NDC codes

FDA NDC Directory
Product NDC (as listed)58264-0113Labeler and product segments. Claims need a package NDC.
Product NDC at billing width58264-0113Add 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
58264-0113-15826401130129.57 mL in 1 BOTTLE, GLASS (58264-0113-1)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-107
Generic name (nonproprietary)
actaea spicata root, arnica montana, caulophyllum thalictroides root, magnesium phosphate, dibasic trihydrate, oxalic acid, sepia officinalis juice, cola acuminata seed, stellaria media, and toxicodendron pubescens leaf
Active ingredients
Actaea spicata root — 30 [hp_X]/mLArnica montana — 6 [hp_X]/mLCaulophyllum thalictroides root — 30 [hp_X]/mLMagnesium phosphate, Dibasic trihydrate — 6 [hp_X]/mLOxalic acid — 8 [hp_X]/mLSepia officinalis juice — 12 [hp_X]/mLCola acuminata seed — 6 [hp_X]/mLStellaria media — 6 [hp_X]/mLToxicodendron pubescens leaf — 6 [hp_X]/mL
Dosage form
Solution
Route
Sublingual
Product type
Over-the-counter drug
Marketing category
Unapproved homeopathic
Marketing start
Listing expires
Other FDA classes
Allergens (Chemical structure)Cell-mediated Immunity (Physiologic effect)Dietary Proteins (Chemical structure)Increased Histamine Release (Physiologic effect)Increased Large Intestinal Motility (Physiologic effect)Inhibition Large Intestine Fluid/Electrolyte Absorption (Physiologic effect)Inhibition Small Intestine Fluid/Electrolyte Absorption (Physiologic effect)Magnesium Ion Exchange Activity (Mechanism)Osmotic Activity (Mechanism)Plant Proteins (Chemical structure)Seed Storage Proteins (Chemical structure)Stimulation Large Intestine Fluid/Electrolyte Secretion (Physiologic effect)
Identifiers
Product ID 58264-0113_2b9ed994-a888-0e65-e063-6394a90aca84SPL ID 2b9ed994-a888-0e65-e063-6394a90aca84SPL set ID e12a693d-cf0b-48d6-9317-a54d146005e0UNII 3FU86L9OS0, O80TY208ZW, JTJ6HH6YEH, HF539G9L3Q, 9E7R5L6H31, QDL83WN8C2, 1F8VIW1479, 2H03479QVR, 6IO182RP7A
Pharmacologic class
Calculi Dissolution Agent; Non-Standardized Food Allergenic Extract; Non-Standardized Plant Allergenic Extract; Osmotic Laxative

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

N458264011301 followed by a unit qualifier and the quantity

Package 58264-0113-01. 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 Stiffness and pain in joints, fingers and toes, swelling.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

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