Formula 303 Tablet
NDC Package 52301-303-45

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

Package Information

Formula 303 (valerian root, passiflora, magnesium carbonate) tablets is mUSCLE SPASM: As a muscle relaxant, two tablets every three hours until relief is obtained. This formulation utilizes a tablet delivery system. Marketed by Dee Cee Laboratories, this product is identified by NDC 52301-303.

Identification & Billing

NDC Package Code
52301-303-45
Package Description
45 TABLET in 1 BOTTLE
Product Code
52301-303
11-Digit Billing Format
52301030345

Clinical Specifications

Proprietary Name
Formula 303
Non-Proprietary Name
Valerian Root, Passiflora, Magnesium Carbonate
Substance Name
Magnesium Carbonate; Passiflora Incarnata Flower; Valerian
Dosage Form
Tablet - A solid dosage form containing medicinal substances with or without suitable diluents.
Administration Route
Oral - Administration to or by way of the mouth.
Active Ingredient(s)
Usage Information
MUSCLE SPASM: As a muscle relaxant, two tablets every three hours until relief is obtained. Then two tablets with each meal and two and bedtime.TENSION AND STRESS: As a relaxant, two tablets with each meal and two at bedtime.

Regulatory & Marketing

Labeler Name
Dee Cee Laboratories
Product Type
Human Otc Drug
Marketing Category
UNAPPROVED HOMEOPATHIC - A category specifying that a product is marketed as unapproved homeopathic product.
Start Marketing Date
09-19-1990
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.

Other Available Packages

The following commercial packages are registered under the same Product NDC (52301-303). Click a package code to view its specific billing and regulatory data.

52301-303-12
120 TABLET in 1 BOTTLE
52301-303-21
12 TABLET in 1 BAG
52301-303-25
250 TABLET in 1 BOTTLE
52301-303-30
300 TABLET in 1 BOTTLE
52301-303-60
60 TABLET in 1 BOTTLE
52301-303-90
90 TABLET in 1 BOTTLE

* 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 52301-303-45 identifies a specific commercial package of 45 tablet in 1 bottle of Formula 303, a human over the counter drug labeled by Dee Cee Laboratories. This tablet is formulated for oral use and contains magnesium carbonate; passiflora incarnata flower; valerian 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 Dee Cee Laboratories on September 19, 1990. The current certification is valid through December 31, 2026.

How is this Dee Cee Laboratories product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 52301030345. 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 (5-3-2)
52301-303-45
11-Digit CMS (5-4-2)
52301-0303-45

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