NDC codes

FDA NDC Directory
Product NDC (as listed)63083-4017Labeler and product segments. Claims need a package NDC.
Product NDC at billing width63083-4017Add 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
63083-4017-26308340170259 mL in 1 BOTTLE, DROPPER (63083-4017-2)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)
Allergy Nosode 4017Suffix: 4017
Generic name (nonproprietary)
allergy nosode
Active ingredients
House dust — 12 [hp_X]/59mLStachybotrys chartarum — 12 [hp_X]/59mLMedicago sativa whole — 12 [hp_X]/59mLFraxinus latifolia whole — 12 [hp_X]/59mLTaraxacum officinale — 12 [hp_X]/59mLPotassium dichromate — 30 [hp_X]/59mLCalcium sulfide — 12 [hp_X]/59mLHistamine — 12 [hp_X]/59mLSilicon dioxide — 12 [hp_X]/59mLGuaiac — 6 [hp_X]/59mLLuffa operculata fruit — 6 [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
Allergens (Chemical structure)Allergens (Chemical structure)Cell-mediated Immunity (Physiologic effect)Cell-mediated Immunity (Physiologic effect)Fungal Proteins (Chemical structure)House Dust (Chemical structure)Increased Histamine Release (Physiologic effect)Increased Histamine Release (Physiologic effect)Increased IgG Production (Physiologic effect)Increased IgG Production (Physiologic effect)
Identifiers
Product ID 63083-4017_8f6adf24-31cc-4860-b955-0076730f68baSPL ID 8f6adf24-31cc-4860-b955-0076730f68baSPL set ID da9145a5-42e9-4dba-9d11-195848e628a4UNII EYO007VX98, HJ4L70T1ZP, DJO934BRBD, 024W88F557, 39981FM375, T4423S18FM, 1MBW07J51Q, 820484N8I3, ETJ7Z6XBU4, 03C8A0DFJ8, C4MO6809HU
Pharmacologic class
Non-Standardized Fungal Allergenic Extract; Non-Standardized House Dust 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

N463083401702 followed by a unit qualifier and the quantity

Package 63083-4017-02. 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 runny nose, nasal congestion, headache, itchy or watery eyes, or mild facial or ear pain due to hay fever or other upper respiratory allergies.*

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

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