OHM Fatigue Relief NDC 66096-120

NDC codes

FDA NDC Directory

Product NDC (as listed)66096-120Labeler and product segments. Claims need a package NDC.

Product NDC at billing width66096-0120Add 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 NDC	11-digit (billing)	Package	Copy
66096-120-05	66096012005	59 mL in 1 BOTTLE, SPRAY (66096-120-05)Marketed from May 21, 2015

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): OHM Fatigue Relief
Generic name (nonproprietary): aceticum ac, adrenal gland, arnica, benzoicum ac, ferrum phos, fluoricum ac, ginseng, kali carb, kali lod, kali mur, kali phos, lacticum ac, phosphoricum ac, picricum ac.
Active ingredients: Acetic acid — 30 [hp_X]/59mLBos taurus adrenal gland — 10 [hp_X]/59mLArnica montana — 12 [hp_X]/59mLBenzoic acid — 30 [hp_X]/59mLFerrosoferric phosphate — 6 [hp_X]/59mLHydrofluoric acid — 30 [hp_X]/59mLAsian ginseng — 3 [hp_X]/59mLPotassium carbonate — 4 [hp_X]/59mLPotassium iodide — 3 [hp_X]/59mLPotassium chloride — 3 [hp_X]/59mLDibasic potassium phosphate — 3 [hp_X]/59mLLactic acid, Dl- — 30 [hp_X]/59mLPhosphoric acid — 30 [hp_X]/59mLPicric acid — 30 [hp_X]/59mL
Dosage form: Liquid
Route: Oral
Labeler: OHM PHARMA INC.
Product type: Over-the-counter drug
Marketing category: Unapproved homeopathic
Marketing start: May 21, 2015
Listing expires: Dec 31, 2026
Other FDA classes: Ammonium Ion Binding Activity (Mechanism)Increased Large Intestinal Motility (Physiologic effect)Inhibition Large Intestine Fluid/Electrolyte Absorption (Physiologic effect)Osmotic Activity (Mechanism)Potassium Compounds (Chemical structure)
Identifiers: Product ID 66096-120_d44b1652-5b98-2927-e053-2a95a90a48f9SPL ID d44b1652-5b98-2927-e053-2a95a90a48f9SPL set ID 419c6315-37de-46b4-8bef-abbeace265b6UNII Q40Q9N063P, M2776SWB29, O80TY208ZW, 8SKN0B0MIM, 91GQH8I5F7, RGL5YE86CZ, CUQ3A77YXI, BQN1B9B9HA, 1C4QK22F9J, 660YQ98I10, CI71S98N1Z, 3B8D35Y7S4, E4GA8884NN, A49OS0F91SUPC 0366096120054
Pharmacologic class: Nitrogen Binding Agent; Osmotic Laxative; Potassium Salt

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

N466096012005 followed by a unit qualifier and the quantity

Package 66096-0120-05. 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 Dec 29, 2021.

Indications (excerpt from the label)

USES: Temporarily relieves general weakness. Improves stamina.** **This statement has not been evaluated by the FDA. It is based on documented Homeopathic Materia Medica.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)