NDC codes

FDA NDC Directory
Product NDC (as listed)63479-0604Labeler and product segments. Claims need a package NDC.
Product NDC at billing width63479-0604Add 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
63479-0604-16347906040130 mL in 1 BOTTLE, GLASS (63479-0604-1)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)
F04 Fr-TrstSuffix: FR-TRST
Generic name (nonproprietary)
arsenicum album, calochortus gunnisonii, ceratostigma willmottianum, cherry plum, chirakabheda whole, common violet, garlic, deerbrush, english holly, european aspen, hyoscyamus niger, lilium tigrinum, loquat, mimulus guttatus, moschus, mullein, orange bush monkey, oregon grapeholly, pacific poisonoak, penstemon davidsonii, red horsechestnut, rockrose, rubus ursinus, sacred lotus, self heal, hypericum perforatum, watermelon, yellow jasmine
Active ingredients
Angelica archangelica whole — 12 [hp_C]/mLArsenic trioxide — 20 [kp_C]/mLCeratostigma willmottianum flower — 12 [hp_C]/mLRubus ursinus whole — 12 [hp_C]/mLPrunus cerasifera flower — 12 [hp_C]/mLPenstemon davidsonii whole — 12 [hp_C]/mLHelianthemum nummularium flower — 12 [hp_C]/mLNelumbo nucifera flower — 12 [hp_C]/mLHypericum perforatum flower — 12 [hp_C]/mLWatermelon — 12 [hp_C]/mLMimulus guttatus flowering top — 12 [hp_C]/mLCeanothus integerrimus whole — 12 [hp_C]/mLIlex aquifolium flowering top — 12 [hp_C]/mLHyoscyamus niger — 15 [hp_C]/mLLilium lancifolium whole flowering — 20 [hp_C]/mLEriobotrya japonica whole — 12 [hp_C]/mLMoschus moschiferus musk sac resin — 12 [hp_C]/mLVerbascum densiflorum flower — 12 [hp_C]/mLDiplacus aurantiacus whole — 12 [hp_C]/mLAesculus x carnea flower — 12 [hp_C]/mLPrunella vulgaris flower — 12 [hp_C]/mLToxicodendron diversilobum whole — 12 [hp_C]/mLViola odorata flower — 12 [hp_C]/mLAllium sativum whole — 12 [hp_C]/mLPopulus tremula flowering top — 12 [hp_C]/mLGelsemium sempervirens root — 20 [hp_C]/mLCalochortus gunnisonii whole — 12 [hp_C]/mLMahonia aquifolium whole — 12 [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 63479-0604_0e76e634-d946-70ac-e063-6294a90a6ad3SPL ID 0e76e634-d946-70ac-e063-6294a90a6ad3SPL set ID bd33b9b7-3cab-ffd1-e053-2995a90a961dUNII S7E6K05K7Z, S7V92P67HO, TP69J995TW, EB3AN7DKSL, 0KD7R09EAS, 8K9DCX606Z, 51BRR32WPP, 61W322NLDV, A6V4CUE7PV, 231473QB6R, 192426I5JU, N76K76PTFU, 5ENR9SAN1W, 4WRK2153H3, X67Z2963PI, 2FCJ9QNJ7O, 8KFK4W7KP7, N7FC535Q3R, TO6G4140YA, 717DPT98VM, AT1FD041EF, 9211E5735B, 438W01FC7A, IIF21WT8O3, 5Q01F7TPJJ, 639KR60Q1Q, H4ORZ75P00, J4WG1JVR05
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

N463479060401 followed by a unit qualifier and the quantity

Package 63479-0604-01. 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: lower back pain* fear* lack of trust* urinary incontinence* *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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