NDC codes

FDA NDC Directory
Product NDC (as listed)63479-2516Labeler and product segments. Claims need a package NDC.
Product NDC at billing width63479-2516Add 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
63479-2516-16347925160130 mL in 1 BOTTLE, GLASS (63479-2516-1)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)
ENERGY Formula
Generic name (nonproprietary)
adenosine triphosphate, antimony potassium tartrate, cinchona officinalis bark, strychnos nux-vomica seed, phosphoric acid, sulfur
Active ingredients
Phosphoric acid — 3 [hp_C]/mLStrychnos nux-vomica seed — 1 [hp_Q]/mLAntimony potassium tartrate — 1 [hp_Q]/mLCinchona officinalis bark — 7 [hp_C]/mLSulfur — 2 [hp_Q]/mLAdenosine triphosphate — 6 [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)Cell-mediated Immunity (Physiologic effect)Increased Histamine Release (Physiologic effect)Increased IgG Production (Physiologic effect)Plant Proteins (Chemical structure)Seed Storage Proteins (Chemical structure)
Identifiers
Product ID 63479-2516_0e774462-818d-9c5d-e063-6294a90affacSPL ID 0e774462-818d-9c5d-e063-6294a90affacSPL set ID d8c773f7-504a-bb56-e053-2a95a90aefccUNII E4GA8884NN, 269XH13919, DL6OZ476V3, S003A158SB, 70FD1KFU70, 8L70Q75FXE
Pharmacologic class
Non-Standardized Plant 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

N463479251601 followed by a unit qualifier and the quantity

Package 63479-2516-01. 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

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