Lycopodium Combination Liquid
NDC Package 63083-9231-1
Package Information
Lycopodium Combination liquids is for the temporary relief of loss of appetite, minor abdominal pain, nausea, or vomiting.*. This formulation utilizes a liquid delivery system. Marketed by Professional Complementary Health Formulas, this product is identified by NDC 63083-9231.
Identification & Billing
Clinical Specifications
- MILK THISTLE 8 [hp_X]/29.5mL
- CINCHONA OFFICINALIS BARK 12 [hp_X]/29.5mL
- LYCOPODIUM CLAVATUM SPORE 10 [hp_X]/29.5mL
- CHELIDONIUM MAJUS WHOLE 10 [hp_X]/29.5mL
- NUTMEG 10 [hp_X]/29.5mL
- CITRULLUS COLOCYNTHIS FRUIT PULP 4 [hp_X]/29.5mL
- PHOSPHORUS 3 [hp_X]/29.5mL
- VERATRUM ALBUM ROOT 6 [hp_X]/29.5mL
- BEEF LIVER 14 [hp_X]/29.5mL
- BOS TAURUS DUODENUM 10 [hp_X]/29.5mL
- BOS TAURUS GALLBLADDER 3 [hp_X]/29.5mL
- BOS TAURUS PANCREAS 2 [hp_X]/29.5mL
- HYSSOPUS OFFICINALIS WHOLE 4 [hp_X]/29.5mL
- BOS TAURUS COLON 6 [hp_X]/29.5mL
- HEPATITIS A VIRUS STRAIN HM175 ANTIGEN (FORMALDEHYDE INACTIVATED) 6 [hp_X]/29.5mL
- Actively Acquired Immunity - [PE] (Physiologic Effect)
- Allergens - [CS]
- Cell-mediated Immunity - [PE] (Physiologic Effect)
- Dietary Proteins - [CS]
- Food Additives - [CS]
- Hepatitis A Vaccines - [CS]
- Inactivated Hepatitis A Virus Vaccine - [EPC] (Established Pharmacologic Class)
- Increased Histamine Release - [PE] (Physiologic Effect)
- Meat Proteins - [EXT]
- Non-Standardized Food Allergenic Extract - [EPC] (Established Pharmacologic Class)
- Non-Standardized Plant Allergenic Extract - [EPC] (Established Pharmacologic Class)
- Plant Proteins - [CS]
- Seed Storage Proteins - [CS]
- Vaccines, Inactivated - [CS]
Regulatory & Marketing
Hierarchy Structure
- 63083 - Professional Complementary Health Formulas
- 63083-9231 - Lycopodium Combination
- 63083-9231-1 - 29.5 mL in 1 BOTTLE, DROPPER
- 63083-9231 - Lycopodium Combination
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 63083-9231-1 identifies a specific commercial package of 29.5 ml in 1 bottle, dropper of Lycopodium Combination 9231, a human over the counter drug labeled by Professional Complementary Health Formulas. This liquid is formulated for oral use and contains milk thistle; cinchona officinalis bark; lycopodium clavatum spore; chelidonium majus whole; nutmeg; citrullus colocynthis fruit pulp; phosphorus; veratrum album root; beef liver; bos taurus duodenum; bos taurus gallbladder; bos taurus pancreas; hyssopus officinalis whole; bos taurus colon; hepatitis a virus strain hm175 antigen (formaldehyde inactivated) 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: 63083923101. 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.