NDC codes

FDA NDC Directory
Product NDC (as listed)63083-4003Labeler and product segments. Claims need a package NDC.
Product NDC at billing width63083-4003Add 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
63083-4003-26308340030259 mL in 1 BOTTLE, DROPPER (63083-4003-2)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)
Virus Nosode 4003Suffix: 4003
Generic name (nonproprietary)
virus nosode
Active ingredients
Bacillus calmette-guerin live antigen, Unspecified substrain — 30 [hp_X]/59mLCoxsackievirus a21 — 30 [hp_X]/59mLHuman herpesvirus 5 — 30 [hp_X]/59mLHuman herpesvirus 4 — 30 [hp_X]/59mLHaemophilus influenzae — 30 [hp_X]/59mLPoliovirus type 1 antigen (Formaldehyde inactivated) — 30 [hp_X]/59mLDalea foliolosa whole — 30 [hp_X]/59mLDraba verna whole — 30 [hp_X]/59mLVaccinia virus strain new york city board of health live antigen — 30 [hp_X]/59mLHuman varicella-zoster immune globulin — 30 [hp_X]/59mL
Dosage form
Liquid
Route
Oral
Product type
Over-the-counter drug
Marketing category
Unapproved homeopathic
Marketing start
Listing expires
Other FDA classes
Actively Acquired Immunity (Physiologic effect)Actively Acquired Immunity (Physiologic effect)Poliovirus Vaccines (Chemical structure)Smallpox Vaccine (Chemical structure)Inactivated (Chemical structure)Unattenuated (Chemical structure)
Identifiers
Product ID 63083-4003_24c08841-8cc8-48eb-9a7e-fb9cbbd3791bSPL ID 24c08841-8cc8-48eb-9a7e-fb9cbbd3791bSPL set ID 626d937d-45db-4ccf-a75b-e961e2a80852UNII 8VJE55B0VG, 4B57CWT710, 7COI029E6K, 2A26YW7PNX, K738E2MB3I, 0LVY784C09, R2ZFR12IQ9, 11I0GD34ZJ, 4SV59689SK, 33T61IWL27
Pharmacologic class
Inactivated Poliovirus Vaccine; Live Vaccinia Virus Vaccine

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.

Administration

Immunization administration (CPT 90460–90474)

Giving a vaccine is reported separately from the vaccine product code, with an immunization administration code. Which code applies depends on the patient's age, the route and whether counselling was provided.

How CPT relates to drug billing

NDC on a medical claim

N463083400302 followed by a unit qualifier and the quantity

Package 63083-4003-02. 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 Temporarily relieves fatigue, sore throat, minor aches and pains in the muscles or joints, occasional headache, chills, sweats, cough, nausea or vomiting, or abdominal discomfort.*

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

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