Pollen Mix NDC 43857-0535

NDC codes

FDA NDC Directory

Product NDC (as listed)43857-0535Labeler and product segments. Claims need a package NDC.

Product NDC at billing width43857-0535Add 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
43857-0535-1	43857053501	30 mL in 1 BOTTLE, DROPPER (43857-0535-1)Marketed from Oct 29, 2019

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): Pollen Mix
Generic name (nonproprietary): american elm, plane (sycamore), ash, beech, willow, elder (box elder), alder, cedar, maple, hazel, poplar, kentucky bluegrass, orchard grass, silver birch, bermuda grass, johnson grass, rye grass, vernal grass, bahia grass, oak, hickory, timothy grass
Active ingredients: Ulmus americana pollen — 16 [hp_X]/mLPlatanus x acerifolia pollen — 16 [hp_X]/mLFraxinus excelsior pollen — 16 [hp_X]/mLFagus sylvatica pollen — 16 [hp_X]/mLSalix x fragilis pollen — 16 [hp_X]/mLSambucus canadensis flower — 16 [hp_X]/mLAlnus rubra pollen — 16 [hp_X]/mLJuniperus virginiana pollen — 16 [hp_X]/mLAcer saccharum pollen — 16 [hp_X]/mLCorylus avellana pollen — 16 [hp_X]/mLPopulus alba pollen — 16 [hp_X]/mLPoa pratensis pollen — 16 [hp_X]/mLDactylis glomerata pollen — 16 [hp_X]/mLBetula pendula pollen — 16 [hp_X]/mLCynodon dactylon pollen — 16 [hp_X]/mLSorghum halepense pollen — 16 [hp_X]/mLSecale cereale pollen — 16 [hp_X]/mLAnthoxanthum odoratum pollen — 16 [hp_X]/mLPaspalum notatum pollen — 16 [hp_X]/mLQuercus robur pollen — 16 [hp_X]/mLCarya glabra pollen — 16 [hp_X]/mLPhleum pratense pollen — 16 [hp_X]/mL
Dosage form: Liquid
Route: Oral
Labeler: BioActive Nutritional, Inc.
Product type: Over-the-counter drug
Marketing category: Unapproved homeopathic
Marketing start: Oct 29, 2019
Listing expires: Dec 31, 2026
Other FDA classes: Allergens (Chemical structure)Allergens (Chemical structure)Allergens (Chemical structure)Allergens (Chemical structure)Allergens (Chemical structure)Allergens (Chemical structure)Allergens (Chemical structure)Allergens (Chemical structure)Allergens (Chemical structure)Allergens (Chemical structure)Allergens (Chemical structure)Allergens (Chemical structure)Allergens (Chemical structure)Allergens (Chemical structure)Allergens (Chemical structure)Allergens (Chemical structure)Allergens (Chemical structure)Allergens (Chemical structure)Cell-mediated Immunity (Physiologic effect)Cell-mediated Immunity (Physiologic effect)Cell-mediated Immunity (Physiologic effect)Cell-mediated Immunity (Physiologic effect)Cell-mediated Immunity (Physiologic effect)Cell-mediated Immunity (Physiologic effect)Cell-mediated Immunity (Physiologic effect)Cell-mediated Immunity (Physiologic effect)Cell-mediated Immunity (Physiologic effect)Cell-mediated Immunity (Physiologic effect)Cell-mediated Immunity (Physiologic effect)Cell-mediated Immunity (Physiologic effect)Cell-mediated Immunity (Physiologic effect)Cell-mediated Immunity (Physiologic effect)Cell-mediated Immunity (Physiologic effect)Cell-mediated Immunity (Physiologic effect)Cell-mediated Immunity (Physiologic effect)Cell-mediated Immunity (Physiologic effect)Increased Histamine Release (Physiologic effect)Increased Histamine Release (Physiologic effect)Increased Histamine Release (Physiologic effect)Increased Histamine Release (Physiologic effect)Increased Histamine Release (Physiologic effect)Increased Histamine Release (Physiologic effect)Increased Histamine Release (Physiologic effect)Increased Histamine Release (Physiologic effect)Increased Histamine Release (Physiologic effect)Increased Histamine Release (Physiologic effect)Increased Histamine Release (Physiologic effect)Increased Histamine Release (Physiologic effect)Increased Histamine Release (Physiologic effect)Increased Histamine Release (Physiologic effect)Increased Histamine Release (Physiologic effect)Increased Histamine Release (Physiologic effect)Increased Histamine Release (Physiologic effect)Increased Histamine Release (Physiologic effect)Increased IgG Production (Physiologic effect)Increased IgG Production (Physiologic effect)Increased IgG Production (Physiologic effect)Increased IgG Production (Physiologic effect)Increased IgG Production (Physiologic effect)Increased IgG Production (Physiologic effect)Increased IgG Production (Physiologic effect)Increased IgG Production (Physiologic effect)Increased IgG Production (Physiologic effect)Increased IgG Production (Physiologic effect)Increased IgG Production (Physiologic effect)Increased IgG Production (Physiologic effect)Increased IgG Production (Physiologic effect)Increased IgG Production (Physiologic effect)Increased IgG Production (Physiologic effect)Increased IgG Production (Physiologic effect)Increased IgG Production (Physiologic effect)Increased IgG Production (Physiologic effect)Pollen (Chemical structure)Pollen (Chemical structure)Pollen (Chemical structure)Pollen (Chemical structure)Pollen (Chemical structure)Pollen (Chemical structure)Pollen (Chemical structure)Pollen (Chemical structure)Pollen (Chemical structure)Pollen (Chemical structure)Pollen (Chemical structure)Pollen (Chemical structure)Pollen (Chemical structure)Pollen (Chemical structure)Pollen (Chemical structure)Pollen (Chemical structure)Pollen (Chemical structure)Pollen (Chemical structure)
Identifiers: Product ID 43857-0535_6af21280-f2cd-40ac-adc7-52f1e10c3575SPL ID 6af21280-f2cd-40ac-adc7-52f1e10c3575SPL set ID 8b9fa995-47a4-4b2d-9db8-5f4c6eccbd16UNII 89BAT511BD, 77X11O684J, 1824QUA0U3, 63218N1ZBI, UQ7Z2EA3ZI, C87P971T6W, Z0F2YK1B7H, PY0JA16R2G, V38QUQ7861, CR2J49TL6L, VU8C8SB23P, SCB8J7LS3T, 83N78IDA7P, ZL5TV40C5Y, 175F461W10, 577VA5B4HP, I6KAZ8AO1O, 2KIK19R45Y, V003SHB7VK, 4PNW66TTHR, KPO1Z9N98A, 65M88RW2EG
Pharmacologic class: Non-Standardized Pollen Allergenic Extract; 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 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

N443857053501 followed by a unit qualifier and the quantity

Package 43857-0535-01. 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 Oct 17, 2024.

Indications (excerpt from the label)

INDICATIONS: For temporary relief of allergies due to pollen.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)