NDC codes

FDA NDC Directory
Product NDC (as listed)63083-7004Labeler and product segments. Claims need a package NDC.
Product NDC at billing width63083-7004Add 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
63083-7004-16308370040129.5 mL in 1 BOTTLE, DROPPER (63083-7004-1)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)
RET Large Intestine 7004Suffix: 7004
Generic name (nonproprietary)
ret large intestine
Active ingredients
Cichorium intybus flower — 3 [hp_X]/29.5mLMimulus guttatus flowering top — 3 [hp_X]/29.5mLVerbena officinalis flowering top — 3 [hp_X]/29.5mLPotassium sulfate — 3 [hp_X]/29.5mLPotassium alum — 30 [hp_X]/29.5mLSemecarpus anacardium juice — 30 [hp_X]/29.5mLSilver nitrate — 30 [hp_X]/29.5mLAmaryllis belladonna whole — 30 [hp_X]/29.5mLOyster shell calcium carbonate, Crude — 30 [hp_X]/29.5mLLycopodium clavatum spore — 30 [hp_X]/29.5mLMercurius solubilis — 30 [hp_X]/29.5mLStrychnos nux-vomica seed — 30 [hp_X]/29.5mL
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)Cell-mediated Immunity (Physiologic effect)Increased Histamine Release (Physiologic effect)Increased IgG Production (Physiologic effect)Increased Large Intestinal Motility (Physiologic effect)Inhibition Large Intestine Fluid/Electrolyte Absorption (Physiologic effect)Osmotic Activity (Mechanism)Plant Proteins (Chemical structure)Potassium Compounds (Chemical structure)Seed Storage Proteins (Chemical structure)
Identifiers
Product ID 63083-7004_0b0b8e6a-f2b9-49ca-8921-521f3fbf5624SPL ID 0b0b8e6a-f2b9-49ca-8921-521f3fbf5624SPL set ID f1d07d3b-be59-4021-a9cb-8cb9b5b2aff5UNII HW54500A89, 192426I5JU, 311PNK9CDZ, 1K573LC5TV, 1L24V9R23S, Y0F0BU8RDU, 95IT3W8JZE, 11B89M58UN, 2E32821G6I, C88X29Y479, 324Y4038G2, 269XH13919
Pharmacologic class
Non-Standardized Plant Allergenic Extract; 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

N463083700401 followed by a unit qualifier and the quantity

Package 63083-7004-01. 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 fear, shyness, lack of courage, being overly possessive or overprotective, being self-centered, critical, demanding, or easily offended.*

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

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