NDC codes

FDA NDC Directory
Product NDC (as listed)66096-759Labeler and product segments. Claims need a package NDC.
Product NDC at billing width66096-0759Add 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
66096-759-026609607590230 mL in 1 BOTTLE, SPRAY (66096-759-02)Marketed from Dec 19, 2018

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-Pan
Generic name (nonproprietary)
carbo vegetabilis, ceanothus americanus, gallium aparine, leptandra virginica, mandragora officinarum, momordica balsamina, quassia amara
Active ingredients
Activated charcoal — 12 [hp_X]/30mLCeanothus americanus leaf — 10 [hp_X]/30mLGalium aparine — 5 [hp_X]/30mLVeronicastrum virginicum root — 5 [hp_X]/30mLMandragora officinarum root — 10 [hp_X]/30mLMomordica balsamina immature fruit — 8 [hp_X]/30mLQuassia amara wood — 5 [hp_X]/30mL
Dosage form
Spray
Route
Oral
Labeler
OHM PHARMA INC.NDC labeler code 66096
Product type
Prescription drug
Marketing category
Unapproved homeopathic
Marketing start
Listing expires
Identifiers
Product ID 66096-759_497bac93-175f-04b5-e063-6294a90a41b6SPL ID 497bac93-175f-04b5-e063-6294a90a41b6SPL set ID 71a397f0-fb5e-4961-9191-93c279ddf1caUNII 2P3VWU3H10, 25B1Y14T8N, Z4B6561488, M2O62YTN42, I2XCB174VB, WUW1665V10, S5249Q85HW

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

N466096075902 followed by a unit qualifier and the quantity

Package 66096-0759-02. 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: Temporarily relieves functional ailments of the endocrine/exocrine pancreas.**

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 66096-759

What is NDC 66096-759?
66096-759 is the product NDC for Ohm-Pan, Activated charcoal 12 [hp_X]/30mL + 6 more ingredients spray, listed with the FDA by OHM PHARMA INC.. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Ohm-Pan (Carbo Vegetabilis, Ceanothus Americanus, Gallium Aparine, Leptandra Virginica, Mandragora Officinarum, Momordica Balsamina, Quassia Amara).
What is the active ingredient?
Activated charcoal, Ceanothus americanus leaf, Galium aparine, Veronicastrum virginicum root, Mandragora officinarum root, Momordica balsamina immature fruit, Quassia amara wood.
Who is the labeler?
OHM PHARMA INC., NDC labeler code 66096. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Ohm-Pan?
None: this is the only finished product listed under this name.
Is there a related HCPCS / J-code?
Not in Med-Code's curated HCPCS directory. See Billing references above.

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