NDC codes

FDA NDC Directory
Product NDC (as listed)43406-0100Labeler and product segments. Claims need a package NDC.
Product NDC at billing width43406-0100Add 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
43406-0100-14340601000130 mL in 1 BOTTLE, DROPPER (43406-0100-1)Marketed from Jul 18, 2014

How the 11-digit form is made: The package segment has 1 digit, so one leading zero is added to it (5-4-1 → 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)
Weed Grass Antigen
Generic name (nonproprietary)
alopecurus pratensis, anthoxanthum, cynodon, melilotus off, phleum pratense, rumex crisp, secale cereale, solidago, triticum vulgare, allium cepa, ambrosia, arsenicum alb, nux vomica, pulsatilla
Active ingredients
Alopecurus pratensis — 30 [hp_X]/mLAnthoxanthum odoratum whole — 30 [hp_X]/mLCynodon dactylon whole — 30 [hp_X]/mLMelilotus officinalis top — 30 [hp_X]/mLPhleum pratense pollen — 30 [hp_X]/mLRumex crispus root — 30 [hp_X]/mLSecale cereale whole — 30 [hp_X]/mLSolidago virgaurea flowering top — 30 [hp_X]/mLWheat bran — 30 [hp_X]/mLOnion — 30 [hp_C]/mLAmbrosia artemisiifolia whole — 30 [hp_C]/mLArsenic trioxide — 30 [hp_C]/mLStrychnos nux-vomica seed — 30 [hp_C]/mLPulsatilla vulgaris whole — 30 [hp_C]/mL
Dosage form
Liquid
Route
Oral
Product type
Over-the-counter drug
Marketing category
Unapproved homeopathic
Marketing start
Listing expires
Other FDA classes
Allergens (Chemical structure)Allergens (Chemical structure)Cell-mediated Immunity (Physiologic effect)Cell-mediated Immunity (Physiologic effect)Dietary Proteins (Chemical structure)Increased Histamine Release (Physiologic effect)Increased Histamine Release (Physiologic effect)Increased IgG Production (Physiologic effect)Plant Proteins (Chemical structure)Seed Storage Proteins (Chemical structure)Vegetable Proteins (Chemical structure)
Identifiers
Product ID 43406-0100_adacf002-ce24-4cc2-9100-0bf490883941SPL ID adacf002-ce24-4cc2-9100-0bf490883941SPL set ID 8d54c1aa-7615-419c-825f-1fc534bda608UNII T306U9V415, YMW1K70E4Q, 2Q8MR21NHK, GM6P02J2DX, 65M88RW2EG, 9N1RM2S62C, 12M71ST1GZ, 5405K23S50, 6L966A1IMR, 492225Q21H, 9W34L2CQ9A, S7V92P67HO, 269XH13919, I76KB35JEVUPC 0877730003171
Pharmacologic class
Non-Standardized Food Allergenic Extract; Non-Standardized Plant 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 HCPCS code in Med-Code's directory. Oral products like this are usually dispensed by a pharmacy and billed by NDC.

NDC on a medical claim

N443406010001 followed by a unit qualifier and the quantity

Package 43406-0100-01. 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

Current FDA label (SPL), effective .

Indications (excerpt from the label)

USES: Temporarily relives symptoms related to weed & grass allergies.**

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

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