Hz Formula Liquid
NDC Package 43857-0313-1

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

Package Information

Hz Formula (baptisia tinctoria, echinacea (angustifolia), lomatium dissectum, tabebuia impetiginosa, propolis, spleen (suis), thymus (suis), throidinum (suis), gelsemium sempervirens, lycopodium clavatum, nux vomica, chlamydia trachomatis, herpes simplex 1 nosode, herpes simplex 2 nosode, candida albicans, human papillomavirus, trichinella spiralis) liquids is for temporary relief of aches and pains, febrile conditions and painful skin lesions associated with infections. This formulation utilizes a liquid delivery system. Marketed by Bioactive Nutritional, Inc, this product is identified by NDC 43857-0313.

Identification & Billing

NDC Package Code
43857-0313-1
Package Description
30 mL in 1 BOTTLE, DROPPER
Product Code
43857-0313
11-Digit Billing Format
43857031301

Clinical Specifications

Proprietary Name
Hz Formula
Non-Proprietary Name
Baptisia Tinctoria, Echinacea (angustifolia), Lomatium Dissectum, Tabebuia Impetiginosa, Propolis, Spleen (suis), Thymus (suis), Throidinum (suis), Gelsemium Sempervirens, Lycopodium Clavatum, Nux Vomica, Chlamydia Trachomatis, Herpes Simplex 1 Nosode, Herpes Simplex 2 Nosode, Candida Albicans, Human Papillomavirus, Trichinella Spiralis
Substance Name
Baptisia Tinctoria Whole; Echinacea Angustifolia Whole; Lomatium Dissectum Root; Tabebuia Impetiginosa Bark; Propolis Wax; Sus Scrofa Spleen; Sus Scrofa Thymus; Thyroid; Gelsemium Sempervirens Root; Lycopodium Clavatum Spore; Strychnos Nux-vomica Seed; Chlamydia Trachomatis; Human Herpesvirus 1; Human Herpesvirus 2; Candida Albicans; Human Papillomavirus; Trichinella Spiralis
Dosage Form
Liquid - A dosage form consisting of a pure chemical in its liquid1 state. This dosage form term should not be applied to solutions.
Administration Route
Oral - Administration to or by way of the mouth.
Active Ingredient(s)
Pharmacologic Class
Usage Information
For temporary relief of aches and pains, febrile conditions and painful skin lesions associated with infections. For temporary relief of aches and pains, febrile conditions and painful skin lesions associated with infections.

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
07-11-2014
Listing Expiration
12-31-2027
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 43857-0313-1 identifies a specific commercial package of 30 ml in 1 bottle, dropper of Hz Formula, a human over the counter drug labeled by Bioactive Nutritional, Inc. This liquid is formulated for oral use and contains baptisia tinctoria whole; echinacea angustifolia whole; lomatium dissectum root; tabebuia impetiginosa bark; propolis wax; sus scrofa spleen; sus scrofa thymus; thyroid; gelsemium sempervirens root; lycopodium clavatum spore; strychnos nux-vomica seed; chlamydia trachomatis; human herpesvirus 1; human herpesvirus 2; candida albicans; human papillomavirus; trichinella spiralis 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 July 11, 2014. The current certification is valid through December 31, 2027.

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

For medical billing and reimbursement, this package follows the 11-digit CMS format: 43857031301. 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)
43857-0313-1
11-Digit CMS (5-4-2)
43857-0313-01

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