NDC codes

FDA NDC Directory
Product NDC (as listed)63083-9304Labeler and product segments. Claims need a package NDC.
Product NDC at billing width63083-9304Add 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
63083-9304-16308393040129.5 mL in 1 BOTTLE, DROPPER (63083-9304-1)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)
Glycerin Combination 9304Suffix: 9304
Generic name (nonproprietary)
glycerin combination
Active ingredients
Gelsemium sempervirens root — 3 [hp_X]/29.5mLSodium carbonate — 3 [hp_X]/29.5mLStrychnos nux-vomica seed — 6 [hp_X]/29.5mLChelidonium majus whole — 10 [hp_X]/29.5mL2-butoxyethyl laurate — 12 [hp_X]/29.5mLGlycerin — 12 [hp_X]/29.5mLSulfur — 12 [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)Allergens (Chemical structure)Cell-mediated Immunity (Physiologic effect)Cell-mediated Immunity (Physiologic effect)Glycerol (Chemical structure)Increased Histamine Release (Physiologic effect)Increased Histamine Release (Physiologic effect)Increased IgG Production (Physiologic effect)Increased IgG Production (Physiologic effect)Plant Proteins (Chemical structure)Seed Storage Proteins (Chemical structure)
Identifiers
Product ID 63083-9304_996ebbdb-32b2-4ded-9a42-f729a7af9ee7SPL ID 996ebbdb-32b2-4ded-9a42-f729a7af9ee7SPL set ID 391d8517-9b89-4b62-97b5-5102b35bec46UNII 639KR60Q1Q, 45P3261C7T, 269XH13919, 7E889U5RNN, 01O524K3H4, PDC6A3C0OX, 70FD1KFU70
Pharmacologic class
Non-Standardized Chemical Allergen; 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

N463083930401 followed by a unit qualifier and the quantity

Package 63083-9304-01. 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 For the temporary relief of dry, itchy, or irritated skin, drowsiness, vomiting, or nausea.*

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

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