NDC codes

FDA NDC Directory
Product NDC (as listed)71753-2013Labeler and product segments. Claims need a package NDC.
Product NDC at billing width71753-2013Add 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
71753-2013-17175320130130 mL in 1 BOTTLE, SPRAY (71753-2013-1)Marketed from Jul 12, 2023

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)
Allergy Escape
Generic name (nonproprietary)
allium cepa, euphrasia officinalis, kali iodatum, naphthalinum, sabadilla, urtica urens, wyethia helenioides, histaminum hydrochloricum
Active ingredients
Onion — 8 [hp_X]/mLEuphrasia stricta — 8 [hp_X]/mLPotassium iodide — 8 [hp_X]/mLNaphthalene — 8 [hp_X]/mLSchoenocaulon officinale seed — 8 [hp_X]/mLUrtica urens whole — 8 [hp_X]/mLWyethia helenioides root — 8 [hp_X]/mLHistamine dihydrochloride — 12 [hp_X]/mL
Dosage form
Spray
Route
Oral
Labeler
Ratis, LLC
Product type
Over-the-counter drug
Marketing category
Unapproved homeopathic
Marketing start
Listing expires
Other FDA classes
Allergens (Chemical structure)Cell-mediated Immunity (Physiologic effect)Dietary Proteins (Chemical structure)Increased Histamine Release (Physiologic effect)Vegetable Proteins (Chemical structure)
Identifiers
Product ID 71753-2013_56e85885-a836-4a35-af69-831bd90422c7SPL ID 56e85885-a836-4a35-af69-831bd90422c7SPL set ID 8bd9b9da-570a-4875-a5de-963155f0f837UNII 492225Q21H, C9642I91WL, 1C4QK22F9J, 2166IN72UN, 6NAF1689IO, IHN2NQ5OF9, J10PD1AQ0N, 3POA0Q644UUPC 0371753201311
Pharmacologic class
Non-Standardized Food Allergenic Extract

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

N471753201301 followed by a unit qualifier and the quantity

Package 71753-2013-01. 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

Label details couldn’t be retrieved right now. Open the label on DailyMed.

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