NDC codes

FDA NDC Directory
Product NDC (as listed)69779-030Labeler and product segments. Claims need a package NDC.
Product NDC at billing width69779-0030Add 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
69779-030-01697790030011 BOTTLE in 1 CARTON (69779-030-01) / 29.6 mL in 1 BOTTLEMarketed from Sep 17, 2022

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)
Immune Boost
Generic name (nonproprietary)
cherry plum, ferr phos, hornbeam, kali sulph, nat mur, oak, olive, thymus (calf), zinc mur
Active ingredients
Quercus robur flower — 5 [hp_X]/29.6mLOlea europaea flower — 5 [hp_X]/29.6mLSodium chloride — 6 [hp_X]/29.6mLPrunus cerasifera flower — 5 [hp_X]/29.6mLZinc chloride — 12 [hp_X]/29.6mLFerrosoferric phosphate — 12 [hp_X]/29.6mLCarpinus betulus flower — 5 [hp_X]/29.6mLBos taurus thymus — 6 [hp_C]/29.6mLPotassium sulfate — 6 [hp_X]/29.6mL
Dosage form
Spray
Route
Oral
Product type
Over-the-counter drug
Marketing category
Unapproved homeopathic
Marketing start
Listing expires
Other FDA classes
Decreased Copper Ion Absorption (Physiologic effect)Increased Large Intestinal Motility (Physiologic effect)Increased Large Intestinal Motility (Physiologic effect)Inhibition Large Intestine Fluid/Electrolyte Absorption (Physiologic effect)Inhibition Large Intestine Fluid/Electrolyte Absorption (Physiologic effect)Osmotic Activity (Mechanism)Osmotic Activity (Mechanism)
Identifiers
Product ID 69779-030_474b396f-1b0c-9b43-e063-6394a90adc9bSPL ID 474b396f-1b0c-9b43-e063-6394a90adc9bSPL set ID e8d44b65-47ef-ebc7-e053-2995a90a8583UNII ML644HED2V, 498M34P1VZ, 451W47IQ8X, 0KD7R09EAS, 86Q357L16B, 91GQH8I5F7, 07YL55QKZ9, 8XEJ88V2T8, 1K573LC5TVUPC 0897186002368
Pharmacologic class
Copper Absorption Inhibitor; Osmotic Laxative

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

N469779003001 followed by a unit qualifier and the quantity

Package 69779-0030-01. 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 • temporarily relieves symptoms of • immune support • inflammatory affections • loss of smell and taste • physical and mental fatigue • weakness and weariness indications are based on homeopathic materia medica, not clinical tests.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

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