NDC codes

FDA NDC Directory
Product NDC (as listed)64175-991Labeler and product segments. Claims need a package NDC.
Product NDC at billing width64175-0991Add 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
64175-991-2564175099125250 TABLET in 1 BOTTLE (64175-991-25)Marketed from Nov 16, 2011
64175-991-456417509914545 TABLET in 1 BOTTLE (64175-991-45)Marketed from Nov 16, 2011
64175-991-906417509919090 TABLET in 1 BOTTLE (64175-991-90)Marketed from Nov 16, 2011

How the 11-digit form is made: The product segment has 3 digits, so one leading zero is added to it (5-3-2 → 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)
Relax AM-PM
Generic name (nonproprietary)
valerian root, passiflora, magnesium carbonate
Active ingredients
Valerian — 6 [hp_X]/1Passiflora incarnata flower — 3 [hp_X]/1Magnesium carbonate — 1 [hp_X]/1
Dosage form
Tablet
Route
Oral
Product type
Over-the-counter drug
Marketing category
Unapproved homeopathic
Marketing start
Listing expires
Identifiers
Product ID 64175-991_2b0c7469-816a-b341-e063-6294a90a2bccSPL ID 2b0c7469-816a-b341-e063-6294a90a2bccSPL set ID ea434cd3-e4d5-44c1-a9cf-5d1a45280e90UNII JWF5YAW3QW, K8F3G29S6Z, 0E53J927NAUPC 0364175333906

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. Oral products like this are usually dispensed by a pharmacy and billed by NDC.

NDC on a medical claim

N464175099125 followed by a unit qualifier and the quantity

Package 64175-0991-25. 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)

INDICATIONS: For temporary relief of muscle spasms, tension and stress.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

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