NDC codes

FDA NDC Directory
Product NDC (as listed)73442-0011Labeler and product segments. Claims need a package NDC.
Product NDC at billing width73442-0011Add 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
73442-0011-1734420011013 g in 1 POUCH (73442-0011-1)Marketed from Sep 16, 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)
MaekMunDong Tang Extract
Generic name (nonproprietary)
jujube, acetaminophen, chlorheniramine maleate
Active ingredients
Jujube fruit — 1 g/3gAcetaminophen — .05 g/3gChlorpheniramine maleate — .00067 g/3g
Dosage form
Granule
Route
Oral
Product type
Over-the-counter drug
Marketing category
Unapproved drug (other)
Marketing start
Listing expires
Other FDA classes
Histamine H1 Receptor Antagonists (Mechanism)
Identifiers
Product ID 73442-0011_af640819-1188-3254-e053-2995a90a2957SPL ID af640819-1188-3254-e053-2995a90a2957SPL set ID af640819-1187-3254-e053-2995a90a2957UNII G55HNL2C70, 362O9ITL9D, V1Q0O9OJ9Z
Pharmacologic class
Histamine-1 Receptor Antagonist

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

N473442001101 followed by a unit qualifier and the quantity

Package 73442-0011-01. 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)

for adults take 1 pouch per intake, 3 times a day, before or between meals

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

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