Standardized Redtop Grass (agrostis alba) NDC 49643-309

NDC codes

FDA NDC Directory

Product NDC (as listed)49643-309Labeler and product segments. Claims need a package NDC.

Product NDC at billing width49643-0309Add 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
49643-309-05	49643030905	5 mL in 1 VIAL, MULTI-DOSE (49643-309-05)Marketed from Dec 2, 1996
49643-309-10	49643030910	10 mL in 1 VIAL, MULTI-DOSE (49643-309-10)Marketed from Dec 2, 1996
49643-309-30	49643030930	30 mL in 1 VIAL, MULTI-DOSE (49643-309-30)Marketed from Dec 2, 1996
49643-309-50	49643030950	50 mL in 1 VIAL, MULTI-DOSE (49643-309-50)Marketed from Dec 2, 1996

How the 11-digit form is made: The product segment has 3 digits, so one leading zero is added to it (5-3-2 → 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): Standardized Redtop Grass
Generic name (nonproprietary): agrostis alba
Active ingredients: Agrostis gigantea pollen — 100000 [BAU]/mL
Dosage form: Injection
Route: Cutaneous, Intradermal, Subcutaneous
Labeler: Allermed Laboratories, Inc.
Product type: Prescription drug
Marketing category: BLA — Biologics License ApplicationApplication BLA 102218
Marketing start: Dec 2, 1996
Listing expires: Dec 31, 2026
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 49643-309_36ad5f03-e686-f1d0-e063-6394a90adfe8SPL ID 36ad5f03-e686-f1d0-e063-6394a90adfe8SPL set ID d33c3aed-f487-45ed-a465-365170c6450aRxCUI 851873, 852157, 853027, 853047, 853278, 854054, 854162, 897496UNII A0WFQ8P6N1, 83N78IDA7P, 65M88RW2EG, HU8V6E7HOA, SCB8J7LS3T, 175F461W10, 4T81LB52R0, 2KIK19R45Y
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 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

N449643030905 followed by a unit qualifier and the quantity

Package 49643-0309-05. 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

Label details couldn’t be retrieved right now. Open the label on DailyMed.