NDC codes

FDA NDC Directory
Product NDC (as listed)58264-0140Labeler and product segments. Claims need a package NDC.
Product NDC at billing width58264-0140Add 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
58264-0140-15826401400129.57 mL in 1 BOTTLE, GLASS (58264-0140-1)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)
D134
Generic name (nonproprietary)
black cohosh, bryonia alba whole, toxicodendron pubescens whole, arnica montana, causticum, ferrosoferric phosphate, sodium sulfate anhydrous, strychnos nux-vomica seed, rhododendron aureum whole, citrullus colocynthis whole, solanum dulcamara whole, kalmia latifolia whole, magnesium phosphate, dibasic trihydrate, arsenic trioxide, and tribasic calcium phosphate
Active ingredients
Black cohosh — 3 [hp_X]/mLBryonia alba whole — 4 [hp_X]/mLToxicodendron pubescens whole — 4 [hp_X]/mLArnica montana — 5 [hp_X]/mLCausticum — 6 [hp_X]/mLFerrosoferric phosphate — 6 [hp_X]/mLSodium sulfate anhydrous — 6 [hp_X]/mLStrychnos nux-vomica seed — 6 [hp_X]/mLRhododendron aureum whole — 6 [hp_X]/mLCitrullus colocynthis whole — 6 [hp_X]/mLSolanum dulcamara whole — 6 [hp_X]/mLKalmia latifolia whole — 6 [hp_X]/mLMagnesium phosphate, Dibasic trihydrate — 6 [hp_X]/mLArsenic trioxide — 8 [hp_X]/mLTribasic calcium phosphate — 8 [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)Calcium (Chemical structure)Divalent (Chemical structure)Cell-mediated Immunity (Physiologic effect)Increased Coagulation Factor Activity (Physiologic effect)Increased Histamine Release (Physiologic effect)Increased IgG Production (Physiologic effect)Increased Large Intestinal Motility (Physiologic effect)Increased Large Intestinal Motility (Physiologic effect)Inhibition Large Intestine Fluid/Electrolyte Absorption (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)Osmotic Activity (Mechanism)Phosphate Chelating Activity (Mechanism)Plant Proteins (Chemical structure)Seed Storage Proteins (Chemical structure)Stimulation Large Intestine Fluid/Electrolyte Secretion (Physiologic effect)
Identifiers
Product ID 58264-0140_2b9edb0e-499f-f422-e063-6294a90ae8faSPL ID 2b9edb0e-499f-f422-e063-6294a90ae8faSPL set ID a1d4d74a-75ca-45f8-8787-7ac6aa726932UNII K73E24S6X9, 56K0VVT47P, C1S185Y74S, O80TY208ZW, DD5FO1WKFU, 91GQH8I5F7, 36KCS0R750, 269XH13919, MM2Y21LFIT, Z70W98921V, G72JA9DHK5, P1SWF7DK1Y, HF539G9L3Q, S7V92P67HO, 91D9GV0Z28
Pharmacologic class
Blood Coagulation Factor; Calculi Dissolution Agent; Non-Standardized Plant Allergenic Extract; Osmotic Laxative; Phosphate Binder

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

N458264014001 followed by a unit qualifier and the quantity

Package 58264-0140-01. 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 pain, stiffness, stress, fatigue.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

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