NDC codes

FDA NDC Directory
Product NDC (as listed)58264-0017Labeler and product segments. Claims need a package NDC.
Product NDC at billing width58264-0017Add 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
58264-0017-15826400170129.57 mL in 1 BOTTLE, GLASS (58264-0017-1)Marketed from Jan 1, 1990

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)
D17
Generic name (nonproprietary)
naja naja whole, scrophularia nodosa, lactic acid, dl-, and radium bromide
Active ingredients
Naja naja whole — 30 [hp_X]/mLScrophularia nodosa — 2 [hp_X]/mLLactic acid, Dl- — 4 [hp_X]/mLRadium bromide — 30 [hp_X]/mL
Dosage form
Solution
Route
Sublingual
Labeler
DNA Labs, Inc.NDC labeler code 58264
Product type
Over-the-counter drug
Marketing category
Unapproved homeopathic
Marketing start
Listing expires
Identifiers
Product ID 58264-0017_2b9ea788-da05-c3ef-e063-6394a90a6b11SPL ID 2b9ea788-da05-c3ef-e063-6394a90a6b11SPL set ID c541b0b9-ee69-40a8-8a4e-8d2a0a41ecf9UNII D279BDR31E, 7H443NUB2T, 3B8D35Y7S4, R74O7T8569

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. Sublingual products like this are usually dispensed by a pharmacy and billed by NDC.

NDC on a medical claim

N458264001701 followed by a unit qualifier and the quantity

Package 58264-0017-01. 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)

INDICATIONS Regenerator of diseased tissue.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 58264-0017

What is NDC 58264-0017?
58264-0017 is the product NDC for D17, Naja naja whole 30 [hp_X]/mL + 3 more ingredients solution, listed with the FDA by DNA Labs, Inc.. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
D17 (Naja Naja Whole, Scrophularia nodosa, Lactic Acid, DL-, and Radium bromide).
What is the active ingredient?
Naja naja whole, Scrophularia nodosa, Lactic acid, Dl-, Radium bromide.
Who is the labeler?
DNA Labs, Inc., NDC labeler code 58264. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for D17?
None: this is the only finished product listed under this name.
Is there a related HCPCS / J-code?
Not in Med-Code's curated HCPCS directory. See Billing references above.

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