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ActivMend Arnica Montana, Hypericum Perforatum, Ledum Palustre, Rhus Toxicodendron, Ruta Graveolens, Natrum Muraticum 1 [hp_M]/g; 1 [hp_M]/g; 2 [hp_C]/g; 1 [hp_M]/g; 1 [hp_M]/g; 1 [hp_M]/g Patch — NDC 76277-0122-32 package photo

ActivMend Arnica Montana, Hypericum Perforatum, Ledum Palustre, Rhus Toxicodendron, Ruta Graveolens, Natrum Muraticum 1 [hp_M]/g; 1 [hp_M]/g; 2 [hp_C]/g; 1 [hp_M]/g; 1 [hp_M]/g; 1 [hp_M]/g Patch

by Cearna, Inc. · 1 POUCH in 1 BOX (76277-122-32) / 5 PATCH in 1 POUCH / 14 g in 1 PATCH
NDC 76277-0122-32
🏷️ FDA NDC (as labeled) 76277-122-32 billing pads the product segment with a zero
OTC On market Non-controlled
🗂️ Data synced 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

🆔 Identity & classification

FDA NDC (as labeled) 76277-122-32
Product NDC 76277-122
11-digit billing NDC 76277012232
UNII XK4IUX8MNB, 6IO182RP7A, 451W47IQ8X, 877L01IZ0P, O80TY208ZW, N94C2U587S
SPL Set ID baefc5d4-a7e4-4ba2-e053-2995a90a4b86
Established class (EPC) Osmotic Laxative
Mechanism of action Osmotic Activity
Physiologic effect Increased Large Intestinal Motility; Inhibition Large Intestine Fluid/Electrolyte Absorption
DEA schedule Non-controlled
Marketing category UNAPPROVED HOMEOPATHIC
Marketing status On market
FDA listing status Listed (active directory)
Marketing start 2021-02-09
Route TOPICAL
Dosage form PATCH
Substance HYPERICUM PERFORATUM; TOXICODENDRON PUBESCENS LEAF; SODIUM CHLORIDE; LEDUM PALUSTRE TWIG; ARNICA MONTANA; RUTA GRAVEOLENS FLOWERING TOP
Why two NDCs? The FDA registers this code as 76277-122-32 — a 5-3-2 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 product segment → 76277-0122-32. 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

LabelerCearna, Inc.
Labeler code76277
First marketedFeb 2021
Product typeHuman Otc Drug
Portfolio2 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?

ActivMend Arnica Montana is a topical patch containing homeopathic preparations of arnica, hypericum, ledum, ruta, and sodium chloride. In homeopathic practice, these plant-derived substances are traditionally used to address minor bruising, soreness, and discomfort from bumps and sprains. This is an unapproved homeopathic product marketed based on homeopathic tradition and has not been evaluated by the FDA for effectiveness or safety.

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 TR046Y3K1G
    A liquid alcohol derived from petroleum or plant sources. It acts as a solvent and humectant in medicines, helping dissolve active ingredients and retain moisture in the formulation.
  • UNII M4PPW69Y4H
    A synthetic polymer made from acrylic acid and sodium acrylate that acts as a binder and thickener. It helps hold tablet ingredients together and controls how quickly the medicine dissolves in the body.
  • 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 K679OBS311
    Carboxymethylcellulose sodium is a plant-derived thickening agent made from cellulose. In medicines, it acts as a binder to hold ingredients together, a disintegrant to help the tablet break apart, or a thickener in liquids.
  • UNII DO250MG0W6
    A mineral compound containing aluminum that acts as an antacid and buffering agent. It helps neutralize stomach acid and is used as a pH buffer to stabilize the medicine's formulation.
  • UNII 7FLD91C86K
    Edetate disodium is a chemical compound that binds and removes certain metal ions. In medicines, it acts as a preservative and stabilizer by preventing metals like calcium from interfering with the product's shelf life and consistency.
  • UNII PDC6A3C0OX
    Glycerin is a clear, thick liquid derived from plant oils or fats. It acts as a humectant to retain moisture, a sweetener, and a solvent in medications.
  • UNII 285CYO341L
    Sodium polyacrylate is a synthetic polymer that absorbs and holds water. In medicines, it acts as a disintegrant, helping tablets break apart quickly in the stomach, and as a binder, holding tablet ingredients together.
  • UNII W4888I119H
    Tartaric acid is a natural organic acid found in grapes and tamarinds. In medicines, it works as a buffer to control acidity, an antioxidant to prevent spoilage, and sometimes a flavoring or binding agent.
  • UNII 15FIX9V2JP
    Titanium dioxide is a bright white mineral powder commonly used as a colorant and opacifying agent. It makes pills and tablets white or lighter in color and helps make coatings non-transparent.
  • 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.

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

The official label also statesDihydroxyaluminum aminoacetate, Edetate disodium, Ethanol, Glycerin, 1,2-hexanediol, Partially neutralized polyacrylate, Sodium carboxymethyl cellulose, Sodium polyacrylate, Tartaric acid, Titanium dioxide, 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 eachPer 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
ActivMend 1 [hp_M]/g; 1 [hp_M]/g; 2 [hp_C]/g; 1 [hp_M]/g; 1 [hp_M]/g; 1 [hp_M]/gthis 76277-0122-32 Cearna, 5 patches — — 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

🏛️
2021
On the market since
Feb 2021
📍
2026
Currently FDA-listed
5 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
76277-0122-32 You're viewing this 1 POUCH in 1 BOX (76277-122-32) / 5 PATCH in 1 POUCH / 14 g in 1 PATCH 2021-07-08 Active

🧭 About this NDC listing & data coverage

Over-the-counter (OTC) product Homeopathic listing

About homeopathic listings

ActivMend Arnica Montana, Hypericum Perforatum, Ledum Palustre, Rhus Toxicodendron, Ruta Graveolens, Natrum Muraticum 1 [hp_M]/g; 1 [hp_M]/g; 2 [hp_C]/g; 1 [hp_M]/g; 1 [hp_M]/g; 1 [hp_M]/g PATCH 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.
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 76277-122-32, 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: 76277-0122-32, written without dashes as 76277012232. 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 76277-0122-32, the first segment (76277) is the labeler code FDA assigned to Cearna, Inc.; the middle segment (0122) identifies this specific product — its ingredient, strength, and dosage form; and the last segment (32) 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 Cearna, Inc.. Listing status can change — the directory data on this page refreshes weekly.
Who lists this product with the FDA?
Cearna, 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 ⏱️ Dosage and Administration ⚠️ Warnings 📦 Storage and Handling 🧪 Active Ingredient 🧪 Inactive Ingredients 🎯 Purpose
🎯 Indications and Usage 32 words ▾

Uses For the reduction of swelling and pain associated with joint sprains, muscle strains, dislocations, overuse injuries and bruising. Claims based on traditional homeopathic practice, not accepted medical evidence. Not FDA evaluated.

⏱️ Dosage and Administration 42 words ▾

Directions Adults and children 12 years of age and over Clean and dry affected area Remove patch from film Place healing patch on intact skin Wear one ActivMend patch up to 24 hours. Children under 12 years of age Consult a doctor

⚠️ Warnings 107 words ▾

Warnings For external use on intact skin only Do not use if you are allergic to any of this product's active or inactive ingredients. When using this product use only as directed do not bandage tightly avoid contact with eyes do not apply to wounds or damaged skin ​Stop use and ask a doctor if condition worsens irritation occurs symptoms persist for more than 7 days or clear up and occur again within a few days I f pre gnant or breastfeeding, ask a health professional before use. Keep out of reach of children.

If swallowed, get medical help or contact a Poison Control Center right away.

📦 Storage and Handling 24 words ▾

Other information Do not use if pouch is opened or damaged Tightly reseal pouch containing unused patches Store at room temperature Do not freeze

🧪 Active Ingredient 32 words ▾

Active ingredients Arnica Montana 1M HPUS, 10.8% Hypericum Perforatum 1M HPUS, 10.8% Ledum Palustre 1M HPUS, 10.8% Rhus Toxicodendron 1M HPUS, 10.8% Ruta Graveolens 1M HPUS, 10.8% Natrum Muraticum 2C HPUS, 10.8%

🧪 Inactive Ingredients 22 words ▾

Inactive ingredients Dihydroxyaluminum aminoacetate, Edetate disodium, Ethanol, Glycerin, 1,2-hexanediol, Partially neutralized polyacrylate, Sodium carboxymethyl cellulose, Sodium polyacrylate, Tartaric acid, Titanium dioxide, Water

🎯 Purpose 55 words ▾

Purpose Arnica Montana 1M HPUS, 10.8%................Bruising, Muscle Strain Hypericum Perforatum 1M HPUS, 10.8%.................Pain Ledum Palustre 1M HPUS, 10.8%..............Swelling, Pain Rhus Toxicodendron 1M HPUS, 10.8%................Sprains, Strains, Swelling, Pain Ruta Graveolens 1M HPUS, 10.8%..............Strains Natrum Muraticum 2C HPUS, 10.8%......................Sprains The letter HPUS indicate that this ingredient is officially included in the Homeopathic Pharmacopoeia of the United States.

Source: FDA Structured Product Labeling, mirrored from DailyMed / openFDA. Prefer the government’s original formatting? View this label on DailyMed ↗
← 76230-0727-09 · 714 76277-0123-32 · Cearna, →
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.