NDC codes

FDA NDC Directory
Product NDC (as listed)63083-9409Labeler and product segments. Claims need a package NDC.
Product NDC at billing width63083-9409Add 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
63083-9409-16308394090129.5 mL in 1 BOTTLE, DROPPER (63083-9409-1)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)
Childhood Vaccination Nosode Combination 9409Suffix: 9409
Generic name (nonproprietary)
childhood vaccination nosode combination
Active ingredients
Antimony potassium tartrate — 6 [hp_X]/29.5mLHamamelis virginiana root bark/stem bark — 6 [hp_X]/29.5mLQuinine sulfate — 8 [hp_X]/29.5mLSulfur — 8 [hp_X]/29.5mLCrotalus horridus horridus venom — 10 [hp_X]/29.5mLMercurius solubilis — 12 [hp_X]/29.5mLPoliovirus type 1 antigen (Formaldehyde inactivated) — 12 [hp_X]/29.5mLSilicon dioxide — 12 [hp_X]/29.5mLThuja occidentalis leaf — 12 [hp_X]/29.5mLVaccinia virus strain new york city board of health live antigen — 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
Actively Acquired Immunity (Physiologic effect)Actively Acquired Immunity (Physiologic effect)Poliovirus Vaccines (Chemical structure)Smallpox Vaccine (Chemical structure)Inactivated (Chemical structure)Unattenuated (Chemical structure)
Identifiers
Product ID 63083-9409_960fab85-6ea8-4799-bcd8-ac46fad57822SPL ID 960fab85-6ea8-4799-bcd8-ac46fad57822SPL set ID a7a262f1-fe38-4e6b-aefa-f9e8a914f38eUNII DL6OZ476V3, T7S323PKJS, KF7Z0E0Q2B, 70FD1KFU70, YHA2XLJ956, 324Y4038G2, 0LVY784C09, ETJ7Z6XBU4, 0T0DQN8786, 4SV59689SK
Pharmacologic class
Antimalarial; Inactivated Poliovirus Vaccine; Live Vaccinia Virus Vaccine

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

N463083940901 followed by a unit qualifier and the quantity

Package 63083-9409-01. 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 occasional headache, minor muscle or joint pain, fatigue, nausea or vomiting, diarrhea, or constipation.*

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

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