NDC codes

FDA NDC Directory
Product NDC (as listed)63083-6017Labeler and product segments. Claims need a package NDC.
Product NDC at billing width63083-6017Add 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
63083-6017-26308360170259 mL in 1 BOTTLE, DROPPER (63083-6017-2)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)
Viral Immune Stimulator 6017Suffix: 6017
Generic name (nonproprietary)
viral immune stimulator
Active ingredients
Sodium chloride — 3 [hp_X]/59mLAsclepias tuberosa flowering top — 3 [hp_X]/59mLTrifolium pratense flower — 3 [hp_X]/59mLEchinacea purpurea whole — 3 [hp_X]/59mLEuphrasia stricta — 6 [hp_X]/59mLCow milk — 6 [hp_X]/59mLThuja occidentalis leaf — 6 [hp_X]/59mLFerrous iodide — 8 [hp_X]/59mLCamphor (Natural) — 12 [hp_X]/59mLCalcium arsenate — 12 [hp_X]/59mLIchthammol — 12 [hp_X]/59mLVaccinia virus strain new york city board of health live antigen — 30 [hp_X]/59mLMeasles virus — 30 [hp_X]/59mLHuman herpesvirus 1 — 30 [hp_X]/59mLInfluenza a virus a/victoria/2454/2019 ivr-207 (H1n1) antigen (Formaldehyde inactivated) — 30 [hp_X]/59mLCynanchum otophyllum whole — 30 [hp_X]/59mLCoxsackievirus a21 — 30 [hp_X]/59mLJapanese encephalitis virus strain nakayama-nih antigen (Formaldehyde inactivated) — 30 [hp_X]/59mLBacillus calmette-guerin live antigen, Unspecified substrain — 30 [hp_X]/59mLHuman herpesvirus 5 — 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)Allergens (Chemical structure)Cell-mediated Immunity (Physiologic effect)Dietary Proteins (Chemical structure)Increased Histamine Release (Physiologic effect)Japanese Encephalitis Vaccines (Chemical structure)Milk Proteins (Chemical structure)Smallpox Vaccine (Chemical structure)Inactivated (Chemical structure)Unattenuated (Chemical structure)
Identifiers
Product ID 63083-6017_33488904-055b-4b77-8e07-797ceec23d90SPL ID 33488904-055b-4b77-8e07-797ceec23d90SPL set ID f462cfb7-e1c3-4ded-9f79-f1983517fe15UNII 451W47IQ8X, Y62M9GTW4A, 4JS0838828, QI7G114Y98, C9642I91WL, 917J3173FT, 0T0DQN8786, F5452U54PN, N20HL7Q941, 95OX15I8ZU, NQ14646378, 4SV59689SK, HT3R7C012Q, 22G38P19RL, 2J002Y0B0W, 02I89C6K47, 4B57CWT710, 2V2JJ0S00T, 8VJE55B0VG, 7COI029E6K
Pharmacologic class
Inactivated Japanese Encephalitis Virus Vaccine; Live Vaccinia Virus Vaccine; 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.

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

N463083601702 followed by a unit qualifier and the quantity

Package 63083-6017-02. 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 runny nose, chills, sweats, sore throat, minor aches and pains in the muscles or joints, or occasional headache.*

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

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