NDC codes

FDA NDC Directory
Product NDC (as listed)63083-2103Labeler and product segments. Claims need a package NDC.
Product NDC at billing width63083-2103Add 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
63083-2103-26308321030259 mL in 1 BOTTLE, DROPPER (63083-2103-2)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)
Large Intestine Formula 2103Suffix: 2103
Generic name (nonproprietary)
large intestine formula
Active ingredients
Scleromitrion diffusum whole — 1 [hp_X]/59mLFerrosoferric oxide — 1 [hp_X]/59mLSanguisorba officinalis root — 1 [hp_X]/59mLMagnolia officinalis bark — 1 [hp_X]/59mLStyphnolobium japonicum flower — 1 [hp_X]/59mLScutellaria baicalensis root — 1 [hp_X]/59mLLonicera hypoglauca flower — 1 [hp_X]/59mLTaraxacum sinicum whole — 1 [hp_X]/59mLAngelica gigas root — 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
Identifiers
Product ID 63083-2103_8b98ba25-d86c-4e07-83f7-314a3ded2bd4SPL ID 8b98ba25-d86c-4e07-83f7-314a3ded2bd4SPL set ID 532eb4c6-0f3f-4853-89e2-43168e118d65UNII 291PPU5K9I, XM0M87F357, 4NYV2HT01X, 5M609NV974, 644C3CSB6E, 7J95K7ID2S, 3ADI26ATFY, 11982A05XX, 32766B2FHX

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

N463083210302 followed by a unit qualifier and the quantity

Package 63083-2103-02. 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 mild abdominal discomfort or cramping, bloating, constipation, or diarrhea.*

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 63083-2103

What is NDC 63083-2103?
63083-2103 is the product NDC for Large Intestine Formula 2103 (large intestine formula), Scleromitrion diffusum whole 1 [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?
Large Intestine Formula 2103 (Large Intestine Formula).
What is the active ingredient?
Scleromitrion diffusum whole, Ferrosoferric oxide, Sanguisorba officinalis root, Magnolia officinalis bark, Styphnolobium japonicum flower, Scutellaria baicalensis root, Lonicera hypoglauca flower, Taraxacum sinicum whole, Angelica gigas root.
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 Large Intestine Formula 2103?
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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