Melatonin Forte Spray
NDC Package 43857-0020-1

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

Package Information

Melatonin Forte (melatonin, nadidum, niacin, pyridoxinum hydrochloricum, zincum sulphuricum, hypophysis suis, hypothalamus (suis), lithium carbonicum, magnesia carbonica, pineal (suis)) sprays is for temporary relief of imbalances in menstruation and ovulation, insomnia, dysmenorrhea and imbalance in menstrual cycle. This formulation utilizes a spray delivery system. Marketed by Bioactive Nutritional, Inc., this product is identified by NDC 43857-0020.

Identification & Billing

NDC Package Code
43857-0020-1
Package Description
30 mL in 1 BOTTLE, SPRAY
Product Code
43857-0020
11-Digit Billing Format
43857002001

Clinical Specifications

Proprietary Name
Melatonin Forte
Non-Proprietary Name
Melatonin, Nadidum, Niacin, Pyridoxinum Hydrochloricum, Zincum Sulphuricum, Hypophysis Suis, Hypothalamus (suis), Lithium Carbonicum, Magnesia Carbonica, Pineal (suis)
Substance Name
Lithium Carbonate; Magnesium Carbonate; Melatonin; Nadide; Niacin; Pyridoxine Hydrochloride; Sus Scrofa Hypothalamus; Sus Scrofa Pineal Gland; Sus Scrofa Pituitary Gland; Zinc Sulfate Heptahydrate
Dosage Form
Spray - A liquid minutely divided as by a jet of air or steam.
Administration Route
Oral - Administration to or by way of the mouth.
Active Ingredient(s)
Pharmacologic Class
Usage Information
For temporary relief of imbalances in menstruation and ovulation, insomnia, dysmenorrhea and imbalance in menstrual cycle. For temporary relief of imbalances in menstruation and ovulation, insomnia, dysmenorrhea and imbalance in menstrual cycle.

Regulatory & Marketing

Labeler Name
Bioactive Nutritional, Inc.
Product Type
Human Otc Drug
Marketing Category
UNAPPROVED HOMEOPATHIC - A category specifying that a product is marketed as unapproved homeopathic product.
Start Marketing Date
05-04-2012
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 43857-0020-1 identifies a specific commercial package of 30 ml in 1 bottle, spray of Melatonin Forte, a human over the counter drug labeled by Bioactive Nutritional, Inc.. This spray is formulated for oral use and contains lithium carbonate; magnesium carbonate; melatonin; nadide; niacin; pyridoxine hydrochloride; sus scrofa hypothalamus; sus scrofa pineal gland; sus scrofa pituitary gland; zinc sulfate heptahydrate 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 Bioactive Nutritional, Inc. on May 04, 2012. The current certification is valid through December 31, 2026.

How is this Bioactive Nutritional, Inc. product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 43857002001. 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 (5-4-1)
43857-0020-1
11-Digit CMS (5-4-2)
43857-0020-01

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