NDC codes

FDA NDC Directory
Product NDC (as listed)63083-2110Labeler and product segments. Claims need a package NDC.
Product NDC at billing width63083-2110Add 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
63083-2110-26308321100259 mL in 1 BOTTLE, DROPPER (63083-2110-2)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)
Mania Formula 2110Suffix: 2110
Generic name (nonproprietary)
mania formula
Active ingredients
Salix alba bark — 1 [hp_X]/59mLLytta vesicatoria — 12 [hp_X]/59mLArtemisia annua flowering top — 30 [hp_X]/59mLAbutilon theophrasti seed — 30 [hp_X]/59mLAconitum carmichaeli lateral root — 30 [hp_X]/59mLAsian ginseng — 30 [hp_X]/59mL
Dosage form
Liquid
Route
Oral
Product type
Over-the-counter drug
Marketing category
Unapproved homeopathic
Marketing start
Listing expires
Identifiers
Product ID 63083-2110_f4d702f0-d326-44d4-b4d6-670b47849d02SPL ID f4d702f0-d326-44d4-b4d6-670b47849d02SPL set ID c17dbf4d-a068-4315-83f9-966b1a8a08bfUNII 205MXS71H7, 3Q034RO3BT, 0UQK6O82OW, 3828PQ8E9V, 2A9PW94VJX, CUQ3A77YXI

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

N463083211002 followed by a unit qualifier and the quantity

Package 63083-2110-02. 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 mood swings, irritability, general discontent or lack of interest, or racing thoughts.*

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

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