Gluten Sensitivity Formula Capsule
NDC Package 51096-0001-1

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

Package Information

Gluten Sensitivity Formula (lycopodium clavatum, pulsatilla) capsules is for temporary relief of symptoms associated with constipation, bloating, diarrhea and othe symptoms of poor digetsion. This formulation utilizes a capsule delivery system. Marketed by The Wise Alternative, this product is identified by NDC 51096-0001.

Identification & Billing

NDC Package Code
51096-0001-1
Package Description
180 mg in 1 BOTTLE
Product Code
51096-0001
11-Digit Billing Format
51096000101

Clinical Specifications

Proprietary Name
Gluten Sensitivity Formula
Non-Proprietary Name
Lycopodium Clavatum, Pulsatilla
Substance Name
Lycopodium Clavatum Spore; Pulsatilla Vulgaris
Dosage Form
Capsule - A solid oral dosage form consisting of a shell and a filling. The shell is composed of a single sealed enclosure, or two halves that fit together and which are sometimes sealed with a band. Capsule shells may be made from gelatin, starch, or cellulose, or other suitable materials, may be soft or hard, and are filled with solid or liquid ingredients that can be poured or squeezed.
Administration Route
Oral - Administration to or by way of the mouth.
Active Ingredient(s)
Usage Information
For temporary relief of symptoms associated with constipation, bloating, diarrhea and othe symptoms of poor digetsion.

Regulatory & Marketing

Labeler Name
The Wise Alternative
Product Type
Human Otc Drug
Marketing Category
UNAPPROVED HOMEOPATHIC - A category specifying that a product is marketed as unapproved homeopathic product.
Start Marketing Date
03-01-2013
End Marketing Date
08-30-2029
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 51096-0001-1 identifies a specific commercial package of 180 mg in 1 bottle of Gluten Sensitivity Formula, a human over the counter drug labeled by The Wise Alternative. This capsule is formulated for oral use and contains lycopodium clavatum spore; pulsatilla vulgaris 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 The Wise Alternative on March 01, 2013.

How is this The Wise Alternative product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 51096000101. 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)
51096-0001-1
11-Digit CMS (5-4-2)
51096-0001-01

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