NDC codes

FDA NDC Directory
Product NDC (as listed)58264-0040Labeler and product segments. Claims need a package NDC.
Product NDC at billing width58264-0040Add 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
58264-0040-15826400400129.57 mL in 1 BOTTLE, GLASS (58264-0040-1)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-40
Generic name (nonproprietary)
phosphoric acid, lycopodium clavatum spore, sodium sulfate, claviceps purpurea sclerotium, uranyl nitrate hexahydrate, phaseolus vulgaris whole, and arsenic trioxide
Active ingredients
Phosphoric acid — 12 [hp_X]/mLLycopodium clavatum spore — 30 [hp_X]/mLSodium sulfate — 12 [hp_X]/mLClaviceps purpurea sclerotium — 4 [hp_X]/mLUranyl nitrate hexahydrate — 30 [hp_X]/mLPhaseolus vulgaris whole — 12 [hp_X]/mLArsenic trioxide — 8 [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 58264-0040_2b9ec3c9-bde9-dcf4-e063-6394a90a24ffSPL ID 2b9ec3c9-bde9-dcf4-e063-6394a90a24ffSPL set ID 8a86c0ee-93e9-48da-a7d8-89225e233177UNII E4GA8884NN, C88X29Y479, 0YPR65R21J, 01G9XEA93N, 3V057702FY, HC262P51WU, S7V92P67HO

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

N458264004001 followed by a unit qualifier and the quantity

Package 58264-0040-01. 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 Diabetes, pernicious anemia.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 58264-0040

What is NDC 58264-0040?
58264-0040 is the product NDC for D-40, Phosphoric acid 12 [hp_X]/mL + 6 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-40 (PHOSPHORIC ACID, LYCOPODIUM CLAVATUM SPORE, SODIUM SULFATE, CLAVICEPS PURPUREA SCLEROTIUM, URANYL NITRATE HEXAHYDRATE, PHASEOLUS VULGARIS WHOLE, and ARSENIC TRIOXIDE).
What is the active ingredient?
Phosphoric acid, Lycopodium clavatum spore, Sodium sulfate, Claviceps purpurea sclerotium, Uranyl nitrate hexahydrate, Phaseolus vulgaris whole, Arsenic trioxide.
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-40?
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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