Mycological Immune Stimulator Liquid
NDC Package 63083-6010-2
Package Information
Mycological Immune Stimulator liquids is for the temporary relief of runny nose, sneezing, itching of the nose or throat, itchy or watery eyes, cough, shortness of breath, occasional headache, red or itchy skin, irritability, or fatigue.*. This formulation utilizes a liquid delivery system. Marketed by Professional Complementary Health Formulas, this product is identified by NDC 63083-6010.
Identification & Billing
Clinical Specifications
- ASPERGILLUS FLAVUS 30 [hp_X]/59mL
- ASPERGILLUS FUMIGATUS 30 [hp_X]/59mL
- ASPERGILLUS NIDULANS 30 [hp_X]/59mL
- ASPERGILLUS NIGER VAR. NIGER 30 [hp_X]/59mL
- AUREOBASIDIUM PULLULANS VAR. PULLUTANS 30 [hp_X]/59mL
- BLASTOCYSTIS HOMINIS 30 [hp_X]/59mL
- BOS TAURUS LYMPH VESSEL 6 [hp_X]/59mL
- BOS TAURUS SPLEEN 6 [hp_X]/59mL
- CANDIDA ALBICANS 30 [hp_X]/59mL
- CANDIDA PARAPSILOSIS 30 [hp_X]/59mL
- CANDIDA TROPICALIS 30 [hp_X]/59mL
- CLADOSPORIUM SPHAEROSPERMUM 30 [hp_X]/59mL
- COCHLIOBOLUS SPICIFER 30 [hp_X]/59mL
- COLCHICUM AUTUMNALE BULB 30 [hp_X]/59mL
- EUROTIUM HERBARIORUM 30 [hp_X]/59mL
- GEOTRICHUM CANDIDUM 30 [hp_X]/59mL
- GIBBERELLA FUJIKUROI 30 [hp_X]/59mL
- HANDROANTHUS IMPETIGINOSUS BARK 6 [hp_X]/59mL
- HYSSOPUS OFFICINALIS WHOLE 6 [hp_X]/59mL
- LACTIC ACID, DL- 6 [hp_X]/59mL
- MUCOR PLUMBEUS 30 [hp_X]/59mL
- MUCOR RACEMOSUS 30 [hp_X]/59mL
- PENICILLIN G 30 [hp_X]/59mL
- PLEOSPORA HERBARUM 30 [hp_X]/59mL
- RHIZOPUS STOLONIFER 30 [hp_X]/59mL
- RHODOTORULA RUBRA 30 [hp_X]/59mL
- SACCHAROMYCES CEREVISIAE 30 [hp_X]/59mL
- SODIUM BORATE 6 [hp_X]/59mL
- TRICHOPHYTON RUBRUM 30 [hp_X]/59mL
- TRICHOPHYTON TONSURANS 30 [hp_X]/59mL
- Allergens - [CS]
- Allergens - [CS]
- Cell-mediated Immunity - [PE] (Physiologic Effect)
- Dietary Proteins - [CS]
- Fungal Proteins - [CS]
- Increased Histamine Release - [PE] (Physiologic Effect)
- Increased IgG Production - [PE] (Physiologic Effect)
- Non-Standardized Food Allergenic Extract - [EPC] (Established Pharmacologic Class)
- Non-Standardized Fungal Allergenic Extract - [EPC] (Established Pharmacologic Class)
- Penicillin-class Antibacterial - [EPC] (Established Pharmacologic Class)
- Penicillins - [CS]
Regulatory & Marketing
Hierarchy Structure
- 63083 - Professional Complementary Health Formulas
- 63083-6010 - Mycological Immune Stimulator
- 63083-6010-2 - 59 mL in 1 BOTTLE, DROPPER
- 63083-6010 - Mycological Immune Stimulator
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 63083-6010-2 identifies a specific commercial package of 59 ml in 1 bottle, dropper of Mycological Immune Stimulator 6010, a human over the counter drug labeled by Professional Complementary Health Formulas. This liquid is formulated for oral use and contains aspergillus flavus; aspergillus fumigatus; aspergillus nidulans; aspergillus niger var. niger; aureobasidium pullulans var. pullutans; blastocystis hominis; bos taurus lymph vessel; bos taurus spleen; candida albicans; candida parapsilosis; candida tropicalis; cladosporium sphaerospermum; cochliobolus spicifer; colchicum autumnale bulb; eurotium herbariorum; geotrichum candidum; gibberella fujikuroi; handroanthus impetiginosus bark; hyssopus officinalis whole; lactic acid, dl-; mucor plumbeus; mucor racemosus; penicillin g; pleospora herbarum; rhizopus stolonifer; rhodotorula rubra; saccharomyces cerevisiae; sodium borate; trichophyton rubrum; trichophyton tonsurans 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 Professional Complementary Health Formulas on August 15, 1984. The current certification is valid through December 31, 2027.
How is this Professional Complementary Health Formulas product billed for insurance claims?
For medical billing and reimbursement, this package follows the 11-digit CMS format: 63083601002. 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:
Note: The zero is added to the Package segment to maintain the 5-4-2 structure.