NDC codes

FDA NDC Directory
Product NDC (as listed)75053-0004Labeler and product segments. Claims need a package NDC.
Product NDC at billing width75053-0004Add 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
75053-0004-175053000401118 mL in 1 BOTTLE, DROPPER (75053-0004-1)Marketed from Oct 13, 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)
Excitathyrotem
Generic name (nonproprietary)
iodium, kali iodatum, hypothalamus suis, hypophysis suis, thyroidinum (suis), lithium muriaticum, ephedra vulgaris
Active ingredients
Iodine — 9 [hp_X]/mLPotassium iodide — 9 [hp_X]/mLBos taurus hypothalamus — 7 [hp_C]/mLSus scrofa pituitary gland — 7 [hp_C]/mLThyroid, Unspecified — 9 [hp_C]/mLLithium chloride — 30 [hp_C]/mLEphedra distachya flowering twig — 30 [hp_C]/mL
Dosage form
Liquid
Route
Oral
Product type
Over-the-counter drug
Marketing category
Unapproved homeopathic
Marketing start
Listing expires
Identifiers
Product ID 75053-0004_bd726e13-10c0-4d22-b023-fdc4815c0e52SPL ID bd726e13-10c0-4d22-b023-fdc4815c0e52SPL set ID c7c705a8-d7e6-4564-aa34-39da28e0b2ddUNII 9679TC07X4, 1C4QK22F9J, S6G2NLH4Y7, L0PFEMQ1DT, 0B4FDL9I6P, G4962QA067, R55VQ87DP3
Pharmacologic class
Mood Stabilizer

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

N475053000401 followed by a unit qualifier and the quantity

Package 75053-0004-01. 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)

INDICATIONS: Homeopathic medicine for the minor effects of increased metabolism such as anxiety, heart palpitation and irritability. Claims based on homeopathic theory, not accepted medical 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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