Mycobacter/Mycoplasma Nosode 4009 NDC 63083-4009

NDC codes

FDA NDC Directory

Product NDC (as listed)63083-4009Labeler and product segments. Claims need a package NDC.

Product NDC at billing width63083-4009Add 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 NDC	11-digit (billing)	Package	Copy
63083-4009-2	63083400902	59 mL in 1 BOTTLE, DROPPER (63083-4009-2)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): Mycobacter/Mycoplasma Nosode 4009Suffix: 4009
Generic name (nonproprietary): mycobacter/mycoplasma nosode
Active ingredients: Arsenic triiodide — 30 [hp_X]/59mLSulfuric acid — 30 [hp_X]/59mLStrychnos nux-vomica seed — 100 [hp_X]/59mLSulfur — 100 [hp_X]/59mLBacillus anthracis immunoserum rabbit — 30 [hp_X]/59mLMycobacterium abscessus — 30 [hp_X]/59mLMycobacterium avium — 30 [hp_X]/59mLMycobacterium avium subsp. Paratuberculosis — 30 [hp_X]/59mLMycoplasma pneumoniae — 30 [hp_X]/59mL
Dosage form: Liquid
Route: Oral
Labeler: Professional Complementary Health Formulas
Product type: Over-the-counter drug
Marketing category: Unapproved homeopathic
Marketing start: Aug 15, 1984
Listing expires: Dec 31, 2027
Other FDA classes: Allergens (Chemical structure)Cell-mediated Immunity (Physiologic effect)Increased Histamine Release (Physiologic effect)Increased IgG Production (Physiologic effect)Plant Proteins (Chemical structure)Seed Storage Proteins (Chemical structure)
Identifiers: Product ID 63083-4009_834af3a3-fb42-4f6d-b8d1-4631c1f8d133SPL ID 834af3a3-fb42-4f6d-b8d1-4631c1f8d133SPL set ID 157e22fa-0791-4e8b-9d3a-7b6e94882c66UNII 3029988O2T, O40UQP6WCF, 269XH13919, 70FD1KFU70, 41LZ22DD4N, Y9O4JH3X21, 67P4WI780Z, XH0F4IP2RX, JQE470FAD0
Pharmacologic class: Non-Standardized Plant 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

N463083400902 followed by a unit qualifier and the quantity

Package 63083-4009-02. 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 Jan 8, 2026.

Indications (excerpt from the label)

INDICATIONS For the temporary relief of cough, minor sore throat, occasional headache, runny nose, tiredness, lack of appetite, or feelings of discomfort or uneasiness.*

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)