Non-standardized allergenic · BLA
Acer Negundo Pollen (Box elder ash leaf maple) NDC 0268-6612
Acer negundo pollen .05 g/mL · Injection, Solution · Percutaneous · ALK-Abello, Inc.
NDC codes
FDA NDC DirectoryProduct NDC (as listed)0268-6612Labeler and product segments. Claims need a package NDC.
Product NDC at billing width00268-6612Add the package segment from the table below.
| Package NDC | 11-digit (billing) | Package | Copy |
|---|---|---|---|
| 0268-6612-06 | 00268661206 | 5 mL in 1 VIAL, MULTI-DOSE (0268-6612-06)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)
- Acer Negundo Pollen
- Generic name (nonproprietary)
- box elder ash leaf maple
- Active ingredients
- Acer negundo pollen — .05 g/mL
- Dosage form
- Injection, Solution
- Route
- Percutaneous
- 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 0268-6612_22a0440f-2b25-45c4-997a-ea67c4ccea74SPL ID 22a0440f-2b25-45c4-997a-ea67c4ccea74
- 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.
- NDC on a medical claim
N400268661206followed by a unit qualifier and the quantityPackage 00268-6612-06. 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 0268-6612
- What is NDC 0268-6612?
- 0268-6612 is the product NDC for Acer Negundo Pollen (box elder ash leaf maple), Acer negundo pollen .05 g/mL injection, solution, listed with the FDA by ALK-Abello, Inc.. It has 1 package NDC, shown above in 10- and 11-digit form.
- What drug is associated with this NDC?
- Acer Negundo Pollen (Box Elder Ash Leaf Maple).
- What is the active ingredient?
- Acer negundo 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 Acer Negundo Pollen?
- 2 other product NDCs are listed under this name. See all Acer Negundo Pollen NDCs.
- Is there a related HCPCS / J-code?
- Not in Med-Code's curated HCPCS directory. See Billing references above.
Related NDCs: other Acer Negundo Pollen products
Other finished products listed under the same name: strengths, forms and labelers.
| Product | Strength | Form · route | Labeler | Product NDC | Package NDCs (11-digit) |
|---|---|---|---|---|---|
| Acer Negundo Pollenbox elder ash leaf maple | Acer negundo pollen .1 g/mL | Injection, SolutionSubcutaneous | ALK-Abello, Inc. | 0268-1080 | 00268-1080-1000268-1080-50 |
| Acer Negundo Pollenbox elder ash leaf maple | Acer negundo pollen .05 g/mL | Injection, SolutionSubcutaneous | ALK-Abello, Inc. | 0268-1081 | 00268-1081-1000268-1081-50 |
Other NDCs under BLA 103753
Products listed under the same FDA application: other strengths and forms, and repackagers who relabel the same product.
| Product | Strength | Form · route | Labeler | Product NDC |
|---|---|---|---|---|
| Mold Mix Bepicoccum nigrum, gibberella zeae and mucor plumbeus | Epicoccum nigrum .05 g/mL + 2 more ingredients | Injection, SolutionPercutaneous, Subcutaneous | ALK-Abello, Inc. | 0268-8112 |
| Maple Mixacer negundo pollen and acer rubrum pollen | Acer negundo pollen .05 g/mL; Acer rubrum pollen .05 g/mL | Injection, SolutionPercutaneous | ALK-Abello, Inc. | 0268-8032 |
| Sarocladium Strictum | Sarocladium strictum .05 g/mL | Injection, SolutionPercutaneous | ALK-Abello, Inc. | 0268-8081 |
| Epicoccum Nigrum | Epicoccum nigrum .05 g/mL | Injection, SolutionPercutaneous, Subcutaneous | ALK-Abello, Inc. | 0268-8097 |
| Riceoryza sativa | White rice .1 g/mL | Injection, SolutionPercutaneous | ALK-Abello, Inc. | 0268-6208 |
| Amaranthus Retroflexus Pollenrough pigweed | Amaranthus retroflexus pollen .05 g/mL | Injection, SolutionPercutaneous | ALK-Abello, Inc. | 0268-6649 |
| Lobsterhomarus americanus | American lobster .1 g/mL | Injection, SolutionPercutaneous | ALK-Abello, Inc. | 0268-6174 |
| Rumex Crispus Pollenyellow dock | Rumex crispus pollen .05 g/mL | Injection, SolutionPercutaneous | ALK-Abello, Inc. | 0268-6622 |
| Salsola Kali Pollenrussian thistle | Salsola kali pollen .1 g/mL | Injection, SolutionSubcutaneous | ALK-Abello, Inc. | 0268-1453 |
| Celeryapium graveolens | Celery .1 g/mL | Injection, SolutionPercutaneous | ALK-Abello, Inc. | 0268-6120 |
| Artemisia Vulgaris Pollenmugwort common | Artemisia vulgaris pollen .1 g/mL | Injection, SolutionSubcutaneous | ALK-Abello, Inc. | 0268-1297 |
| Amaranthus Spinosus Pollenpigweed spiny | Amaranthus spinosus pollen .1 g/mL | Injection, SolutionSubcutaneous | ALK-Abello, Inc. | 0268-1371 |
| Morella Cerifera Pollenbayberry wax myrtle | Morella cerifera pollen .1 g/mL | Injection, SolutionSubcutaneous | ALK-Abello, Inc. | 0268-1041 |
| Populus Deltoides Ssp Monilifera Pollencottonwood western | Populus deltoides subsp. Monilifera pollen .1 g/mL | Injection, SolutionSubcutaneous | ALK-Abello, Inc. | 0268-1138 |
| Sorghum Halepense Pollenjohnson grass | Sorghum halepense pollen .05 g/mL | Injection, SolutionSubcutaneous | ALK-Abello, Inc. | 0268-1215 |
| Rabbit | Rabbit .1 g/mL | Injection, SolutionSubcutaneous | ALK-Abello, Inc. | 0268-0650 |
| Cladosporium Cladosporioides | Cladosporium cladosporioides .05 g/mL | Injection, SolutionPercutaneous, Subcutaneous | ALK-Abello, Inc. | 0268-8095 |
| Mold Mix Aalternaria alternata, aspergillus fumigatus, cladosporium cladosporioides and penicillium chrysogenum var. chrysogenum | Alternaria alternata .05 g/mL + 3 more ingredients | Injection, SolutionPercutaneous, Subcutaneous | ALK-Abello, Inc. | 0268-8110 |
| WEED MIX Number 7Bamaranthus retroflexus pollen, artemisia vulgaris root, chenopodium album pollen, plantago lanceolata pollen, rumex acetosella pollen, rumex crispus pollen and strumarium pollen | Xanthium strumarium pollen .05 g/mL + 6 more ingredients | Injection, SolutionSubcutaneous | ALK-Abello, Inc. | 0268-8078 |
| Amaranthus Tuberculatus Pollenwater hemp | Amaranthus tuberculatus pollen .025 g/mL | Injection, SolutionPercutaneous | ALK-Abello, Inc. | 0268-6771 |
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