NDC codes

FDA NDC Directory
Product NDC (as listed)58264-0058Labeler and product segments. Claims need a package NDC.
Product NDC at billing width58264-0058Add 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
58264-0058-15826400580129.57 mL in 1 BOTTLE, GLASS (58264-0058-1)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-58
Generic name (nonproprietary)
adonis vernalis, convallaria majalis, helleborus niger root, digitalis, crataegus laevigata fruit, and drimia maritima bulb
Active ingredients
Adonis vernalis — 2 [hp_X]/mLConvallaria majalis — 2 [hp_X]/mLHelleborus niger root — 4 [hp_X]/mLDigitalis — 4 [hp_X]/mLCrataegus laevigata fruit — 1 [hp_X]/mLDrimia maritima bulb — 4 [hp_X]/mL
Dosage form
Solution
Route
Sublingual
Product type
Over-the-counter drug
Marketing category
Unapproved homeopathic
Marketing start
Listing expires
Identifiers
Product ID 58264-0058_2b9ecbda-7106-d64a-e063-6294a90aac9eSPL ID 2b9ecbda-7106-d64a-e063-6294a90aac9eSPL set ID e73d5830-1f04-478b-9178-63dc104c4a9cUNII DX3ZNI25WK, QHH4HVF5QE, 608DGJ6815, F1T8QT9U8B, D5RZ7MF1YF, 3629601H5D

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

N458264005801 followed by a unit qualifier and the quantity

Package 58264-0058-01. 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 Muscular weakness of the heart, edema of the legs.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

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