (63083-2101-2)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)
Esophagus Formula 2101Suffix: 2101
Generic name (nonproprietary)
esophagus formula
Active ingredients
Gleditsia sinensis fruit — 1 [hp_X]/59mLSalvia miltiorrhiza root — 1 [hp_X]/59mLScutellaria baicalensis root — 1 [hp_X]/59mLGinger — 1 [hp_X]/59mLAchyranthes bidentata root — 1 [hp_X]/59mLRheum officinale root — 1 [hp_X]/59mLAmmonium cation — 3 [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)Cell-mediated Immunity (Physiologic effect)Dietary Proteins (Chemical structure)Food Additives (Chemical structure)Increased Histamine Release (Physiologic effect)Plant Proteins (Chemical structure)
Identifiers
Product ID 63083-2101_5ac9fad9-6f59-48e0-bbf0-b2b5e8aa64a2SPL ID 5ac9fad9-6f59-48e0-bbf0-b2b5e8aa64a2SPL set ID d52542bf-a7c0-4613-8152-e26dd65af891UNII A6W0J6UO7Q, 1693AM5SBN, 7J95K7ID2S, C5529G5JPQ, 5QIU26R6P1, A47JP5ZG9M, 54S68520I4
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

N463083210102 followed by a unit qualifier and the quantity

Package 63083-2101-02. 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 belching, heartburn, nausea, minor discomfort in the upper abdomen, or dry cough.*

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 63083-2101

What is NDC 63083-2101?
63083-2101 is the product NDC for Esophagus Formula 2101 (esophagus formula), Gleditsia sinensis fruit 1 [hp_X]/59mL + 6 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?
Esophagus Formula 2101 (Esophagus Formula).
What is the active ingredient?
Gleditsia sinensis fruit, Salvia miltiorrhiza root, Scutellaria baicalensis root, Ginger, Achyranthes bidentata root, Rheum officinale root, Ammonium cation.
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 Esophagus Formula 2101?
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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