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Sinus Defense 2.0 Lac Vaccinum, Silicea, Aspergillus Niger, Babesia Microti, Borrelia Burgdorferi, Candida Albicans, Candida Parapsilosis, Chlamydia Trachomatis, Colibacillinum Cum Natrum Muriaticum, Cytomegalovirus Nosode, Ehrlichia Nosode, Herpes Simplex I and II 6 [hp_X]/mL; 9 [hp_X]/mL; 16 [hp_X]/mL; 16 [hp_X]/mL; 16 [hp_X]/mL; 16 [hp_X]/mL; 16 [hp_X]/mL; 16 [hp_X Spray, 60 mL

by Micro Balance Health Products LLC · 60 mL in 1 BOTTLE, SPRAY (83018-0005-1)
NDC 83018-0005-01
🏷️ FDA NDC (as labeled) 83018-0005-1 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 →

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) 83018-0005-1
Product NDC 83018-0005
11-digit billing NDC 83018000501
UNII 917J3173FT, ETJ7Z6XBU4, 9IOA40ANG6, 1948X6KEG3, 0J8NV9V5Q8, 4D7G21HDBC +12 more
SPL Set ID 560f84f6-2544-4ba8-8236-a95906eb7d97
Established class (EPC) Non-Standardized Food Allergenic Extract; Non-Standardized Fungal Allergenic Extract
Physiologic effect Increased Histamine Release; Cell-mediated Immunity; Increased IgG Production
Chemical class Allergens; Dietary Proteins; Milk Proteins; Fungal Proteins
DEA schedule Non-controlled
Marketing category UNAPPROVED HOMEOPATHIC
Marketing status On market
FDA listing status Listed (active directory)
Marketing start 2026-03-04
Route ORAL
Dosage form SPRAY
Substance COW MILK; SILICON DIOXIDE; ASPERGILLUS NIGER VAR. NIGER; BABESIA MICROTI; BORRELIA BURGDORFERI; CANDIDA ALBICANS; CANDIDA PARAPSILOSIS; CHLAMYDIA TRACHOMATIS; ESCHERICHIA COLI; HUMAN HERPESVIRUS 5; EHRLICHIA CANIS; HUMAN HERPESVIRUS 1; HUMAN HERPESVIRUS 2
Why two NDCs? The FDA registers this code as 83018-0005-1 — 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 → 83018-0005-01. 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

LabelerMicro Balance Health Products LLC
Labeler code83018
First marketedMar 2026
Product typeHuman Otc Drug
Portfolio3 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 oral spray containing highly diluted preparations of various organisms and substances, including fungal species, bacteria, viruses, and cow milk. In homeopathic practice, these ingredients are traditionally used to address symptoms related to sinus function and immune response. Homeopathic products are marketed based on homeopathic tradition rather than FDA evaluation 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 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 statesAlcohol USP 20%, Purified Water USP.

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
Sinus Defense 6 [hp_X]/mL; 9 [hp_X]/mL; 16 [hp_X]/mL; 16 [hp_X]/mL; 16 [hp_X]/mL; 16 [hp_X]/mL; 16 [hp_X]/mL; 16 [hp_X 83018-0002-01 Micro 60 ml — — FDA listed —
Sinus Defense 2.0 6 [hp_X]/mL; 9 [hp_X]/mL; 16 [hp_X]/mL; 16 [hp_X]/mL; 16 [hp_X]/mL; 16 [hp_X]/mL; 16 [hp_X]/mL; 16 [hp_Xthis 83018-0005-01 Micro 60 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

🏛️
2026
On the market since
Mar 2026
📍
2026
Currently FDA-listed
listed with the FDA
🔒
·
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
83018-0005-01 You're viewing this 60 mL in 1 BOTTLE, SPRAY (83018-0005-1) 2026-03-04 Active

🧭 About this NDC listing & data coverage

Over-the-counter (OTC) product Homeopathic listing

About homeopathic listings

Sinus Defense 2.0 Lac Vaccinum, Silicea, Aspergillus Niger, Babesia Microti, Borrelia Burgdorferi, Candida Albicans, Candida Parapsilosis, Chlamydia Trachomatis, Colibacillinum Cum Natrum Muriaticum, Cytomegalovirus Nosode, Ehrlichia Nosode, Herpes Simplex I and II 6 [hp_X]/mL; 9 [hp_X]/mL; 16 [hp_X]/mL; 16 [hp_X]/mL; 16 [hp_X]/mL; 16 [hp_X]/mL; 16 [hp_X]/mL; 16 [hp_X SPRAY 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 83018-0005-1, 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: 83018-0005-01, written without dashes as 83018000501. 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 83018-0005-01, the first segment (83018) is the labeler code FDA assigned to Micro Balance Health Products LLC; the middle segment (0005) 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 Micro Balance Health Products LLC. Listing status can change — the directory data on this page refreshes weekly.
Who lists this product with the FDA?
Micro Balance Health Products 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 33 words ▾

USES: For health support during times of increased stress and inflammation and temporary relief of sinus congestion, irritation, and pressure.† †Claims based on traditional homeopathic practice, not accepted medical evidence. Not FDA evaluated.

⏱️ Dosage and Administration 74 words ▾

DIRECTIONS: • Adults and Children over 12: For sinus symptoms apply 3-9 sprays under tongue 2-3 times daily, or as needed. • Use 9 sprays under tongue, 3 times daily when symptoms increase or additional immune support is needed. • Hold spray under tongue for 15 seconds before swallowing. • Consult a physician for use in children under 12 years of age. Do not take within 15 minutes of consuming food or brushing teeth.

⚠️ Warnings 56 words ▾

WARNINGS: If pregnant or breast-feeding, ask a health professional before use. In case of overdose, get medical help or contact a Poison Control Center right away. If condition worsens, seek medical attention. KEEP OUT OF REACH OF CHILDREN Do not use if tamper evident seal is broken or missing. Store in a cool place after opening

🧪 Active Ingredient 84 words ▾

ACTIVE INGREDIENTS: (in each spray) Aspergillus Niger 16X, Babesia Microti 16X, Borrelia Burgdorferi 16X, Candida Albicans 16X, Candida Parapsilosis 16X, Chlamydia Trachomatis 16X, Colibacillinum Cum Natrum Muriaticum (Escherichia Coli) 16X, Cytomegalovirus Nosode 16X, Ehrlichia Nosode 16X, Epstein-Barr Virus Nosode 15C, Herpes Simplex I & II Nosode 30X, Herpes Zoster Nosode 15C, Human Papilloma Nosode 16X, Klebsiella Pneumoniae 16X, Lac Vaccinum (Cow’s Milk) 6X, 12X, 30X, 60X, 200X, Mucor Racemosus 16X, Mycobacterium Paratuberculosis 16X, Pneumoccoccinum 16X, Silicea (Silica) 9X, Staphylococcus Aureus 16X, Streptococcus Viridans 16X.

🧪 Inactive Ingredients 8 words ▾

INACTIVE INGREDIENTS: Alcohol USP 20%, Purified Water USP.

🎯 Purpose 198 words ▾

PURPOSE: Aspergillus Niger – Cough, respiratory symptoms,† Babesia Microti – Chills, sweats, headache, malaise,† Borrelia Burgdorferi – Fatigue, headache, muscle and joint aches,† Candida Albicans – Nausea, lethargy, confusion, food/fungi sensitivities,† Candida Parapsilosis – Sweats, chills, cough, abdominal pain,† Chlamydia Trachomatis – Fever, chills, abdominal pain,† Colibacillinum Cum Natrum Muriaticum (Escherichia Coli) – Diarrhea, nausea, swollen eyelids,† Cytomegalovirus Nosode – Minor muscle and joint aches, runny nose,† Ehrlichia Nosode - Sweats, headache, muscle and joint aches,† Epstein-Barr Virus Nosode – Headaches, sweats, chills, minor aches of muscles and joints,† Herpes Simplex I & II Nosode – Itching, muscle and joint aches, sweats, fatigue,† Herpes Zoster Nosode – Rash, itching, muscle weakness, fever, headache, fatigue, nausea,† Human Papilloma Nosode – Itching and abdominal pain,† Klebsiella Pneumoniae – Sweats, chills, cough,† Lac Vaccinum (Cow’s Milk) – Minor muscle and joint aches,† Mucor Racemosus – Nasal congestion, sneezing, watery eyes, cough,† Mycobacterium Paratuberculosis – Sweats, headache, dehydration, diarrhea, nausea,† Pneumoccoccinum – Sweats, headache, light sensitivity, stiff neck,† Silicea (Silica) – Headaches, facial pressure,† Staphylococcus Aureus – Headaches, chills, sweats, skin bumps or redness,† Streptococcus Viridans – Fever, fatigue† †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 ↗
← 83018-0004-01 · Micro 83019-0101-11 · Draco →
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.