NDC codes

FDA NDC Directory
Product NDC (as listed)63083-2116Labeler and product segments. Claims need a package NDC.
Product NDC at billing width63083-2116Add 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
63083-2116-26308321160259 mL in 1 BOTTLE, DROPPER (63083-2116-2)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)
Delirium Formula 2116Suffix: 2116
Generic name (nonproprietary)
delirium formula
Active ingredients
Papaya — 1 [hp_X]/59mLScutellaria baicalensis root — 2 [hp_X]/59mLDatura metel flower — 3 [hp_X]/59mLAconitum carmichaeli lateral root — 4 [hp_X]/59mLRanunculus bulbosus root — 4 [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)Fruit Proteins (EXT)Increased Histamine Release (Physiologic effect)
Identifiers
Product ID 63083-2116_e725d46c-2516-4ba2-9f0a-e3cf6c0e0dc8SPL ID e725d46c-2516-4ba2-9f0a-e3cf6c0e0dc8SPL set ID 178a5115-06c1-4048-832d-b0cdde7bf45bUNII KU94FIY6JB, 7J95K7ID2S, W43ES6D9FG, 2A9PW94VJX, XV11P9Y1A1
Pharmacologic class
Non-Standardized Food 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

N463083211602 followed by a unit qualifier and the quantity

Package 63083-2116-02. 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 confusion or disorientation, memory loss, disorganized thinking, or mood swings.*

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 63083-2116

What is NDC 63083-2116?
63083-2116 is the product NDC for Delirium Formula 2116 (delirium formula), Papaya 1 [hp_X]/59mL + 4 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?
Delirium Formula 2116 (Delirium Formula).
What is the active ingredient?
Papaya, Scutellaria baicalensis root, Datura metel flower, Aconitum carmichaeli lateral root, Ranunculus bulbosus 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 Delirium Formula 2116?
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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