A04 Solution/ Drops
NDC Package 63479-0104-1

View Billable Units, 11-Digit Conversion Format, and RxNorm mappings

Package Information

A04 (allium cepa, allium sativum, aloe socotrina, arsenicum iodatum, asterias rubens, baptisia tinctoria, calcarea iodata, candida albicans, carbo vegetabilis, chelidonium majus, cina, cinchona officinalis, colchicum autumnale, echinacea angustifolia, echinacea purpurea, indolum, lac vaccinum, lacticum acidum, millefolium, saccharum officinale, sarcolacticum acidum, scrophularia nodosa, skatolum, solidago virgaurea, sulphur, uricum acidum) solution/ dropses is classified as a

Identification & Billing

NDC Package Code
63479-0104-1
Package Description
30 mL in 1 BOTTLE, GLASS
11-Digit Billing Format
63479010401

Clinical Specifications

Proprietary Name
A04 Deep Antitox
Non-Proprietary Name
Allium Cepa, Allium Sativum, Aloe Socotrina, Arsenicum Iodatum, Asterias Rubens, Baptisia Tinctoria, Calcarea Iodata, Candida Albicans, Carbo Vegetabilis, Chelidonium Majus, Cina, Cinchona Officinalis, Colchicum Autumnale, Echinacea Angustifolia, Echinacea Purpurea, Indolum, Lac Vaccinum, Lacticum Acidum, Millefolium, Saccharum Officinale, Sarcolacticum Acidum, Scrophularia Nodosa, Skatolum, Solidago Virgaurea, Sulphur, Uricum Acidum
Substance Name
Achillea Millefolium; Activated Charcoal; Aloe; Arsenic Triiodide; Artemisia Cina Pre-flowering Top; Asterias Rubens; Baptisia Tinctoria Root; Calcium Iodide; Candida Albicans; Chelidonium Majus; Cinchona Officinalis Bark; Colchicum Autumnale Bulb; Cow Milk; Echinacea Angustifolia Whole; Echinacea Purpurea; Garlic; Indole; Lactic Acid, Dl-; Lactic Acid, L-; Onion; Scrophularia Nodosa; Skatole; Solidago Virgaurea Flowering Top; Sucrose; Sulfur; Uric Acid
Dosage Form
Solution/ Drops - A solution which is usually administered in a drop-wise fashion.
Administration Route
Sublingual - Administration beneath the tongue.

Regulatory & Marketing

Labeler Name
Apex Energetics Inc.
Product Type
Human Otc Drug
Marketing Category
UNAPPROVED HOMEOPATHIC - A category specifying that a product is marketed as unapproved homeopathic product.
Start Marketing Date
12-15-1994
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.

Frequently Asked Questions

What is the distribution configuration for this product package?

The code 63479-0104-1 identifies a specific commercial package of 30 ml in 1 bottle, glass of A04 Deep Antitox, a human over the counter drug labeled by Apex Energetics Inc.. This solution/ drops is formulated for sublingual use and contains achillea millefolium; activated charcoal; aloe; arsenic triiodide; artemisia cina pre-flowering top; asterias rubens; baptisia tinctoria root; calcium iodide; candida albicans; chelidonium majus; cinchona officinalis bark; colchicum autumnale bulb; cow milk; echinacea angustifolia whole; echinacea purpurea; garlic; indole; lactic acid, dl-; lactic acid, l-; onion; scrophularia nodosa; skatole; solidago virgaurea flowering top; sucrose; sulfur; uric acid 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 Apex Energetics Inc. on December 15, 1994. The current certification is valid through December 31, 2026.

How is this Apex Energetics Inc. product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 63479010401. 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)
63479-0104-1
11-Digit CMS (5-4-2)
63479-0104-01

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