NDC codes

FDA NDC Directory
Product NDC (as listed)58264-0039Labeler and product segments. Claims need a package NDC.
Product NDC at billing width58264-0039Add 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
58264-0039-15826400390129.57 mL in 1 BOTTLE, GLASS (58264-0039-1)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)
D-39
Generic name (nonproprietary)
lachesis muta venom, lycopodium clavatum spore, palladium, saxifraga granulata whole, and vespa crabro
Active ingredients
Lachesis muta venom — 30 [hp_X]/mLLycopodium clavatum spore — 30 [hp_X]/mLPalladium — 12 [hp_X]/mLSaxifraga granulata whole — 30 [hp_X]/mLVespa crabro — 12 [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 58264-0039_2b9ecbda-7107-d64a-e063-6294a90aac9eSPL ID 2b9ecbda-7107-d64a-e063-6294a90aac9eSPL set ID 0d997878-b973-45aa-a319-9194fcecc5fcUNII VSW71SS07I, C88X29Y479, 5TWQ1V240M, W1LUS9R48G, K3ALM8S49H

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

N458264003901 followed by a unit qualifier and the quantity

Package 58264-0039-01. 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 Supports ovary on the left side.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 58264-0039

What is NDC 58264-0039?
58264-0039 is the product NDC for D-39, Lachesis muta venom 30 [hp_X]/mL + 4 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?
D-39 (LACHESIS MUTA VENOM, LYCOPODIUM CLAVATUM SPORE, PALLADIUM, SAXIFRAGA GRANULATA WHOLE, and Vespa crabro).
What is the active ingredient?
Lachesis muta venom, Lycopodium clavatum spore, Palladium, Saxifraga granulata whole, Vespa crabro.
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 D-39?
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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