NDC codes

FDA NDC Directory
Product NDC (as listed)71753-4001Labeler and product segments. Claims need a package NDC.
Product NDC at billing width71753-4001Add 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
71753-4001-17175340010130 mL in 1 BOTTLE, SPRAY (71753-4001-1)Marketed from Mar 23, 2020

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)
Peacefuli
Generic name (nonproprietary)
avena sativa, humulus lupulus, passiflora incarnata, kali phosphoricum, anacardium orientale, argentum nitricum, ignatia amara
Active ingredients
Avena sativa flowering top — 3 [hp_X]/mLHops — 3 [hp_X]/mLPassiflora incarnata flowering top — 3 [hp_X]/mLDibasic potassium phosphate — 6 [hp_X]/mLPhosphoric acid — 6 [hp_X]/mLSemecarpus anacardium juice — 6 [hp_C]/mLSilver nitrate — 6 [hp_C]/mLStrychnos ignatii seed — 6 [hp_C]/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)Food Additives (Chemical structure)Increased Histamine Release (Physiologic effect)Plant Proteins (Chemical structure)
Identifiers
Product ID 71753-4001_a8612e96-b081-4670-9de0-810bceee06bbSPL ID a8612e96-b081-4670-9de0-810bceee06bbSPL set ID eb3bc662-3d3d-4e4d-8561-330ad0eb08f2UNII MA9CQJ3F7F, 01G73H6H83, CLF5YFS11O, CI71S98N1Z, E4GA8884NN, Y0F0BU8RDU, 95IT3W8JZE, 1NM3M2487KUPC 0371753400110
Pharmacologic class
Non-Standardized Food Allergenic Extract; Non-Standardized Plant 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

N471753400101 followed by a unit qualifier and the quantity

Package 71753-4001-01. 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: May temporarily relieve anxiousness, stress, and physical exhaustion and help you sleep.* *Claims based on traditional homeopathic practice, not accepted medial evidence. Not FDA evaluated.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

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