Supreme NDC 71953-0001

NDC codes

FDA NDC Directory

Product NDC (as listed)71953-0001Labeler and product segments. Claims need a package NDC.

Product NDC at billing width71953-0001Add 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 NDC	11-digit (billing)	Package	Copy
71953-0001-1	71953000101	30 mL in 1 BOTTLE, DROPPER (71953-0001-1)Marketed from May 17, 2018

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): Supreme
Generic name (nonproprietary): abrotanum, anacardium orientale, arsenicum album, baryta muriatica, helleborus niger, ignatia amara, lycopodium clavatum, nicotinamidum, secale cornutum, thymus (bovine), thyroidinum (bovine), calcarea carbonica, calcarea phosphorica, hypothalamus suis, pituitarum posterium (bovine), silicea
Active ingredients: Artemisia abrotanum flowering top — 6 [hp_X]/mLAnacardium occidentale fruit — 6 [hp_X]/mLArsenic trioxide — 6 [hp_X]/mLBarium chloride dihydrate — 6 [hp_X]/mLHelleborus niger root — 6 [hp_X]/mLStrychnos ignatii seed — 6 [hp_X]/mLLycopodium clavatum spore — 6 [hp_X]/mLNiacinamide — 6 [hp_X]/mLClaviceps purpurea sclerotium — 6 [hp_X]/mLBos taurus thymus — 6 [hp_X]/mLThyroid, Bovine — 6 [hp_X]/mLOyster shell calcium carbonate, Crude — 8 [hp_X]/mLTribasic calcium phosphate — 8 [hp_X]/mLSus scrofa hypothalamus — 8 [hp_X]/mLBos taurus pituitary gland, Posterior — 8 [hp_X]/mLSilicon dioxide — 8 [hp_X]/mL
Dosage form: Liquid
Route: Oral
Labeler: BOUARI GROUP, LLC dba WEIGHT LOSS COMPANY, THE
Product type: Over-the-counter drug
Marketing category: Unapproved homeopathic
Marketing start: May 17, 2018
Listing expires: Dec 31, 2026
Other FDA classes: Calcium (Chemical structure)Divalent (Chemical structure)Increased Coagulation Factor Activity (Physiologic effect)
Identifiers: Product ID 71953-0001_e793581d-f746-4253-b9be-59994c75f955SPL ID e793581d-f746-4253-b9be-59994c75f955SPL set ID 72c4679b-aa97-4888-9178-581d0f99c0b6UNII QG07G580U0, 4A10JR4E7E, S7V92P67HO, EL5GJ3U77E, 608DGJ6815, 1NM3M2487K, C88X29Y479, 25X51I8RD4, 01G9XEA93N, 8XEJ88V2T8, MN18OTN73W, 2E32821G6I, 91D9GV0Z28, N6R0856Z79, 7JM57I419K, ETJ7Z6XBU4UPC 0633726374997
Pharmacologic class: Blood Coagulation Factor

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

N471953000101 followed by a unit qualifier and the quantity

Package 71953-0001-01. 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 Sep 11, 2020.

Indications (excerpt from the label)

INDICATIONS: Helps improve diencephalic banking of fat for consumption by the body.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)