Viral Immune Stimulator Liquid
NDC Package 63083-6017-2
Package Information
Viral Immune Stimulator liquids is temporarily relieves runny nose, chills, sweats, sore throat, minor aches and pains in the muscles or joints, or occasional headache.*. This formulation utilizes a liquid delivery system. Marketed by Professional Complementary Health Formulas, this product is identified by NDC 63083-6017.
Identification & Billing
Clinical Specifications
- ASCLEPIAS TUBEROSA FLOWERING TOP 3 [hp_X]/59mL
- BACILLUS CALMETTE-GUERIN LIVE ANTIGEN, UNSPECIFIED SUBSTRAIN 30 [hp_X]/59mL
- CALCIUM ARSENATE 12 [hp_X]/59mL
- CAMPHOR (NATURAL) 12 [hp_X]/59mL
- COW MILK 6 [hp_X]/59mL
- COXSACKIEVIRUS A21 30 [hp_X]/59mL
- CYNANCHUM OTOPHYLLUM WHOLE 30 [hp_X]/59mL
- ECHINACEA PURPUREA WHOLE 3 [hp_X]/59mL
- EUPHRASIA STRICTA 6 [hp_X]/59mL
- FERROUS IODIDE 8 [hp_X]/59mL
- HUMAN HERPESVIRUS 1 30 [hp_X]/59mL
- HUMAN HERPESVIRUS 5 30 [hp_X]/59mL
- ICHTHAMMOL 12 [hp_X]/59mL
- INFLUENZA A VIRUS A/VICTORIA/2454/2019 IVR-207 (H1N1) ANTIGEN (FORMALDEHYDE INACTIVATED) 30 [hp_X]/59mL
- JAPANESE ENCEPHALITIS VIRUS STRAIN NAKAYAMA-NIH ANTIGEN (FORMALDEHYDE INACTIVATED) 30 [hp_X]/59mL
- MEASLES VIRUS 30 [hp_X]/59mL
- SODIUM CHLORIDE 3 [hp_X]/59mL
- THUJA OCCIDENTALIS LEAF 6 [hp_X]/59mL
- TRIFOLIUM PRATENSE FLOWER 3 [hp_X]/59mL
- VACCINIA VIRUS STRAIN NEW YORK CITY BOARD OF HEALTH LIVE ANTIGEN 30 [hp_X]/59mL
- Actively Acquired Immunity - [PE] (Physiologic Effect)
- Actively Acquired Immunity - [PE] (Physiologic Effect)
- Allergens - [CS]
- Cell-mediated Immunity - [PE] (Physiologic Effect)
- Dietary Proteins - [CS]
- Inactivated Japanese Encephalitis Virus Vaccine - [EPC] (Established Pharmacologic Class)
- Increased Histamine Release - [PE] (Physiologic Effect)
- Japanese Encephalitis Vaccines - [CS]
- Live Vaccinia Virus Vaccine - [EPC] (Established Pharmacologic Class)
- Milk Proteins - [CS]
- Non-Standardized Food Allergenic Extract - [EPC] (Established Pharmacologic Class)
- Smallpox Vaccine - [CS]
- Vaccines, Inactivated - [CS]
- Vaccines, Live, Unattenuated - [CS]
Regulatory & Marketing
Hierarchy Structure
- 63083 - Professional Complementary Health Formulas
- 63083-6017 - Viral Immune Stimulator
- 63083-6017-2 - 59 mL in 1 BOTTLE, DROPPER
- 63083-6017 - Viral 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 63083-6017-2 identifies a specific commercial package of 59 ml in 1 bottle, dropper of Viral Immune Stimulator 6017, a human over the counter drug labeled by Professional Complementary Health Formulas. This liquid is formulated for oral use and contains asclepias tuberosa flowering top; bacillus calmette-guerin live antigen, unspecified substrain; calcium arsenate; camphor (natural); cow milk; coxsackievirus a21; cynanchum otophyllum whole; echinacea purpurea whole; euphrasia stricta; ferrous iodide; human herpesvirus 1; human herpesvirus 5; ichthammol; influenza a virus a/victoria/2454/2019 ivr-207 (h1n1) antigen (formaldehyde inactivated); japanese encephalitis virus strain nakayama-nih antigen (formaldehyde inactivated); measles virus; sodium chloride; thuja occidentalis leaf; trifolium pratense flower; vaccinia virus strain new york city board of health live antigen 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: 63083601702. 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.