NDC codes

FDA NDC Directory
Product NDC (as listed)63479-2511Labeler and product segments. Claims need a package NDC.
Product NDC at billing width63479-2511Add 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
63479-2511-16347925110130 mL in 1 BOTTLE, GLASS (63479-2511-1)Marketed from Mar 22, 2022

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)
IMMUNE Formula
Generic name (nonproprietary)
adenosine triphosphate, antimonium crudum, crotalus horridus, elaps corallinus, lycopodium clavatum, naja tripudians, viscum album fruiting top
Active ingredients
Micrurus corallinus venom — 6 [hp_C]/mLLycopodium clavatum spore — 7 [hp_C]/mLViscum album fruiting top — 7 [hp_C]/mLAdenosine triphosphate — 5 [hp_X]/mLAntimony trisulfide — 1 [hp_Q]/mLCrotalus horridus horridus venom — 7 [hp_C]/mLNaja naja venom — 6 [hp_C]/mL
Dosage form
Solution/ drops
Route
Sublingual
Product type
Over-the-counter drug
Marketing category
Unapproved homeopathic
Marketing start
Listing expires
Identifiers
Product ID 63479-2511_0e775ae0-57e2-e614-e063-6394a90ad193SPL ID 0e775ae0-57e2-e614-e063-6394a90ad193SPL set ID d8c7807f-a36d-f431-e053-2a95a90aa456UNII V0S6H36980, C88X29Y479, BK9092J5MP, 8L70Q75FXE, F79059A38U, YHA2XLJ956, ZZ4AG7L7VM

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

N463479251101 followed by a unit qualifier and the quantity

Package 63479-2511-01. 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: joint and muscle pain* tiredness* headache* sore throat* *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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