Sleepcalm Pellet
NDC Package 0220-9308-42

View Billable Units, 11-Digit Conversion Format, and RxNorm mappings
Table of Contents
    1. Package Information
    2. Frequently Asked Questions

Package Information

Sleepcalm (matricaria chamomilla whole, gelsemium sempervirens root, hyoscyamus niger, potassium bromide, passiflora incarnata flowering top, datura stramonium) pellets is uses*temporarily relieves symptoms of occasional sleeplessness in children associated with upsets, excitement, and schedule changes such as:restless sleepintermittent awakeningirritability nightmaresnight terrorsreduces time to fall asleep if your child has difficulty falling asleep. This formulation utilizes a pellet delivery system. Marketed by Boiron, this product is identified by NDC 0220-9308.

Identification & Billing

NDC Package Code
0220-9308-42
Package Description
2 TUBE in 1 BOX / 80 PELLET in 1 TUBE (0220-9308-41)
Product Code
0220-9308
11-Digit Billing Format
00220930842

Clinical Specifications

Proprietary Name
Sleepcalm
Non-Proprietary Name
Matricaria Chamomilla Whole, Gelsemium Sempervirens Root, Hyoscyamus Niger, Potassium Bromide, Passiflora Incarnata Flowering Top, Datura Stramonium
Substance Name
Datura Stramonium; Gelsemium Sempervirens Root; Hyoscyamus Niger; Matricaria Chamomilla Whole; Passiflora Incarnata Flowering Top; Potassium Bromide
Dosage Form
Pellet - A small sterile solid mass consisting of a highly purified drug (with or without excipients) made by the formation of granules, or by compression and molding.
Administration Route
Oral - Administration to or by way of the mouth.
Active Ingredient(s)
Usage Information
Uses*temporarily relieves symptoms of occasional sleeplessness in children associated with upsets, excitement, and schedule changes such as:restless sleepintermittent awakeningirritability nightmaresnight terrorsreduces time to fall asleep if your child has difficulty falling asleep

Regulatory & Marketing

Labeler Name
Boiron
Product Type
Human Otc Drug
Marketing Category
UNAPPROVED HOMEOPATHIC - A category specifying that a product is marketed as unapproved homeopathic product.
Start Marketing Date
05-02-2022
Listing Expiration
12-31-2026
Exclude Flag
N
Sample Package
No

Hierarchy Structure

Code Lineage

The NDC Directory contains ONLY information on final marketed drugs submitted to FDA electronically by labelers. A labeler might be a manufacturer, re-packager or re-labeler. The product information included in the NDC directory does not indicate that FDA has verified the information provided by the product labeler. Assigned NDC numbers are not in any way an indication of FDA approval of the product.

* Please review the full disclaimer at the bottom of this page.

Frequently Asked Questions

What is the distribution configuration for this product package?

The code 0220-9308-42 identifies a specific commercial package of 2 tube in 1 box / 80 pellet in 1 tube (0220-9308-41) of Sleepcalm, a human over the counter drug labeled by Boiron. This pellet is formulated for oral use and contains datura stramonium; gelsemium sempervirens root; hyoscyamus niger; matricaria chamomilla whole; passiflora incarnata flowering top; potassium bromide as the active substance.

Is this product currently listed with the FDA?

Yes, this product is active and verified within the NDC Directory. It was introduced to the market by Boiron on May 02, 2022. The current certification is valid through December 31, 2026.

How is this Boiron product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 00220930842. The table below illustrates the segment conversion from the 10-digit labeler code to the 11-digit provider format.

11-Digit Code Conversion

Billing payers usually require a 5-4-2 segment configuration. Below is the conversion from the 10-digit package format to the 11-digit billing format:

10-Digit Format (4-4-2)
0220-9308-42
11-Digit CMS (5-4-2)
00220-9308-42

Note: The zero is added to the Labeler segment to maintain the 5-4-2 structure.