Poison Ivy And Oak Formula Spray
NDC Package 83027-0039-1

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

Package Information

Poison Ivy And Oak Formula (glandula suprarenalis (bovine), hepar suis, rhus tox, urtica dioica, rhus aromatica, rhus glabra, histaminum hydrochloricum, rhus diversiloba, adrenocorticotrophin) sprays is adults: 2 to 3 sprays orally, three times daily. This formulation utilizes a spray delivery system. Marketed by Nutritional Specialties, Inc., this product is identified by NDC 83027-0039.

Identification & Billing

NDC Package Code
83027-0039-1
Package Description
60 mL in 1 BOTTLE, SPRAY
Product Code
83027-0039
11-Digit Billing Format
83027003901

Clinical Specifications

Proprietary Name
Poison Ivy And Oak Formula
Non-Proprietary Name
Glandula Suprarenalis (bovine), Hepar Suis, Rhus Tox, Urtica Dioica, Rhus Aromatica, Rhus Glabra, Histaminum Hydrochloricum, Rhus Diversiloba, Adrenocorticotrophin
Substance Name
Bos Taurus Adrenal Gland; Corticotropin; Histamine Dihydrochloride; Pork Liver; Rhus Aromatica Root Bark; Rhus Glabra Top; Toxicodendron Diversilobum Leaf; Toxicodendron Pubescens Leaf; Urtica Dioica Whole
Dosage Form
Spray - A liquid minutely divided as by a jet of air or steam.
Administration Route
Oral - Administration to or by way of the mouth.
Active Ingredient(s)
Pharmacologic Class
Usage Information
Adults: 2 to 3 sprays orally, three times daily. Children under twelve one half adult dosage. Do not take within 15 minutes of consuming food, beverage or brushing teeth. Consult a physician for use in children under 12 years of age.

Regulatory & Marketing

Labeler Name
Nutritional Specialties, 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
03-29-2023
End Marketing Date
04-25-2028
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 83027-0039-1 identifies a specific commercial package of 60 ml in 1 bottle, spray of Poison Ivy And Oak Formula, a human over the counter drug labeled by Nutritional Specialties, Inc.. This spray is formulated for oral use and contains bos taurus adrenal gland; corticotropin; histamine dihydrochloride; pork liver; rhus aromatica root bark; rhus glabra top; toxicodendron diversilobum leaf; toxicodendron pubescens leaf; urtica dioica whole 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 Nutritional Specialties, Inc. on March 29, 2023.

How is this Nutritional Specialties, Inc. product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 83027003901. 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)
83027-0039-1
11-Digit CMS (5-4-2)
83027-0039-01

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