Dairy Allergen Mix NDC 43742-2201

NDC codes

FDA NDC Directory

Product NDC (as listed)43742-2201Labeler and product segments. Claims need a package NDC.

Product NDC at billing width43742-2201Add 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 NDC	11-digit (billing)	Package	Copy
43742-2201-1	43742220101	30 mL in 1 BOTTLE, DROPPER (43742-2201-1)Marketed from Sep 6, 2024

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): Dairy Allergen Mix
Generic name (nonproprietary): adenosinum triphosphoricum dinatrum, benzoicum acidum, calcarea carbonica, calcarea fluorica, calcarea phosphorica, calcium citrate, calcium gluconate, carbo vegetabilis, chamomilla, cholinum, cinnamic acid, coumarinum, eugenol, folic acid, folliculinum, formalinum, gaba (gamma-aminobutyric acid), gaertner bacillus (bach), histaminum hydrochloricum, ileum (suis), jejunum (suis), l-asparagine (monohydrate), lac caninum, lac defloratum, lac felinum, lac humanum, lac vaccinum, menadione,
Active ingredients: Adenosine triphosphate disodium — 4 [hp_X]/mLBenzoic acid — 6 [hp_X]/mLOyster shell calcium carbonate, Crude — 6 [hp_C]/mLCalcium fluoride — 6 [hp_C]/mLTribasic calcium phosphate — 6 [hp_C]/mLCalcium citrate — 6 [hp_C]/mLCalcium gluconate — 6 [hp_C]/mLActivated charcoal — 6 [hp_C]/mLMatricaria chamomilla whole — 6 [hp_C]/mLCholine hydroxide — 6 [hp_X]/mLCinnamic acid — 6 [hp_X]/mLCoumarin — 8 [hp_X]/mLEugenol — 6 [hp_X]/mLFolic acid — 6 [hp_X]/mLEstrone — 8 [hp_X]/mLFormaldehyde solution — 6 [hp_X]/mL.gamma.-aminobutyric acid — 8 [hp_X]/mLSalmonella enterica enterica serovar enteritidis — 12 [hp_C]/mLHistamine dihydrochloride — 6 [hp_X]/mLSus scrofa ileum — 8 [hp_X]/mLSus scrofa jejunum — 8 [hp_X]/mLAsparagine monohydrate — 6 [hp_X]/mLCanis lupus familiaris milk — 30 [hp_X]/mLSkim milk — 6 [hp_X]/mLFelis catus milk — 30 [hp_X]/mLHuman milk — 30 [hp_X]/mLCow milk — 6 [hp_X]/mLMenadione — 6 [hp_X]/mLSus scrofa ovary — 6 [hp_X]/mLPetroselinum crispum whole — 6 [hp_X]/mLPhenyl isothiocyanate — 6 [hp_X]/mLPiperine — 30 [hp_X]/mLQuercetin — 6 [hp_X]/mLToxicodendron pubescens leaf — 6 [hp_C]/mLRutin — 6 [hp_C]/mLLactose, Unspecified form — 6 [hp_X]/mLLactic acid, L- — 8 [hp_X]/mLSus scrofa stomach — 8 [hp_X]/mL
Dosage form: Liquid
Route: Oral
Labeler: Deseret Biologicals, Inc.
Product type: Over-the-counter drug
Marketing category: Unapproved homeopathic
Marketing start: Sep 6, 2024
Listing expires: Dec 31, 2026
Other FDA classes: Allergens (Chemical structure)Allergens (Chemical structure)Ammonium Ion Binding Activity (Mechanism)Calcium (Chemical structure)Calcium (Chemical structure)Calcium (Chemical structure)Divalent (Chemical structure)Divalent (Chemical structure)Divalent (Chemical structure)Cell-mediated Immunity (Physiologic effect)Cell-mediated Immunity (Physiologic effect)Dietary Proteins (Chemical structure)Increased Coagulation Factor Activity (Physiologic effect)Increased Coagulation Factor Activity (Physiologic effect)Increased Coagulation Factor Activity (Physiologic effect)Increased Histamine Release (Physiologic effect)Increased Histamine Release (Physiologic effect)Milk Proteins (Chemical structure)Phosphate Chelating Activity (Mechanism)Phosphate Chelating Activity (Mechanism)Phosphate Chelating Activity (Mechanism)
Identifiers: Product ID 43742-2201_a353c84d-8238-494a-be47-adbcdefbe44bSPL ID a353c84d-8238-494a-be47-adbcdefbe44bSPL set ID e2bc26d2-1719-40c5-a6f9-8ff1f364c3cfUNII 5L51B4DR1G, 8SKN0B0MIM, 2E32821G6I, O3B55K4YKI, 91D9GV0Z28, MLM29U2X85, SQE6VB453K, 2P3VWU3H10, G0R4UBI2ZZ, 7THJ3EG9SY, U14A832J8D, A4VZ22K1WT, 3T8H1794QW, 935E97BOY8, 2DI9HA706A, T0H3L6C7I5, 2ACZ6IPC6I, Y3V16D4PV4, 3POA0Q644U, C998R1XSRA, TA501QD69R, 2PD79VF521, G39P120JQT, 6A001Y4M5A, 5A3Y60049Z, 1XCH439UQR, 917J3173FT, 723JX6CXY5, S7YTV04R8O, 1WZA4Y92EX, 0D58F84LSU, U71XL721QK, 9IKM0I5T1E, 6IO182RP7A, 5G06TVY3R7, J2B2A4N98G, F9S9FFU82N, T0920P9Z9AUPC 0810151881980
Pharmacologic class: Blood Coagulation Factor; Nitrogen Binding Agent; Non-Standardized Food Allergenic Extract; Phosphate Binder; Standardized Chemical Allergen

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

N443742220101 followed by a unit qualifier and the quantity

Package 43742-2201-01. 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 Sep 6, 2024.

Indications (excerpt from the label)

USES: • For the temporary relief of symptoms including: • allergy symptoms • muscle weakness • fatigue • cramping muscles These statements are based upon homeopathic principles. They have not been reviewed by the Food and Drug Administration.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)