NDC codes

FDA NDC Directory
Product NDC (as listed)71919-803Labeler and product segments. Claims need a package NDC.
Product NDC at billing width71919-0803Add 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
71919-803-14719190803141 BOTTLE, PLASTIC in 1 BOX (71919-803-14) / 1 PELLET in 1 BOTTLE, PLASTICMarketed from Oct 3, 2023

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)
WHP Sleeplessness
Generic name (nonproprietary)
arsenic trioxide - arabic coffee bean - lachesis muta venom - passiflora incarnata flowering top
Active ingredients
Passiflora incarnata flowering top — 6 [hp_C]/1Arabica coffee bean — 6 [hp_C]/1Arsenic trioxide — 6 [hp_C]/1Lachesis muta venom — 6 [hp_C]/1
Dosage form
Pellet
Route
Oral
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)Plant Proteins (Chemical structure)Seed Storage Proteins (Chemical structure)
Identifiers
Product ID 71919-803_2cc859a5-f9be-8eae-e063-6294a90ab4b5SPL ID 2cc859a5-f9be-8eae-e063-6294a90ab4b5SPL set ID 06d15d06-c7ef-8e85-e063-6294a90ab2a2UNII CLF5YFS11O, 3SW678MX72, S7V92P67HO, VSW71SS07I
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

N471919080314 followed by a unit qualifier and the quantity

Package 71919-0803-14. 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

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