B20 ACUTE RESCUE ACONITUM NAPELLUS, APIS MELLIFICA, ARNICA MONTANA, ARSENICUM ALBUM, BELLADONNA, BELLIS PERENNIS, BRYONIA, CALENDULA, CHAMOMILLA, CHERRY PLUM, CLEMATIS VITALBA, COLOCYNTHIS, DULCAMARA LIGNOSA, ECHINACEA, EUPATORIUM, FERRUM PHOSPHORICUM, HAMAMELIS VIRGINIAN 6 [hp_X]/mL; 30 [hp_X]/mL; 1 [hp_X]/mL; 12 [hp_X]/mL; 8 [hp_X]/mL; 6 [hp_X]/mL; 1 Cream, 50 mL — NDC 63479-0220-01 package photo

B20 ACUTE RESCUE ACONITUM NAPELLUS, APIS MELLIFICA, ARNICA MONTANA, ARSENICUM ALBUM, BELLADONNA, BELLIS PERENNIS, BRYONIA, CALENDULA, CHAMOMILLA, CHERRY PLUM, CLEMATIS VITALBA, COLOCYNTHIS, DULCAMARA LIGNOSA, ECHINACEA, EUPATORIUM, FERRUM PHOSPHORICUM, HAMAMELIS VIRGINIAN 6 [hp_X]/mL; 30 [hp_X]/mL; 1 [hp_X]/mL; 12 [hp_X]/mL; 8 [hp_X]/mL; 6 [hp_X]/mL; 1 Cream, 50 mL

by Apex Energetics Inc. · 50 mL in 1 BOTTLE, PUMP (63479-0220-1)
NDC 63479-0220-01
🏷️ FDA NDC (as labeled) 63479-0220-1 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 →

🆔 Identity & classification

FDA NDC (as labeled) 63479-0220-1
Product NDC 63479-0220
11-digit billing NDC 63479022001
UNII XK4IUX8MNB, AJU5O1A5ZV, 79M2M2UDA9, 7S82P3R43Z, 1W0775VX6E, QI7G114Y98 +12 more
UPC 0818960011345
SPL Set ID bccc6476-4987-b1a0-e053-2995a90a5a02
Established class (EPC) Standardized Insect Venom Allergenic Extract
Physiologic effect Increased Histamine Release; Cell-mediated Immunity; Increased IgG Production
Chemical class Allergens; Bee Venoms
DEA schedule Non-controlled
Marketing category UNAPPROVED HOMEOPATHIC
Marketing status On market
FDA listing status Listed (active directory)
Marketing start 1994-08-30
Route TOPICAL
Dosage form CREAM
Substance HYPERICUM PERFORATUM; IMPATIENS GLANDULIFERA FLOWER; MENTHA PIPERITA; APIS MELLIFERA; EUPATORIUM PERFOLIATUM FLOWERING TOP; ECHINACEA PURPUREA; RHODODENDRON TOMENTOSUM LEAFY TWIG; COMFREY ROOT; VERATRUM ALBUM ROOT; FERROSOFERRIC PHOSPHATE; HAMAMELIS VIRGI
Why two NDCs? The FDA registers this code as 63479-0220-1 — 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 → 63479-0220-01. 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

LabelerApex Energetics Inc.
Labeler code63479
First marketedAug 1994
Product typeHuman Otc Drug
Portfolio110 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?

B20 Acute Rescue is a topical cream containing multiple plant and mineral ingredients commonly used in homeopathic practice. These ingredients, including arnica, calendula, belladonna, apis mellifica, and others, are traditionally used in homeopathic formulations for various purposes. This is an unapproved homeopathic product marketed based on homeopathic tradition rather than FDA evaluation for effectiveness. Homeopathic products are not evaluated by the FDA to confirm they are safe or effective for their intended uses.

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.

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.

💲 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 gPer 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
B20 Acute Rescue 6 [hp_X]/mL; 30 [hp_X]/mL; 1 [hp_X]/mL; 12 [hp_X]/mL; 8 [hp_X]/mL; 6 [hp_X]/mL; 1this 63479-0220-01 Apex 50 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

🏛️
1994
On the market since
Aug 1994
📍
2026
Currently FDA-listed
32 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
63479-0220-01 You're viewing this 50 mL in 1 BOTTLE, PUMP (63479-0220-1) 1994-08-30 Active

🧭 About this NDC listing & data coverage

Over-the-counter (OTC) product Homeopathic listing

About homeopathic listings

B20 ACUTE RESCUE ACONITUM NAPELLUS, APIS MELLIFICA, ARNICA MONTANA, ARSENICUM ALBUM, BELLADONNA, BELLIS PERENNIS, BRYONIA, CALENDULA, CHAMOMILLA, CHERRY PLUM, CLEMATIS VITALBA, COLOCYNTHIS, DULCAMARA LIGNOSA, ECHINACEA, EUPATORIUM, FERRUM PHOSPHORICUM, HAMAMELIS VIRGINIAN 6 [hp_X]/mL; 30 [hp_X]/mL; 1 [hp_X]/mL; 12 [hp_X]/mL; 8 [hp_X]/mL; 6 [hp_X]/mL; 1 CREAM 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 FDA registers it as 63479-0220-1, 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: 63479-0220-01, written without dashes as 63479022001. 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 63479-0220-01, the first segment (63479) is the labeler code FDA assigned to Apex Energetics Inc.; the middle segment (0220) identifies this specific product — its ingredient, strength, and dosage form; and the last segment (01) 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 Apex Energetics Inc.. Listing status can change — the directory data on this page refreshes weekly.
Who lists this product with the FDA?
Apex Energetics Inc. 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 29 words

Uses: For temporary relief of minor: skin irritation* swelling* bruises* itching* joint pains* muscle aches* burns* *Claims based on traditional homeopathic practice, not accepted medical evidence. Not FDA evaluated.

⏱️ Dosage and Administration 42 words

Directions: Adults & children ages 12 years and over: Apply one pump topically to affected area not more than 5 times a day, or as directed by your healthcare professional. Consult a physician for use in children under 12 years of age.

⚠️ Warnings 77 words

Warnings: If pregnant or breastfeeding , ask a health professional before use. Do not use if clear seal over the cap is broken or missing. Keep out of reach of children. In case of overdose, get medical help or contact a Poison Control Center right away. Stop use and ask a doctor if skin irritation, swelling, bruises, itching, joint pains, muscle aches, burns, or other symptoms do not improve within 7 days or are accompanied by fever.

🧪 Active Ingredient 146 words

Active Ingredients Aconitum Napellus 9X 12X 30X Apis Mellifica 6X 9X 12X Arnica Montana 6X 9X 12X 30X Arsenicum Album 9X 12X 15X Belladonna 6X 9X 12X 30X Bellis Perennis 6X 9X 12X Bryonia 6X 9X 12X Calendula Officinalis 3X 6X 9X Chamomilla 4X 6X 8X Cherry Plum Flower 9X 12X 30X Clematis Vitalba Flower 9X 12X 30X Colocynthis 4X 6X 8X Dulcamara Lignosa Whole 4X 6X 8X Echinacea Angustifolia 6X Echinacea Purpurea 6X Eupatorium Perfoliatum 4X 6X 8X Ferrum Phosphoricum 12X 15X Hamamelis Virginiana 3X Histaminum Hydrochloricum 6X 9X 12X Hypericum Perforatum 3X 6X Impatiens Glandulifera Flower 9X 12X 30X Ledum Palustre 1X Mentha Piperita 1X Millefolium 3X Plantago Major 1X Pyrenees Star Of Bethlehem Flowering Top 9X 12X 30X Rhus Toxicodendron 6X 9X 12X Rockrose Flower 9X 12X 30X Sulphur 3C 6C 9C Symphytum Officinale 3X 6X Veratrum Album 12X 30X Verbascum Thapsus 1X

🧪 Inactive Ingredients 27 words

Inactive Ingredients water, octyl palmitate, emulsifying wax NF (vegetable derived), shea butter, apricot kernel oil, jojoba oil, almond oil, d-alpha tocopherol, white beeswax, rosehip seed oil, alcohol.

🎯 Purpose 29 words

Uses: For temporary relief of minor: skin irritation* swelling* bruises* itching* joint pains* muscle aches* burns* *Claims based on traditional homeopathic practice, not accepted medical evidence. Not FDA evaluated.

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