NDC codes

FDA NDC Directory
Product NDC (as listed)63083-2128Labeler and product segments. Claims need a package NDC.
Product NDC at billing width63083-2128Add 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
63083-2128-26308321280259 mL in 1 BOTTLE, DROPPER (63083-2128-2)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)
Lyme Nosode Drops 2128Suffix: 2128
Generic name (nonproprietary)
lyme nosode drops
Active ingredients
Angelica archangelica root — 2 [hp_X]/59mLAngelica pubescens root — 2 [hp_X]/59mLGambir — 2 [hp_X]/59mLMagnesium phosphate, Dibasic trihydrate — 2 [hp_X]/59mLPotassium chloride — 3 [hp_X]/59mLManganese — 3 [hp_X]/59mLYucca filamentosa whole — 3 [hp_X]/59mLBovine type ii collagen (Tracheal cartilage) — 3 [hp_X]/59mLPhytolacca americana root — 4 [hp_X]/59mLGoldenseal — 5 [hp_X]/59mLToxicodendron pubescens leaf — 6 [hp_X]/59mLCausticum — 6 [hp_X]/59mLLatiglutenase — 8 [hp_X]/59mLOxalic acid — 8 [hp_X]/59mLArnica montana whole — 8 [hp_X]/59mLLatrodectus mactans — 10 [hp_X]/59mLBorrelia burgdorferi — 12 [hp_X]/59mLTreponemic skin canker human — 12 [hp_X]/59mLRickettsia akari — 12 [hp_X]/59mLBabesia microti — 12 [hp_X]/59mLEhrlichia chaffeensis — 12 [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
Increased Large Intestinal Motility (Physiologic effect)Increased Large Intestinal Motility (Physiologic effect)Inhibition Large Intestine Fluid/Electrolyte Absorption (Physiologic effect)Inhibition Large Intestine Fluid/Electrolyte Absorption (Physiologic effect)Inhibition Small Intestine Fluid/Electrolyte Absorption (Physiologic effect)Magnesium Ion Exchange Activity (Mechanism)Osmotic Activity (Mechanism)Osmotic Activity (Mechanism)Potassium Compounds (Chemical structure)Stimulation Large Intestine Fluid/Electrolyte Secretion (Physiologic effect)
Identifiers
Product ID 63083-2128_c8869da5-0fa4-4707-8c87-3fec656d9834SPL ID c8869da5-0fa4-4707-8c87-3fec656d9834SPL set ID c9fed770-938a-406b-ac95-593d1318ecceUNII DTN01M69SN, 0MF1EI01KJ, 3NJQ5D8S6N, HF539G9L3Q, 660YQ98I10, 42Z2K6ZL8P, T6VR38UJ9I, 76TK29UQEZ, 11E6VI8VEG, ZW3Z11D0JV, 6IO182RP7A, DD5FO1WKFU, 090PL12YZJ, 9E7R5L6H31, O80TY208ZW, XJJ7QA858R, 0J8NV9V5Q8, 4ZWP7FWI8W, 0M6MOQ3BOU, 1948X6KEG3, 5ERQ90UTGC
Pharmacologic class
Calculi Dissolution Agent; Osmotic Laxative; Potassium Salt

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

N463083212802 followed by a unit qualifier and the quantity

Package 63083-2128-02. 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 minor aches in the muscles or joints, chills, sweats, fatigue, or nausea.*

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 63083-2128

What is NDC 63083-2128?
63083-2128 is the product NDC for Lyme Nosode Drops 2128 (lyme nosode drops), Angelica archangelica root 2 [hp_X]/59mL + 20 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?
Lyme Nosode Drops 2128 (Lyme Nosode Drops).
What is the active ingredient?
Angelica archangelica root, Angelica pubescens root, Gambir, Magnesium phosphate, Dibasic trihydrate, Potassium chloride, Manganese, Yucca filamentosa whole, Bovine type ii collagen (Tracheal cartilage), Phytolacca americana root, Goldenseal, Toxicodendron pubescens leaf, Causticum, Latiglutenase, Oxalic acid, Arnica montana whole, Latrodectus mactans, Borrelia burgdorferi, Treponemic skin canker human, Rickettsia akari, Babesia microti, Ehrlichia chaffeensis.
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 Lyme Nosode Drops 2128?
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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