NDC codes

FDA NDC Directory
Product NDC (as listed)63479-0103Labeler and product segments. Claims need a package NDC.
Product NDC at billing width63479-0103Add 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
63479-0103-16347901030130 mL in 1 BOTTLE, GLASS (63479-0103-1)Marketed from Dec 15, 1994

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)
A03 Ultra AntitoxSuffix: ULTRA ANTITOX
Generic name (nonproprietary)
alfalfa, american ginseng, apis mellifica, asparagus officinalis, avena sativa, baryta iodata, berberis vulgaris, bryonia, carduus marianus, chamomilla, chelidonium majus, conium maculatum, ferrum iodatum, lapis albus, lycopodium clavatum, natrum carbonicum, passiflora incarnata, scrophularia nodosa, solidago virgaurea, taraxacum officinale, uva ursi
Active ingredients
Bryonia alba root — 15 [hp_X]/mLApis mellifera — 6 [hp_X]/mLAsparagus — 2 [hp_X]/mLAvena sativa flowering top — 1 [hp_X]/mLAlfalfa — 1 [hp_X]/mLAmerican ginseng — 2 [hp_X]/mLFerrous iodide — 12 [hp_X]/mLSodium carbonate — 6 [hp_X]/mLBarium iodide — 12 [hp_X]/mLPassiflora incarnata flowering top — 1 [hp_X]/mLConium maculatum flowering top — 12 [hp_X]/mLLycopodium clavatum spore — 6 [hp_X]/mLScrophularia nodosa — 3 [hp_X]/mLTaraxacum officinale — 1 [hp_X]/mLCalcium hexafluorosilicate — 15 [hp_X]/mLArctostaphylos uva-ursi leaf — 1 [hp_X]/mLMatricaria chamomilla — 1 [hp_X]/mLSolidago virgaurea flowering top — 1 [hp_X]/mLBerberis vulgaris root bark — 1 [hp_X]/mLMilk thistle — 1 [hp_X]/mLChelidonium majus — 1 [hp_X]/mL
Dosage form
Solution/ drops
Route
Sublingual
Product type
Over-the-counter drug
Marketing category
Unapproved homeopathic
Marketing start
Listing expires
Other FDA classes
Allergens (Chemical structure)Allergens (Chemical structure)Bee Venoms (Chemical structure)Cell-mediated Immunity (Physiologic effect)Cell-mediated Immunity (Physiologic effect)Dietary Proteins (Chemical structure)Increased Histamine Release (Physiologic effect)Increased Histamine Release (Physiologic effect)Increased IgG Production (Physiologic effect)Vegetable Proteins (Chemical structure)
Identifiers
Product ID 63479-0103_0e765c65-dfc5-b0fa-e063-6294a90a4b51SPL ID 0e765c65-dfc5-b0fa-e063-6294a90a4b51SPL set ID b945cb81-aee4-38e8-e053-2a95a90aa8dfUNII T7J046YI2B, 7S82P3R43Z, Z1EJP3037Z, MA9CQJ3F7F, DJO934BRBD, 8W75VCV53Q, F5452U54PN, 45P3261C7T, WKC4T7680A, CLF5YFS11O, Q28R5GF371, C88X29Y479, 7H443NUB2T, 39981FM375, 2NVP93XVQ3, 3M5V3D1X36, G0R4UBI2ZZ, 5405K23S50, 1TH8Q20J0U, U946SH95EE, 7E889U5RNN
Pharmacologic class
Non-Standardized Food Allergenic Extract; Standardized Insect Venom 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. Sublingual products like this are usually dispensed by a pharmacy and billed by NDC.

NDC on a medical claim

N463479010301 followed by a unit qualifier and the quantity

Package 63479-0103-01. 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)

Uses: For temporary relief of minor: fatigue* headache* muscle aches and cramps* irritability* water retention* sadness* *Claims based on traditional homeopathic practice, not accepted medical evidence. Not FDA evaluated.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

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