NDC codes

FDA NDC Directory
Product NDC (as listed)71742-0004Labeler and product segments. Claims need a package NDC.
Product NDC at billing width71742-0004Add 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
71742-0004-17174200040159 mL in 1 BOTTLE, DROPPER (71742-0004-1)Marketed from Oct 20, 2017

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)
Female Vitality T010Suffix: T010
Generic name (nonproprietary)
cimicifuga racemosa, fucus vesiculosus, oophorinum (suis), hypophysis suis, thyroidinum (suis), graphites, lachesis mutus, natrum muriaticum, pulsatilla (pratensis), sepia
Active ingredients
Black cohosh — 3 [hp_X]/mLFucus vesiculosus — 3 [hp_X]/mLSus scrofa ovary — 6 [hp_X]/mLSus scrofa pituitary gland — 6 [hp_X]/mLSus scrofa thyroid — 6 [hp_X]/mLGraphite — 12 [hp_X]/mLLachesis muta venom — 12 [hp_X]/mLSodium chloride — 12 [hp_X]/mLAnemone pratensis — 12 [hp_X]/mLSepia officinalis juice — 12 [hp_X]/mL
Dosage form
Liquid
Route
Oral
Product type
Over-the-counter drug
Marketing category
Unapproved homeopathic
Marketing start
Listing expires
Identifiers
Product ID 71742-0004_e568062e-50f9-4442-904a-72e7f33da401SPL ID e568062e-50f9-4442-904a-72e7f33da401SPL set ID 694f0c36-b656-471a-9f38-2efb5193e05aUNII K73E24S6X9, 535G2ABX9M, S7YTV04R8O, L0PFEMQ1DT, 6RV024OAUQ, 4QQN74LH4O, VSW71SS07I, 451W47IQ8X, 8E272251DI, QDL83WN8C2

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

N471742000401 followed by a unit qualifier and the quantity

Package 71742-0004-01. 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)

INDICATIONS: May temporarily relieve menstrual pain and cramps, pain immediately prior to menses, sore breasts associated with menstruation.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

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