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Contessa Alchemilla Vulgaris, Asperula Odorata, Chamomilla, Viola Odorata, Cinchona Officinalis, Mentha Piperita, Rosmarinus Officinalis, Valeriana Officinalis, Helonia Dioica, Agnus Castus, Ambra Grisea, Cimicifuga Racemosa, Convallaria Majalis, Crocus Sativus, C 1 [hp_X]/100mL; 1 [hp_X]/100mL; 1 [hp_X]/100mL; 1 [hp_X]/100mL; 2 [hp_X]/100mL; 1 [hp_X]/100mL Liquid, 236 mL

by Marco Pharma International LLC. · 236 mL in 1 BOTTLE, GLASS (60986-1014-7)
NDC 60986-1014-07
🏷️ FDA NDC (as labeled) 60986-1014-7 billing pads the package segment with a zero
OTC On market Non-controlled
🗂️ Data synced Sep 17, 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

🆔 Identity & classification

FDA NDC (as labeled) 60986-1014-7
Product NDC 60986-1014
11-digit billing NDC 60986101407
UNII 9M289NKI69, N8C4A9A49H, G0R4UBI2ZZ, AET12U8B74, S003A158SB, 79M2M2UDA9 +12 more
SPL Set ID 5a8ae10c-87a4-4751-9885-d84b0cad574a
DEA schedule Non-controlled
Marketing category UNAPPROVED HOMEOPATHIC
Marketing status On market
FDA listing status Listed (active directory)
Marketing start 1992-03-01
Route ORAL
Dosage form LIQUID
Substance ALCHEMILLA XANTHOCHLORA FLOWERING TOP; GALIUM ODORATUM; MATRICARIA RECUTITA; VIOLA ODORATA; CINCHONA OFFICINALIS BARK; MENTHA PIPERITA; ROSMARINUS OFFICINALIS FLOWERING TOP; VALERIAN; CHAMAELIRIUM LUTEUM ROOT; CHASTE TREE; AMBERGRIS; BLACK COHOSH; CONVALL
Why two NDCs? The FDA registers this code as 60986-1014-7 — 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 → 60986-1014-07. 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

LabelerMarco Pharma International LLC.
Labeler code60986
First marketedMar 1992
Product typeHuman Otc Drug
Portfolio13 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?

Contessa is a liquid taken by mouth that is marketed as a homeopathic product. It contains multiple plant and mineral ingredients, including black cohosh, chaste tree, cinchona bark, chamomile, and ambergris, among others. In homeopathic practice, these ingredients are traditionally used for various purposes, though homeopathic products are not evaluated by the FDA for effectiveness. This product is marketed based on homeopathic tradition rather than clinical evidence.

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.

🧪 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 3K9958V90M
    A liquid solvent derived from fermentation or chemical synthesis. In medicines, alcohol dissolves active ingredients, helps preserve the product, and improves how the body absorbs certain drugs.
  • UNII 059QF0KO0R
    Water is a liquid solvent that dissolves and mixes ingredients together in liquid medicines, syrups, and injections. It helps distribute the active drug evenly throughout the product.

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

The official label also statesEthyl Alcohol (20.9% by vol.) and Water

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.
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
Contessa 1 [hp_X]/100mL; 1 [hp_X]/100mL; 1 [hp_X]/100mL; 1 [hp_X]/100mL; 2 [hp_X]/100mL; 1 [hp_X]/100mLthis 60986-1014-07 Marco 236 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

🏛️
1992
On the market since
Mar 1992
📍
2026
Currently FDA-listed
34 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.

🔬 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 Contessa (this brand).

Top reported reactions

Endometriosis1
Ovarian Cyst1

Reporter sex

1 reports
Female · 100%
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.

📦 Packaging — all sizes for this product

Package NDCDescription Marketing startStatus
60986-1014-07 You're viewing this 236 mL in 1 BOTTLE, GLASS (60986-1014-7) 2011-12-06 Active

🧭 About this NDC listing & data coverage

Over-the-counter (OTC) product Homeopathic listing

About homeopathic listings

Contessa Alchemilla Vulgaris, Asperula Odorata, Chamomilla, Viola Odorata, Cinchona Officinalis, Mentha Piperita, Rosmarinus Officinalis, Valeriana Officinalis, Helonia Dioica, Agnus Castus, Ambra Grisea, Cimicifuga Racemosa, Convallaria Majalis, Crocus Sativus, C 1 [hp_X]/100mL; 1 [hp_X]/100mL; 1 [hp_X]/100mL; 1 [hp_X]/100mL; 2 [hp_X]/100mL; 1 [hp_X]/100mL LIQUID 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 — Not published for this NDC No photo available yet for this listing.
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.
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 60986-1014-7, 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: 60986-1014-07, written without dashes as 60986101407. 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 60986-1014-07, the first segment (60986) is the labeler code FDA assigned to Marco Pharma International LLC.; the middle segment (1014) identifies this specific product — its ingredient, strength, and dosage form; and the last segment (07) identifies this exact package size and type. Together they name one specific package of one specific product.
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 Marco Pharma International LLC.. Listing status can change — the directory data on this page refreshes weekly.
Who lists this product with the FDA?
Marco Pharma International LLC. 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 35 words ▾

Suggested use Adults take 1 tablespoon two to three times daily. Children 12 to 18 years of age take 1 teaspoon two to three times daily. Not intended for children under 12 years of age.

⏱️ Dosage and Administration 4 words ▾

(Read Suggested Use Section)

⚠️ Warnings 26 words ▾

Warnings If pregnant or breast-feeding, consult a health professional before use. In case of accidental overdose, seek professional assistance or contact a poison control center immediately.

🧪 Active Ingredient 176 words ▾

Active Ingredients Alchemilla Vulgaris 1x Asperula Odorata 1xHPUS Chamomilla 1xHPUS Viola Odorata 1xHPUS Cinchona Officinalis 2x Mentha Piperita 1xHPUS Rosmarinus Officinalis 1xHPUS Valeriana Officinalis 1xHPUS Helonias Dioica 2xHPUS Agnus Castus 3XHPUS Ambra Grisea 3xHPUS Cimicifuga Racemosa 3xHPUS Convalleria Majalis 3xHPUS Crocus Sativus 3xHPUS Cyclamen Europaeum 3xHPUS Damiana 3xHPUS Hydrastis Canadensis 3xHPUS Caulophyllum Thalictroides 4xHPUS Lilium Tigrinum 4xHPUS Senecio Aureus 4xHPUS Staphysagria 4xHPUS Naja Tripudians 8xHPUS The letters HPUS indicates that the components in this product are officially monographed in the Homeopathic Pharmacopoeia of United Sates.

Purpose For fatigue, mental and physical exhaustion, PMS, depression and irritability. Keep out of reach of children. Suggested use Adults take 1 tablespoon two to three times daily.

Children 12 to 18 years of age take 1 teaspoon two to three times daily. Not intended for children under 12 years of age. Warnings If pregnant or breast-feeding, consult a health professional before use.

In case of accidental overdose, seek professional assistance or contact a poison control center immediately. (Read Suggested Use Section) Inactive Ingredients Ethyl Alcohol (20.9% by vol.) and Water

🧪 Inactive Ingredients 9 words ▾

Inactive Ingredients Ethyl Alcohol (20.9% by vol.) and Water

🎯 Purpose 11 words ▾

Purpose For fatigue, mental and physical exhaustion, PMS, depression and irritability.

Source: FDA Structured Product Labeling, mirrored from DailyMed / openFDA. Prefer the government’s original formatting? View this label on DailyMed ↗
← 60986-1011-03 · Marco 60986-1019-03 · Marco →
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.