NDC codes

FDA NDC Directory
Product NDC (as listed)0268-1159Labeler and product segments. Claims need a package NDC.
Product NDC at billing width00268-1159Add the package segment from the table below.
Package NDCs as listed with the FDA, and the 11-digit 5-4-2 form used on claims. The highlighted digit is the added leading zero.
Package NDC11-digit (billing)PackageCopy
0268-1159-100026811591010 mL in 1 VIAL, MULTI-DOSE (0268-1159-10)Marketed from Jan 1, 1965
0268-1159-500026811595050 mL in 1 VIAL, MULTI-DOSE (0268-1159-50)Marketed from Jan 1, 1965

How the 11-digit form is made: The labeler segment has 4 digits, so one leading zero is added to it (4-4-2 → 5-4-2). Formatting the NDC does not by itself make it billable — the product, package and quantity must match what was dispensed or administered, and payer rules apply. Conversion rules

Product information

Brand name (proprietary)
Rumex Crispus Pollen
Generic name (nonproprietary)
dock yellow
Active ingredients
Rumex crispus pollen — .1 g/mL
Dosage form
Injection, Solution
Route
Subcutaneous
Labeler
ALK-Abello, Inc.NDC labeler code 0268
Product type
Non-standardized allergenic
Marketing category
BLA — Biologics License ApplicationApplication BLA 103753
Marketing start
Listing expires
Other FDA classes
Allergens (Chemical structure)Cell-mediated Immunity (Physiologic effect)Increased Histamine Release (Physiologic effect)Increased IgG Production (Physiologic effect)Pollen (Chemical structure)
Identifiers
Product ID 0268-1159_a3200b5f-95f3-43cf-a26f-27a503470956SPL ID a3200b5f-95f3-43cf-a26f-27a503470956
Pharmacologic class
Non-Standardized Pollen Allergenic Extract

Billing references

What Med-Code can say about coding this product, and where each statement comes from. Nothing here is inferred from the name alone.

HCPCS codeNo match

No drug-specific HCPCS code in Med-Code's directory for this product. The directory is curated and not complete — check the current CMS HCPCS file before billing.

Administration

Drug administration (CPT 96360–96549)

When a clinician administers the drug, the administration is reported separately. Codes in this range cover hydration, therapeutic injections and infusions, and chemotherapy or other complex drug administration. The right code depends on route, duration and drug type, and self-administered drugs are not billed this way.

How CPT relates to drug billing

NDC on a medical claim

N400268115910 followed by a unit qualifier and the quantity

Package 00268-1159-10. Unit qualifiers: F2 (international unit), GR (gram), ME (milligram), ML (milliliter), UN (unit (each)). The qualifier and quantity depend on what was given. About the N4 qualifier

Product label

The FDA listing for this product does not reference a label (SPL) set.

About NDC 0268-1159

What is NDC 0268-1159?
0268-1159 is the product NDC for Rumex Crispus Pollen (dock yellow), Rumex crispus pollen .1 g/mL injection, solution, listed with the FDA by ALK-Abello, Inc.. It has 2 package NDCs, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Rumex Crispus Pollen (Dock Yellow).
What is the active ingredient?
Rumex crispus pollen.
Who is the labeler?
ALK-Abello, Inc., NDC labeler code 0268. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Rumex Crispus Pollen?
2 other product NDCs are listed under this name. See all Rumex Crispus Pollen NDCs.
Is there a related HCPCS / J-code?
Not in Med-Code's curated HCPCS directory. See Billing references above.

Other finished products listed under the same name: strengths, forms and labelers.

Other Rumex Crispus Pollen NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
Rumex Crispus Pollenyellow dockRumex crispus pollen .05 g/mLInjection, SolutionPercutaneousALK-Abello, Inc.0268-662200268-6622-06
Rumex Crispus Pollendock yellowRumex crispus pollen .05 g/mLInjection, SolutionSubcutaneousALK-Abello, Inc.0268-116000268-1160-1000268-1160-50

Other NDCs under BLA 103753

Products listed under the same FDA application: other strengths and forms, and repackagers who relabel the same product.

FDA NDC Directory listings under BLA 103753
ProductStrengthForm · routeLabelerProduct NDC
Cupressus Arizonica Pollencypress arizonaCupressus arizonica pollen .05 g/mLInjection, SolutionSubcutaneousALK-Abello, Inc.0268-1143
Juniperus Californica Pollenjuniper westernJuniperus californica pollen .1 g/mLInjection, SolutionSubcutaneousALK-Abello, Inc.0268-1223
Sorrel/Dock Mixrumex acetosella pollen and rumex crispus pollenRumex acetosella pollen .05 g/mL; Rumex crispus pollen .05 g/mLInjection, SolutionPercutaneous, SubcutaneousALK-Abello, Inc.0268-1302
Cavia Porcellus Skinguinea pig epitheliaCavia porcellus skin .05 g/mLInjection, SolutionSubcutaneousALK-Abello, Inc.0268-0653
Fagus Grandifolia PollenbeechFagus grandifolia pollen .1 g/mLInjection, SolutionSubcutaneousALK-Abello, Inc.0268-1046
White Potatosolanum tuberosumPotato .1 g/mLInjection, SolutionPercutaneousALK-Abello, Inc.0268-6206
Carya Illinoinensis Pollenpecan pollenCarya illinoinensis pollen .05 g/mLInjection, SolutionPercutaneousALK-Abello, Inc.0268-6648
Candida AlbicansCandida albicans .05 g/mLInjection, SolutionPercutaneousALK-Abello, Inc.0268-8093
Trichophyton MentagrophytesTrichophyton mentagrophytes .05 g/mLInjection, SolutionPercutaneousALK-Abello, Inc.0268-8108
Mus Musculus Skinmouse epitheliumMus musculus skin .05 g/mLInjection, SolutionPercutaneousALK-Abello, Inc.0268-6314
Ambrosia Acanthicarpa Pollenfalse ragweed burAmbrosia acanthicarpa pollen .05 g/mLInjection, SolutionPercutaneousALK-Abello, Inc.0268-6749
Sorghum Halepense Pollenjohnson grassSorghum halepense pollen .1 g/mLInjection, SolutionSubcutaneousALK-Abello, Inc.0268-1214
Paspalum Notatum Pollenbahia grassPaspalum notatum pollen .05 g/mLInjection, SolutionSubcutaneousALK-Abello, Inc.0268-1035
Populus Deltoides Pollencottonwood eastern commonPopulus deltoides pollen .05 g/mLInjection, SolutionSubcutaneousALK-Abello, Inc.0268-1127
Lima Beanphaseolus lunatusLima bean .1 g/mLInjection, SolutionPercutaneousALK-Abello, Inc.0268-6173
Rumex Acetosella Pollensour dock sheep sorrelRumex acetosella pollen .05 g/mLInjection, SolutionPercutaneousALK-Abello, Inc.0268-6621
Ambrosia Psilostachya Pollenragweed westernAmbrosia psilostachya pollen .05 g/mLInjection, SolutionSubcutaneousALK-Abello, Inc.0268-1446
Caseinbos taurusCasein .1 g/mLInjection, SolutionPercutaneousALK-Abello, Inc.0268-6118
Prosopis Juliflora PollenmesquiteProsopis juliflora pollen .05 g/mLInjection, SolutionSubcutaneousALK-Abello, Inc.0268-1280
Amaranthus Retroflexus Pollenpigweed rough redrootAmaranthus retroflexus pollen .05 g/mLInjection, SolutionSubcutaneousALK-Abello, Inc.0268-1365

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