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Hemorrhoid Control Extra Strength Hamamelis Virginiana Root Bark/Stem Bark and Horse Chestnut 8 [hp_X]/1000mL; 8 [hp_X]/1000mL Solution/ Drops, 33 mL — NDC 51393-6447-02 package photo

Hemorrhoid Control Extra Strength Hamamelis Virginiana Root Bark/Stem Bark and Horse Chestnut 8 [hp_X]/1000mL; 8 [hp_X]/1000mL Solution/ Drops, 33 mL

by Forces of Nature · 33 mL in 1 BOTTLE, DISPENSING (51393-6447-2)
NDC 51393-6447-02
🏷️ FDA NDC (as labeled) 51393-6447-2 billing pads the package segment with a zero
This package
Contains33 mL Pack sizes4 compare ↓
Also comes in: 5 ml 51393-6447-05 11 ml 51393-6447-01 30 ml 51393-6447-03
OTC Discontinued Non-controlled ⚠ Discontinued by firm
🗂️ Data synced Jul 24, 2026 · sources: openFDA · FDA label (DailyMed) · FDA Orange & Purple Book · First Databank · CMS NADAC, ASP, Medicare & Medicaid · RxNorm
📋 All sources & update times →

This page is curated, coded, and maintained by

Compiled from public FDA, CMS, DailyMed, NADAC, and related drug data sources. Editorial policy

⚠️
Excluded from the active FDA NDC Directory. The labeler reported this product as discontinued, so it is excluded from the active NDC Directory. A label may still appear on DailyMed, but the NDC is no longer in the current FDA NDC Directory. Search the FDA NDC Directory ↗

🆔 Identity & classification

FDA NDC (as labeled) 51393-6447-2
Product NDC 51393-6447
11-digit billing NDC 51393644702
UNII T7S323PKJS, 3C18L6RJAZ
UPC 0830743009011
SPL Set ID 868e373b-7404-4fd5-803b-4595035ee638
DEA schedule Non-controlled
Marketing category UNAPPROVED HOMEOPATHIC
Marketing status Discontinued
FDA listing status Discontinued by firm
Marketing start 2011-04-06
Route TOPICAL
Dosage form SOLUTION/ DROPS
Substance HAMAMELIS VIRGINIANA ROOT BARK/STEM BARK; HORSE CHESTNUT
Why two NDCs? The FDA registers this code as 51393-6447-2 — a 5-4-1 layout, and that's what's printed on the package and shown on DailyMed. For insurance claims, every NDC is standardized to a uniform 11-digit 5-4-2 format by adding a zero to the package segment → 51393-6447-02. Same drug, same package — only the format differs.
Where does this data come from?
Identifiers from the FDA openFDA NDC Directory and Structured Product Labeling; RxCUI from RxNorm (NLM); GPI from Medi-Span; GCN / HIC / AHFS / legend from First Databank.

🏭 Manufacturer & labeler

LabelerForces of Nature
Labeler code51393
First marketedApr 2011
Product typeHuman Otc Drug
Portfolio25 products on file
The labeler markets the product; the application holder owns the FDA approval. They’re often the same company but can differ (e.g. a repackager or an authorized generic). A mailing address / phone appears here when the manufacturer includes it in the product’s FDA label (not all do).
Where does this data come from?
Labeler, application holder and registered establishment from the FDA openFDA NDC Directory and Drugs@FDA; address/contact from the product’s FDA label.

🩺 Clinical

🧪 What is this product?

This is an unapproved homeopathic topical solution in drop form containing hamamelis virginiana root and stem bark plus horse chestnut. In homeopathic practice, these plant extracts are traditionally used for symptoms related to hemorrhoids and vein health. Homeopathic products are marketed based on traditional use rather than clinical evidence, and the FDA does not evaluate them for effectiveness or safety in the same way as other drugs.

Supplement & herbal interactions

🌿 Drug–supplement interaction checker →
Where does this data come from?
Plain-language summary from MedlinePlus (U.S. National Library of Medicine); supplement & herbal interactions and nutrient depletion data from the Natural Medicines database; our full guide is HelloPharmacist editorial content.

💊 What it looks like

Color yellow
One label can cover several strengths, so colors may be combined — always confirm a loose pill against the dispensed prescription label or a pharmacist.
Where does this data come from?
Physical description (imprint, shape, color, scoring, coating) from this product’s FDA Structured Product Labeling (SPL), mirrored from DailyMed / openFDA.

🧪 Inactive Ingredients / Excipients

Inactive ingredients, also called excipients, are components of the drug product other than the active ingredient. They may include fillers, dyes, coatings, preservatives, flavors, or other formulation ingredients.

💡 Tap an ingredient (hover on desktop) to see what it is and why it’s used.

  • UNII 5Q1I94P4WG
    A fragrant essential oil derived from geranium plants, used as a flavoring and fragrance agent to improve the taste and smell of medicines.
  • UNII 9RES347CKG
    A fragrant oil derived from lavandin plants, used as a flavoring and aromatic agent to improve the taste and smell of medicines.
  • UNII 22K2F1YSHD
    A plant oil extracted from the leaves of the melaleuca tree, used as a fragrance and flavoring agent to improve the taste and smell of the medicine.
  • UNII AV092KU4JH
    A natural oil extracted from peppermint plants. It's used as a flavoring agent to mask bitter tastes and add a refreshing mint flavor to medicines, making them easier to take.
  • UNII QX10HYY4QV
    Sesame oil is a plant-derived oil from sesame seeds. It's used in medicines as a solvent or carrier to dissolve or suspend active ingredients, helping them mix evenly throughout the formulation.

5 inactive ingredients listed in the exact product block matched to this NDC.

The official label also statesCypress Oil*, Lavandin Oil*, Niaouli Oil*, Peppermint Oil*, Rose Geranium Oil*, Sesame Oil* *Certified Oil

Label-section wording can be broader than the structured product block and may mention additional formulation ingredients.

Where does this data come from?
Data sourced from official FDA Structured Product Labeling (SPL) via DailyMed — ingredient classCode="IACT" elements from the exact product block matched by this NDC. Label-section narrative from DailyMed / the openFDA label index is shown separately when available.

Inactive ingredient FAQ

Are inactive ingredients the same for every manufacturer?
No. Inactive ingredients can differ by manufacturer, dosage form, strength, and package / product version.
Why might an inactive ingredient be missing?
Some SPLs do not provide a complete structured inactive-ingredient list, and older or unusual labels may only include the information in narrative text.
Can inactive ingredients matter?
Yes. They can matter for allergies, intolerances, dyes, gluten / lactose concerns, preservatives, and formulation differences — but confirm with a pharmacist or the manufacturer when it’s clinically important.

💲 Pricing

A drug doesn't have one price. Each row is a different public payment system, and none is what you'd pay at the counter — that depends on your insurance. The ⓘ on each row explains what it measures.

Price systemPer mLPer package
Retail pharmacies payNADAC · weekly Not in the retail survey — common for institutional, discontinued, or low-volume packs.
Medicaid paysCMS SDUD · 12 mo No recent Medicaid claims on file for this NDC — rare and low-volume NDCs are suppressed in the public data.
Medicare drug plans payPart D · quarterly No Part D plan price is available for this NDC in our data.
ℹ️
No price is published for this exact package yet. CMS surveys NADAC per package size, so a different pack of the same drug often has one.
Try another pack size: 5 ml 11 ml 30 ml
Where does this data come from?
NADAC (National Average Drug Acquisition Cost) is the CMS weekly pharmacy-acquisition-cost survey — what pharmacies pay. ASP (Average Sales Price) is the CMS Medicare Part B drug-payment file, published quarterly. Medicaid pays is computed by us from CMS State Drug Utilization Data (total reimbursed ÷ units, trailing 12 months) — gross of rebates and inclusive of dispensing fees, so it reflects what Medicaid paid, not an acquisition cost. Medicare drug plans pay is the median negotiated point-of-sale unit cost across plans listing this NDC in the CMS quarterly Prescription Drug Plan pricing files, before rebates. The VA pays is the federal contract price (FSS, and the statutory Big 4 ceiling where listed) from the VA National Acquisition Center pharmaceutical price file. All are free public government data; each measures a different payer, so the figures are not directly comparable.

🔁 Therapeutic equivalents

ProductLabelerPackNADAC/unitTEStatusPrice vs. this
Hemorrhoid Control Extra Strength 8 [hp_X]/1000mL; 8 [hp_X]/1000mLthis 51393-6447-02 Forces 33 ml — — Discontinued —
About this product: other versions of the same ingredient, strength and form are listed above, least expensive first, with FDA equivalence ratings where available.
Where does this data come from?
Equivalents are other NDCs of the same ingredient, form and route from the openFDA NDC Directory, ranked least-expensive-first by NADAC. Therapeutic-equivalence (AB) ratings come from the FDA Orange Book; biologics use the FDA Purple Book for biosimilar & interchangeable status.

⏳ Availability & generic status

🏛️
2011
On the market since
Apr 2011
📍
2026
Currently FDA-listed
15 years listed
🔒
·
No generic listed yet
brand only
ℹ️No FDA-approved generic found

We did not find an FDA-approved generic match for this exact strength, form and route.

Where does this data come from?
Patents and exclusivity from the FDA Orange Book (small-molecule drugs), refreshed from public FDA data. Generic launch timing is an estimate, not a guarantee.

📦 Packaging — all sizes for this product

Package NDCDescription Marketing startStatus
51393-6447-01 11 mL in 1 BOTTLE, DISPENSING (51393-6447-1) 2011-04-06 Active
51393-6447-02 You're viewing this 33 mL in 1 BOTTLE, DISPENSING (51393-6447-2) 2011-04-06 Discontinued by firm
51393-6447-03 30 mL in 1 BOTTLE, DISPENSING (51393-6447-3) 2021-06-01 Active
51393-6447-05 5 mL in 1 BOTTLE, DISPENSING (51393-6447-5) 2011-04-06 Active

You're viewing the largest of 4 pack sizes for this product.

Pack size FAQ

What quantity is in NDC 51393-6447-02?
NDC 51393-6447-02 contains 33 mL — 33 ml in 1 bottle, dispensing.
What is the difference between NDC 51393-6447-02 and NDC 51393-6447-05?
Both are Hemorrhoid Control Extra Strength Hamamelis Virginiana Root Bark/Stem Bark and Horse Chestnut 8 [hp_X]/1000mL; 8 [hp_X]/1000mL Solution/ Drops — the drug itself is identical. NDC 51393-6447-02 is the 33 mL package, while NDC 51393-6447-05 is the 5 ml package.
What NDC number is used to bill for this package of Hemorrhoid Control Extra Strength Hamamelis Virginiana Root Bark/Stem Bark and Horse Chestnut 8 [hp_X]/1000mL; 8 [hp_X]/1000mL Solution/ Drops?
Bill NDC 51393-6447-02 — the 11-digit billing format is 51393644702. Pharmacy and medical claims use the 11-digit form; the FDA label may print a shorter form of the same code.

🧭 About this NDC listing & data coverage

Over-the-counter (OTC) product Homeopathic listing No longer marketed (per FDA listing data)

About homeopathic listings

Hemorrhoid Control Extra Strength Hamamelis Virginiana Root Bark/Stem Bark and Horse Chestnut 8 [hp_X]/1000mL; 8 [hp_X]/1000mL SOLUTION/ DROPS is listed under the homeopathic marketing category. An NDC listing in this category does not by itself establish FDA approval, and FDA does not evaluate homeopathic products for effectiveness. This page reports the listing data as published.

What data is (and isn’t) available for this NDC — tap to expand
NDC identity (package / product / labeler codes) ✓ Available
Labeler ✓ Available
Product & package description ✓ Available
Marketing category & status ✓ Available
Active ingredient / dosage form / route ✓ Available
FDA label (SPL via DailyMed) ✓ Available
Package photos ✓ Available
Inactive ingredients (structured) ✓ Available
NADAC pharmacy acquisition price (CMS) — Not published for this NDC CMS publishes NADAC only for NDCs reported in its retail-pharmacy survey.
Orange Book / therapeutic-equivalence data — Not published for this NDC Applies only to products approved under an NDA/ANDA; many listings are out of scope.
HCPCS J-code billing crosswalk — Not published for this NDC Most self-administered / retail products have no J-code — that is normal.
Medicaid utilization (CMS SDUD) — Not published for this NDC CMS reports utilization only for NDCs with Medicaid claims above its privacy threshold.
“Not published” reflects what the public FDA / CMS / NLM sources provide for this exact package code — it is a property of the data feeds, not a judgment about the product.

Questions about this listing

Is this NDC FDA-approved?
An NDC listing does not by itself establish FDA approval — the NDC Directory records that a product is listed with FDA, not that it was reviewed and approved. This listing's marketing category is "Unapproved Homeopathic". Products approved under an application carry an NDA, ANDA, or BLA number.
Why is there no price listed?
The pricing shown on our NDC pages comes from CMS NADAC, a voluntary survey of retail community pharmacy invoices. CMS does not publish a NADAC for every NDC — packages outside the retail survey (institutional and hospital products, bulk packages, discontinued items, and many OTC items) may never receive one. A missing price reflects the survey's scope, not this product's actual cost, and does not mean the product is free or unavailable.
What does the discontinued status mean for this NDC?
The labeler reported a marketing end date (or the listing was delisted), so this specific package is no longer actively marketed. Remaining stock may still be dispensed for a time, and the NDC stays valid for historical records and claims — but data feeds (pricing, labeling) typically stop updating for it. Other package sizes or other manufacturers' versions of the same medication may still be marketed — see the equivalents section where available.
Is the NDC printed on the package the same as the 11-digit billing NDC?
Yes, they identify this exact package in different formats. The FDA registers it as 51393-6447-2, which is what is printed on the packaging and shown on DailyMed. Insurance claims use a fixed 11-digit 5-4-2 format, so the short segment is padded with a leading zero: 51393-6447-02, written without dashes as 51393644702. The Identity section at the top of this page lists every form of this code.
What do the three segments of this NDC mean?
In 51393-6447-02, the first segment (51393) is the labeler code FDA assigned to Forces of Nature; the middle segment (6447) identifies this specific product — its ingredient, strength, and dosage form; and the last segment (02) identifies this exact package size and type. Together they name one specific package of one specific product.
Does this product come in other package sizes?
Yes — the FDA directory lists 3 other package presentations of this same product, including 5 ml (51393-6447-05), 11 ml (51393-6447-01), 30 ml (51393-6447-03). Each has its own NDC and its own page — see the package list near the top of this page.
Who lists this product with the FDA?
Forces of Nature is the labeler of record for this NDC — the company under whose FDA-assigned code the package is listed. The labeler may be the manufacturer itself or a distributor marketing the product under its own code.
Do I need a prescription for this product?
This NDC is listed with FDA as an over-the-counter product, so it does not require a prescription. Follow the package directions, and ask your pharmacist if you are unsure whether it is right for you.
This page identifies an FDA-listed package (the NDC) and reports public regulatory and pricing data about the listing. It is reference information, not a medical recommendation — talk to your pharmacist or prescriber about your own medication.
Where does this data come from?
Listing facts (marketing category, packager status, marketing dates) from the FDA openFDA NDC Directory; label availability from DailyMed; pricing coverage from CMS NADAC; equivalence scope from the FDA Orange Book.

📄 FDA label — Drug Facts FDA SPL

The complete FDA label for this product — the official Drug Facts labeling, verbatim, section by section. Jump with a chip, search within the label, or expand everything.
🎯 Indications and Usage ⏱️ Dosage and Administration ⚠️ Warnings 🧪 Active Ingredient 🧪 Inactive Ingredients 🎯 Purpose
🎯 Indications and Usage 24 words ▾

Uses for the temporary relief of inflammation, pain, itching and redness associated with hemorrhoids.Symptoms: Anal itching Lumps near the anus Pain during bowel movements

⏱️ Dosage and Administration 41 words ▾

Directions Shake well before use. Wash hands thoroughly before and after each application. Apply 2 - 3 drops directly to the hemorrhoid using clean fingers or using a moistened cotton swab.Apply up to 3 times per day. Repeat daily as needed.

⚠️ Warnings 89 words ▾

Warnings If pregnant or breast-feeding, ask a health professional before use. If accidental ingestion and adverse reaction occurs, get medical help or contact a Poison Control Center. For external use only.

Some individuals may be sensitive to essential oils. Begin with a small drop to determine if product causes any irritation. Discontinue use if any irritation occurs.

If condition worsens or does not improve, within 7 days, consult a doctor. Not for use on children under the age of 2 without physician direction. Keep out of reach of children.

🧪 Active Ingredient 20 words ▾

Active Ingredients Purpose Hamamelis Virginiana* 8X Relief of Sore or Burning Hemorrhoids Aesculus Hippocastanum* 8X Acts Against Hemorrhoids *Certified Organic

🧪 Inactive Ingredients 17 words ▾

Inactive ingredients Cypress Oil*, Lavandin Oil*, Niaouli Oil*, Peppermint Oil*, Rose Geranium Oil*, Sesame Oil* *Certified Oil

🎯 Purpose 20 words ▾

Active Ingredients Purpose Hamamelis Virginiana* 8X Relief of Sore or Burning Hemorrhoids Aesculus Hippocastanum* 8X Acts Against Hemorrhoids *Certified Organic

Source: FDA Structured Product Labeling, mirrored from DailyMed / openFDA. Prefer the government’s original formatting? View this label on DailyMed ↗
← 51393-6334-01 · Forces 51393-6988-01 · Forces →
For educational and professional reference only — not medical advice. Pricing reflects published NADAC and CMS ASP (free public data) and may differ from your acquisition cost; always verify before billing or dispensing.