Home › NDC Lookup › Ingredients › Arnica Montana, Urtica Urens, Silicon Di... › 51393-7656-04
Gout Pain Management Arnica Montana, Urtica Urens, Silicon Dioxide, and Thuja Occidentalis Leaf 30 [hp_C]/1000mL; 30 [hp_C]/1000mL; 8 [hp_X]/1000mL; 12 [hp_X]/1000mL Solution/ Drops, 4 mL — NDC 51393-7656-04 package photo
Label image from the product's FDA listing (DailyMed) — may show a different pack size or an older label revision.

Gout Pain Management Arnica Montana, Urtica Urens, Silicon Dioxide, and Thuja Occidentalis Leaf 30 [hp_C]/1000mL; 30 [hp_C]/1000mL; 8 [hp_X]/1000mL; 12 [hp_X]/1000mL Solution/ Drops, 4 mL — NDC 51393-7656-4 (Billing 51393-7656-04)

by Forces of Nature · 4 mL in 1 BOTTLE, DISPENSING

This is a package of 4 mL of Gout Pain Management Arnica Montana, Urtica Urens, Silicon Dioxide, and Thuja Occidentalis Leaf 30 [hp_C]/1000mL; 30 [hp_C]/1000mL; 8 [hp_X]/1000mL; 12 [hp_X]/1000mL Solution/ Drops from Forces of Nature, marketed since Feb 2017 and currently FDA-listed.

NDC 51393-7656-04
🏷️ FDA NDC (as labeled) 51393-7656-4 billing pads the package segment with a zero
This package
Contains4 mL Pack sizes4 compare ↓
Product page 51393-7656-01 Also comes in: 11 ml 51393-7656-1 30 ml 51393-7656-3 33 ml 51393-7656-2
OTC On market Non-controlled ⇄ Compare with another NDC
🗂️ FDA directory synced Oct 1, 2026 · this listing last changed Aug 27, 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

NDC database record

One package, one record: these facts belong to NDC 51393-7656-4 alone.

Record
FDA NDC Directory package listing · Human OTC drug
Code segments
51393 labeler · 7656 product · 4 package
Package marketed since
Feb 15, 2017
Sample package
No — commercial package
Listing certified through
Dec 31, 2026
Barcode (UPC-A, from the NDC)
3 5139376564 0
FDA record last changed
Aug 27, 2026

Identity & classification

Regulatory identifiers FDA, NLM and CMS codes for this package

FDA NDC (as labeled) 51393-7656-4
Product NDC 51393-7656
11-digit billing NDC 51393765604
UNII O80TY208ZW, IHN2NQ5OF9, ETJ7Z6XBU4, 0T0DQN8786
SPL Set ID 9276fe9c-d9a2-4cef-986c-5d7d39f2d6a1
DEA schedule Non-controlled
Marketing category UNAPPROVED HOMEOPATHIC
Marketing status On market
FDA listing status Listed (active directory)
Marketing start 2017-02-15
Route TOPICAL
Dosage form SOLUTION/ DROPS
Substance ARNICA MONTANA WHOLE; URTICA URENS WHOLE; SILICON DIOXIDE; THUJA OCCIDENTALIS LEAF
Why two NDCs? The FDA registers this code as 51393-7656-4 — 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 → 51393-7656-04. 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.

Clinical

🧪 What is this product?

This is a topical solution labeled for gout pain management, marketed as a homeopathic product containing arnica montana, urtica urens, silicon dioxide, and thuja occidentalis leaf. In homeopathic practice, arnica and urtica urens are traditionally used for joint discomfort and inflammatory conditions, while thuja and silicon dioxide appear in homeopathic formulations for musculoskeletal support. Homeopathic products are marketed based on traditional use and are not evaluated by the FDA for safety or effectiveness.

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.

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: 11 ml 30 ml 33 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.

Packaging — all sizes for this product

Package NDCDescription Marketing startMarketing endStatus
51393-7656-01 51393-7656-1 Main listing 11 mL in 1 BOTTLE, DISPENSING 2017-02-15 — Active
51393-7656-02 51393-7656-2 33 mL in 1 BOTTLE, DISPENSING 2017-02-15 — Active
51393-7656-04 You're viewing this 4 mL in 1 BOTTLE, DISPENSING 2017-02-15 — Active
51393-7656-03 51393-7656-3 30 mL in 1 BOTTLE, DISPENSING 2025-12-01 — Active

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

Pack size FAQ

What quantity is in this package?
This package contains 4 mL — 4 ml in 1 bottle, dispensing.
How does this package differ from NDC 51393-7656-01?
Both are Gout Pain Management Arnica Montana, Urtica Urens, Silicon Dioxide, and Thuja Occidentalis Leaf 30 [hp_C]/1000mL; 30 [hp_C]/1000mL; 8 [hp_X]/1000mL; 12 [hp_X]/1000mL Solution/ Drops — the drug itself is identical. This page's package is the 4 mL one, while NDC 51393-7656-01 is the 11 ml package.
What NDC number is used to bill for this package of Gout Pain Management Arnica Montana, Urtica Urens, Silicon Dioxide, and Thuja Occidentalis Leaf 30 [hp_C]/1000mL; 30 [hp_C]/1000mL; 8 [hp_X]/1000mL; 12 [hp_X]/1000mL Solution/ Drops?
Use the 11-digit billing form listed in the identifiers section of this page. Pharmacy and medical claims use the 11-digit form; the FDA label may print a shorter form of the same code.

Therapeutic equivalents

ProductLabelerPackNADAC/unitTEStatusPrice vs. this
Gout Pain Management 30 [hp_C]/1000mL; 30 [hp_C]/1000mL; 8 [hp_X]/1000mL; 12 [hp_X]/1000mLthis 51393-7656-04 Forces 4 ml — — FDA listed —
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

🏛️
2017
On the market since
Feb 2017
📍
2026
Currently FDA-listed
9 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.

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.

Loading inactive ingredients from the official FDA label in the background. No external source is being called by this page request.
Where does this data come from?
Source: official FDA Structured Product Labeling (SPL) via DailyMed and the openFDA label index. Structured IACT rows and label-wide narrative are kept separate; availability and product-level specificity depend on the submitted label.

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.

Manufacturer & labeler

LabelerForces of Nature
Labeler code51393
First marketedFeb 2017
Product typeHuman Otc Drug
Portfolio25 products on file

More NDCs from Forces of Nature labeler code 51393

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.

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 📄 Keep Out of Reach of Children 📄 Package Label / Principal Display Panel
🎯 Indications and Usage 15 words ▾

Indications Topical Analgesic: For the temporary relief of minor aches and pains associated with gout.

⏱️ Dosage and Administration 34 words ▾

Directions Shake well before use. Apply to affected area by gently rubbing into the skin up to 3 or 4 times daily. For children under 2 years of age, consult a doctor before use.

⚠️ Warnings 119 words ▾

Warnings Some individuals may be sensitive to essential oils. Begin with a small drop to determine if the product causes any increased redness or irritation and discontinue use if it irritates your skin. For external use only.

If accidental ingestion of more than several drops, and adverse reaction occurs, get medical help or contact a Poison Control Center. Do not apply to the eyes. If you are pregnant or breast-feeding, ask a health professional before use.

Not for use on children under the age of 2 without physician direction. Keep all medicines out of the reach of children. Stop use and consult a doctor if condition worsens, or consult a doctor if symptoms show no improvement after 7 days.

🧪 Active Ingredient 53 words ▾

Active Ingredients Arnica Montana USDA Certified Organic 30C - Relieves Pain Associated with Gout Urtica Urens 30C - Remedy for Acute Pain Associated with Gout Silicea 8X - Relieves Soreness and Swelling Thuja Occidentalis 12X - Relieves Burning Pain Also Contains Sesame Oil , Pine Oil , Lavandin Oil , German Chamomile Oil

🧪 Inactive Ingredients 14 words ▾

Also Contains Sesame Oil , Pine Oil , Lavandin Oil , German Chamomile Oil

🎯 Purpose 39 words ▾

Active Ingredients Arnica Montana USDA Certified Organic 30C - Relieves Pain Associated with Gout Urtica Urens 30C - Remedy for Acute Pain Associated with Gout Silicea 8X - Relieves Soreness and Swelling Thuja Occidentalis 12X - Relieves Burning Pain

📄 Keep Out of Reach of Children 30 words ▾

Keep all medicines out of the reach of children. Stop use and consult a doctor if condition worsens, or consult a doctor if symptoms show no improvement after 7 days.

📄 Package Label / Principal Display Panel 58 words ▾

PRINCIPAL DISPLAY PANEL - 30 ml Bottle Label HOMEOPATHIC NDC #51393-7656-3 FORCES OF NATURE ® TRUSTED PLANT REMEDIES Gout Pain Management RELIEF FOR MILD SYMPTOMS with Arnica & Small Nettle Calms pain in fingers & toes Eases swelling NON GMO Project VERIFIED nongmoproject.org USDA ORGANIC 30 ml (1.0 FL OZ) PRINCIPAL DISPLAY PANEL - 30 ml Bottle Label

Source: FDA Structured Product Labeling, mirrored from DailyMed / openFDA. Prefer the government’s original formatting? View this label on DailyMed ↗

Reported adverse events (FAERS)

Read carefully: FAERS reports are voluntary and unverified. Counts are not incidence, do not establish causation, are subject to reporting bias, and cannot be used to compare one drug to another. Shown for signal context only. Reports for Arnica Montana, Urtica Urens, Silicon Dioxide, and Thuja Occidentalis Leaf — the ingredient across all brands.

Top reported reactions

Alopecia2
Aphonia2
Constipation2
Cough2
Decreased Appetite2
Drug Hypersensitivity2
Dysphagia2

Age at onset

Adult1
Elderly2

Reporter sex

18 reports
Male · 44%
Female · 56%

Serious outcomes

Hospitalization2
Death1
Reports over time (by year) — tap or hover for the count & year
2020 2022 2024 2026 3 0
Most recent year is provisional (FAERS lags ~3 months).
Where does this data come from?
Adverse-event reports from the FDA Adverse Event Reporting System (FAERS) via openFDA. FAERS reports are voluntary and unverified — counts are not incidence and don’t establish causation.

About this NDC listing & data coverage

Over-the-counter (OTC) product Homeopathic listing

About homeopathic listings

Gout Pain Management Arnica Montana, Urtica Urens, Silicon Dioxide, and Thuja Occidentalis Leaf 30 [hp_C]/1000mL; 30 [hp_C]/1000mL; 8 [hp_X]/1000mL; 12 [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) — Not published for this NDC The labeler did not submit a structured excipient list, or no SPL is 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.
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 form printed on the packaging and shown on DailyMed is the one the FDA registered. Insurance claims use a fixed 11-digit 5-4-2 format, so the short segment is padded with a leading zero and the dashes are dropped. The Identity section at the top of this page lists each form of this code.
Is this package still being marketed?
Yes, per the latest FDA NDC Directory data on this page: this package is listed as actively marketed, with no marketing end date reported by Forces of Nature. Listing status can change — the directory data on this page refreshes weekly.
Does this product come in other package sizes?
Yes — the FDA directory lists 3 other package presentations of this same product, including 11 ml (51393-7656-01), 30 ml (51393-7656-03), 33 ml (51393-7656-02). 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.
← 51393-7633-01 · Forces 51393-8200-04 · 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.