Supreme Liquid
NDC Package 71953-0001-1

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

Package Information

Supreme (abrotanum, anacardium orientale, arsenicum album, baryta muriatica, helleborus niger, ignatia amara, lycopodium clavatum, nicotinamidum, secale cornutum, thymus (bovine), thyroidinum (bovine), calcarea carbonica, calcarea phosphorica, hypothalamus suis, pituitarum posterium (bovine), silicea) liquids is helps improve diencephalic banking of fat for consumption by the body. This formulation utilizes a liquid delivery system. Marketed by Bouari Group, Llc Dba Weight Loss Company, The, this product is identified by NDC 71953-0001.

Identification & Billing

NDC Package Code
71953-0001-1
Package Description
30 mL in 1 BOTTLE, DROPPER
Product Code
71953-0001
11-Digit Billing Format
71953000101

Clinical Specifications

Proprietary Name
Supreme
Non-Proprietary Name
Abrotanum, Anacardium Orientale, Arsenicum Album, Baryta Muriatica, Helleborus Niger, Ignatia Amara, Lycopodium Clavatum, Nicotinamidum, Secale Cornutum, Thymus (bovine), Thyroidinum (bovine), Calcarea Carbonica, Calcarea Phosphorica, Hypothalamus Suis, Pituitarum Posterium (bovine), Silicea
Substance Name
Anacardium Occidentale Fruit; Arsenic Trioxide; Artemisia Abrotanum Flowering Top; Barium Chloride Dihydrate; Bos Taurus Pituitary Gland, Posterior; Bos Taurus Thymus; Claviceps Purpurea Sclerotium; Helleborus Niger Root; Lycopodium Clavatum Spore; Niacinamide; Oyster Shell Calcium Carbonate, Crude; Silicon Dioxide; Strychnos Ignatii Seed; Sus Scrofa Hypothalamus; Thyroid, Bovine; Tribasic Calcium Phosphate
Dosage Form
Liquid - A dosage form consisting of a pure chemical in its liquid1 state. This dosage form term should not be applied to solutions.
Administration Route
Oral - Administration to or by way of the mouth.
Active Ingredient(s)
Pharmacologic Class
Usage Information
Helps improve diencephalic banking of fat for consumption by the body. Helps improve diencephalic banking of fat for consumption by the body.

Regulatory & Marketing

Labeler Name
Bouari Group, Llc Dba Weight Loss Company, The
Product Type
Human Otc Drug
Marketing Category
UNAPPROVED HOMEOPATHIC - A category specifying that a product is marketed as unapproved homeopathic product.
Start Marketing Date
05-17-2018
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 71953-0001-1 identifies a specific commercial package of 30 ml in 1 bottle, dropper of Supreme, a human over the counter drug labeled by Bouari Group, Llc Dba Weight Loss Company, The. This liquid is formulated for oral use and contains anacardium occidentale fruit; arsenic trioxide; artemisia abrotanum flowering top; barium chloride dihydrate; bos taurus pituitary gland, posterior; bos taurus thymus; claviceps purpurea sclerotium; helleborus niger root; lycopodium clavatum spore; niacinamide; oyster shell calcium carbonate, crude; silicon dioxide; strychnos ignatii seed; sus scrofa hypothalamus; thyroid, bovine; tribasic calcium phosphate 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 Bouari Group, Llc Dba Weight Loss Company, The on May 17, 2018. The current certification is valid through December 31, 2026.

How is this Bouari Group, Llc Dba Weight Loss Company, The product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 71953000101. 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)
71953-0001-1
11-Digit CMS (5-4-2)
71953-0001-01

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