63083-1004 NDC - DAIRY MIX

Drug Information

Product NDC: 63083-1004

Proprietary Name: Dairy Mix

Non Proprietary Name: Dairy Mix

Active Ingredient(s):
  • 6 [hp_X]/59mL BEEF LIVER;
  • 6 [hp_X]/59mL BLUE TILAPIA WHOLE;
  • 6 [hp_X]/59mL CASEIN, LACTOCOCCUS LACTIS CULTURED;
  • 6 [hp_X]/59mL CASEIN, LACTOCOCCUS LACTIS CULTURED, AGED;
  • 6 [hp_X]/59mL CASEIN, LACTOCOCCUS LACTIS CULTURED, PENICILLIUM CAMEMBERTI CULTURED, AGED;
  • 6 [hp_X]/59mL CASEIN, STREPTOCOCCUS THERMOPHILUS CULTURED, PROPIONIBACTERIUM FREUDENREICHII SUBSP. SHERMANII CULTURED, AGED;
  • 6 [hp_X]/59mL CORTICOTROPIN;
  • 6 [hp_X]/59mL COW MILK;
  • 6 [hp_X]/59mL COW MILK FAT;
  • 6 [hp_X]/59mL GOAT MILK;
  • 12 [hp_X]/59mL HISTAMINE DIHYDROCHLORIDE;
  • 6 [hp_X]/59mL HUMAN MILK;
  • 6 [hp_X]/59mL SUS SCROFA ADRENAL GLAND;
  • 6 [hp_X]/59mL SWISS CHARD;
  • 6 [hp_X]/59mL WHEY


Administration Route(s): ORAL

Dosage Form(s): LIQUID

Pharmacy Class(es):
  • Adrenocorticotropic Hormone [CS];
  • Adrenocorticotropic Hormone [EPC];
  • Allergens [CS];
  • Allergens [CS];
  • Allergens [CS];
  • Allergens [CS];
  • Cell-mediated Immunity [PE];
  • Cell-mediated Immunity [PE];
  • Cell-mediated Immunity [PE];
  • Cell-mediated Immunity [PE];
  • Dietary Proteins [CS];
  • Dietary Proteins [CS];
  • Dietary Proteins [CS];
  • Dietary Proteins [CS];
  • Increased Histamine Release [PE];
  • Increased Histamine Release [PE];
  • Increased Histamine Release [PE];
  • Increased Histamine Release [PE];
  • Meat Proteins [EXT];
  • Milk Proteins [CS];
  • Milk Proteins [CS];
  • Milk Proteins [CS];
  • Non-Standardized Food Allergenic Extract [EPC];
  • Non-Standardized Food Allergenic Extract [EPC];
  • Non-Standardized Food Allergenic Extract [EPC];
  • Non-Standardized Food Allergenic Extract [EPC]

Labeler Information

Labeler Name: Professional Complementary Health Formulas
Product Type: HUMAN OTC DRUG
FDA Application Number:
Marketing Category: UNAPPROVED HOMEOPATHIC
Start Marketing Date:8/15/1984

Package Information

No. Package Code Package Description Billing Unit
163083-1004-259 mL in 1 BOTTLE, DROPPER (63083-1004-2)

NDC Record

Field Name Field Value Definition
PRODUCT NDC63083-1004The labeler code and product code segments of the National Drug Code number, separated by a hyphen. Asterisks are no longer used or included within the product code segment to indicate certain configurations of the NDC.
PRODUCT TYPE NAMEHUMAN OTC DRUGIndicates the type of product, such as Human Prescription Drug or Human Over the Counter Drug. This data element matches the “Document Type” field of the Structured Product Listing.
PROPRIETARY NAMEDairy MixThe proprietary name also known as the trade name is the name of the product chosen by the medication labeler for marketing purposes.
PROPRIETARY NAME SUFFIX1004A suffix to the proprietary name, a value here should be appended to the ProprietaryName field to obtain the complete name of the product. This suffix is often used to distinguish characteristics of a product such as extended release (“XR”) or sleep aid (“PM”). Although many companies follow certain naming conventions for suffices, there is no recognized standard.
NON PROPRIETARY NAMEDairy MixThe non-proprietary name is sometimes called the generic name. The generic name usually includes the active ingredient(s) of the product.
DOSAGE FORM NAMELIQUIDThe translation of the dosage form Code submitted by the firm.
ROUTE NAMEORALThe translation of the route code submitted by the firm, indicating route of administration.
START MARKETING DATE8/15/1984This is the date that the labeler indicates was the start of its marketing of the drug product.
MARKETING CATEGORY NAMEUNAPPROVED HOMEOPATHICProduct types are broken down into several potential Marketing Categories, such as NDA/ANDA/BLA, OTC Monograph, or Unapproved Drug. One and only one Marketing Category may be chosen for a product, not all marketing categories are available to all product types. Currently, only final marketed product categories are included. The complete list of codes and translations can be found at www.fda.gov/edrls under Structured Product Labeling Resources.
LABELER NAMEProfessional Complementary Health FormulasName of Company corresponding to the labeler code segment of the Product NDC.
SUBSTANCE NAMEBEEF LIVER; BLUE TILAPIA WHOLE; CASEIN, LACTOCOCCUS LACTIS CULTURED; CASEIN, LACTOCOCCUS LACTIS CULTURED, AGED; CASEIN, LACTOCOCCUS LACTIS CULTURED, PENICILLIUM CAMEMBERTI CULTURED, AGED; CASEIN, STREPTOCOCCUS THERMOPHILUS CULTURED, PROPIONIBACTERIUM FREUDENREICHII SUBSP. SHERMANII CULTURED, AGED; CORTICOTROPIN; COW MILK; COW MILK FAT; GOAT MILK; HISTAMINE DIHYDROCHLORIDE; HUMAN MILK; SUS SCROFA ADRENAL GLAND; SWISS CHARD; WHEYAn active ingredient is the substance responsible for the medicinal effects of a product specified by the substance's molecular structure or if the molecular structure is not known, defined by an unambiguous definition that identifies the substance. Each active ingredient name is the preferred term of the UNII code submitted.
ACTIVE NUMERATOR STRENGTH6; 6; 6; 6; 6; 6; 6; 6; 6; 6; 12; 6; 6; 6; 6 
ACTIVE INGRED UNIT[hp_X]/59mL; [hp_X]/59mL; [hp_X]/59mL; [hp_X]/59mL; [hp_X]/59mL; [hp_X]/59mL; [hp_X]/59mL; [hp_X]/59mL; [hp_X]/59mL; [hp_X]/59mL; [hp_X]/59mL; [hp_X]/59mL; [hp_X]/59mL; [hp_X]/59mL; [hp_X]/59mL 
PHARM CLASSESAdrenocorticotropic Hormone [CS], Adrenocorticotropic Hormone [EPC], Allergens [CS], Allergens [CS], Allergens [CS], Allergens [CS], Cell-mediated Immunity [PE], Cell-mediated Immunity [PE], Cell-mediated Immunity [PE], Cell-mediated Immunity [PE], Dietary Proteins [CS], Dietary Proteins [CS], Dietary Proteins [CS], Dietary Proteins [CS], Increased Histamine Release [PE], Increased Histamine Release [PE], Increased Histamine Release [PE], Increased Histamine Release [PE], Meat Proteins [EXT], Milk Proteins [CS], Milk Proteins [CS], Milk Proteins [CS], Non-Standardized Food Allergenic Extract [EPC], Non-Standardized Food Allergenic Extract [EPC], Non-Standardized Food Allergenic Extract [EPC], Non-Standardized Food Allergenic Extract [EPC] 

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This page was last updated on: 2/1/2023