NDC codes

FDA NDC Directory
Product NDC (as listed)63479-0603Labeler and product segments. Claims need a package NDC.
Product NDC at billing width63479-0603Add 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
63479-0603-16347906030130 mL in 1 BOTTLE, GLASS (63479-0603-1)Marketed from Mar 12, 1996

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)
F03 Fr-RlsSuffix: FR-RLS
Generic name (nonproprietary)
aspen, arsenicum album, diplacus aurantiacus, garlic, lilium tigrinum, loquat, luffa operculata, mimulus guttatus, penstemon davidsonii, prunus cerasifera, red horse chestnut, rubus ursinus, rockrose, toxicodendron diversilobum, viola odorata, watermelon, yellow jasmine
Active ingredients
Arsenic trioxide — 20 [hp_C]/mLViola odorata flower — 12 [hp_C]/mLGelsemium sempervirens root — 20 [hp_C]/mLEriobotrya japonica whole — 12 [hp_C]/mLLuffa operculata fruit — 12 [hp_C]/mLMimulus guttatus flowering top — 12 [hp_C]/mLToxicodendron diversilobum whole — 12 [hp_C]/mLPenstemon davidsonii whole — 12 [hp_C]/mLAesculus carnea flower — 12 [hp_C]/mLRubus ursinus whole — 12 [hp_C]/mLPrunus cerasifera flower — 12 [hp_C]/mLAllium sativum whole — 12 [hp_C]/mLPopulus tremula flowering top — 12 [hp_C]/mLDiplacus aurantiacus whole — 12 [hp_C]/mLHelianthemum nummularium flower — 12 [hp_C]/mLWatermelon — 12 [hp_C]/mLLilium lancifolium whole flowering — 20 [hp_C]/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)Cell-mediated Immunity (Physiologic effect)Dietary Proteins (Chemical structure)Fruit Proteins (EXT)Increased Histamine Release (Physiologic effect)
Identifiers
Product ID 63479-0603_0e76e634-d944-70ac-e063-6294a90a6ad3SPL ID 0e76e634-d944-70ac-e063-6294a90a6ad3SPL set ID bccede22-e48f-52bc-e053-2995a90a6d0fUNII S7V92P67HO, 438W01FC7A, 639KR60Q1Q, 2FCJ9QNJ7O, C4MO6809HU, 192426I5JU, 9211E5735B, 8K9DCX606Z, 717DPT98VM, EB3AN7DKSL, 0KD7R09EAS, IIF21WT8O3, 5Q01F7TPJJ, TO6G4140YA, 51BRR32WPP, 231473QB6R, X67Z2963PIUPC 0818960011772
Pharmacologic class
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. Sublingual products like this are usually dispensed by a pharmacy and billed by NDC.

NDC on a medical claim

N463479060301 followed by a unit qualifier and the quantity

Package 63479-0603-01. 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: restlessness* fearfulness* backache* cold sweat* buzzing ears* weak memory* dizziness* *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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