NDC codes

FDA NDC Directory
Product NDC (as listed)58264-0300Labeler and product segments. Claims need a package NDC.
Product NDC at billing width58264-0300Add 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
58264-0300-15826403000129.57 mL in 1 BOTTLE, GLASS (58264-0300-1)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)
A-8
Generic name (nonproprietary)
deciduous tree mix
Active ingredients
Alnus rubra pollen — 30 [hp_X]/mLAlnus serrulata pollen — 30 [hp_X]/mLAlnus rhombifolia pollen — 30 [hp_X]/mLBetula lenta pollen — 30 [hp_X]/mLBetula nigra pollen — 30 [hp_X]/mLBetula populifolia pollen — 30 [hp_X]/mLUlmus americana pollen — 30 [hp_X]/mLUlmus pumila pollen — 30 [hp_X]/mLPopulus balsamifera pollen — 30 [hp_X]/mLPopulus deltoides subsp. Deltoides pollen — 30 [hp_X]/mLPopulus deltoides subsp. Monilifera pollen — 30 [hp_X]/mLCarya glabra pollen — 30 [hp_X]/mLCarya ovata pollen — 30 [hp_X]/mLCarya laciniosa pollen — 30 [hp_X]/mLCarya alba pollen — 30 [hp_X]/mLAcer rubrum pollen — 30 [hp_X]/mLAcer saccharum pollen — 30 [hp_X]/mLAcer saccharinum pollen — 30 [hp_X]/mLMorus alba pollen — 30 [hp_X]/mLMorus rubra pollen — 30 [hp_X]/mLBroussonetia papyrifera pollen — 30 [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)Allergens (Chemical structure)Allergens (Chemical structure)Allergens (Chemical structure)Allergens (Chemical structure)Allergens (Chemical structure)Allergens (Chemical structure)Allergens (Chemical structure)Allergens (Chemical structure)Allergens (Chemical structure)Allergens (Chemical structure)Allergens (Chemical structure)Allergens (Chemical structure)Allergens (Chemical structure)Allergens (Chemical structure)Allergens (Chemical structure)Allergens (Chemical structure)Allergens (Chemical structure)Allergens (Chemical structure)Allergens (Chemical structure)Cell-mediated Immunity (Physiologic effect)Cell-mediated Immunity (Physiologic effect)Cell-mediated Immunity (Physiologic effect)Cell-mediated Immunity (Physiologic effect)Cell-mediated Immunity (Physiologic effect)Cell-mediated Immunity (Physiologic effect)Cell-mediated Immunity (Physiologic effect)Cell-mediated Immunity (Physiologic effect)Cell-mediated Immunity (Physiologic effect)Cell-mediated Immunity (Physiologic effect)Cell-mediated Immunity (Physiologic effect)Cell-mediated Immunity (Physiologic effect)Cell-mediated Immunity (Physiologic effect)Cell-mediated Immunity (Physiologic effect)Cell-mediated Immunity (Physiologic effect)Cell-mediated Immunity (Physiologic effect)Cell-mediated Immunity (Physiologic effect)Cell-mediated Immunity (Physiologic effect)Cell-mediated Immunity (Physiologic effect)Cell-mediated Immunity (Physiologic effect)Increased Histamine Release (Physiologic effect)Increased Histamine Release (Physiologic effect)Increased Histamine Release (Physiologic effect)Increased Histamine Release (Physiologic effect)Increased Histamine Release (Physiologic effect)Increased Histamine Release (Physiologic effect)Increased Histamine Release (Physiologic effect)Increased Histamine Release (Physiologic effect)Increased Histamine Release (Physiologic effect)Increased Histamine Release (Physiologic effect)Increased Histamine Release (Physiologic effect)Increased Histamine Release (Physiologic effect)Increased Histamine Release (Physiologic effect)Increased Histamine Release (Physiologic effect)Increased Histamine Release (Physiologic effect)Increased Histamine Release (Physiologic effect)Increased Histamine Release (Physiologic effect)Increased Histamine Release (Physiologic effect)Increased Histamine Release (Physiologic effect)Increased Histamine Release (Physiologic effect)Increased IgG Production (Physiologic effect)Increased IgG Production (Physiologic effect)Increased IgG Production (Physiologic effect)Increased IgG Production (Physiologic effect)Increased IgG Production (Physiologic effect)Increased IgG Production (Physiologic effect)Increased IgG Production (Physiologic effect)Increased IgG Production (Physiologic effect)Increased IgG Production (Physiologic effect)Increased IgG Production (Physiologic effect)Increased IgG Production (Physiologic effect)Increased IgG Production (Physiologic effect)Increased IgG Production (Physiologic effect)Increased IgG Production (Physiologic effect)Increased IgG Production (Physiologic effect)Increased IgG Production (Physiologic effect)Increased IgG Production (Physiologic effect)Increased IgG Production (Physiologic effect)Increased IgG Production (Physiologic effect)Increased IgG Production (Physiologic effect)Pollen (Chemical structure)Pollen (Chemical structure)Pollen (Chemical structure)Pollen (Chemical structure)Pollen (Chemical structure)Pollen (Chemical structure)Pollen (Chemical structure)Pollen (Chemical structure)Pollen (Chemical structure)Pollen (Chemical structure)Pollen (Chemical structure)Pollen (Chemical structure)Pollen (Chemical structure)Pollen (Chemical structure)Pollen (Chemical structure)Pollen (Chemical structure)Pollen (Chemical structure)Pollen (Chemical structure)Pollen (Chemical structure)Pollen (Chemical structure)
Identifiers
Product ID 58264-0300_2b507a62-be46-0228-e063-6394a90a3aebSPL ID 2b507a62-be46-0228-e063-6394a90a3aebSPL set ID 92c631d0-12a9-4a21-9bb7-c0e196390f61UNII Z0F2YK1B7H, 390VZ1D0L5, 7X8HL8GRTM, JQ5HI5004M, 93963RFO1P, 23H70FYJ5U, 89BAT511BD, 030R993R8E, A7XVZ7S0Y5, 476DVV63WP, 5928LJ1441, KPO1Z9N98A, 54UN9R2798, 5BGG872373, G2A764T54B, 700NK45C76, V38QUQ7861, 95447163DG, 3I9T68187H, 9LYI4RTZ52, 51I6N3XIML
Pharmacologic class
Non-Standardized Pollen Allergenic Extract

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

N458264030001 followed by a unit qualifier and the quantity

Package 58264-0300-01. 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 Allergies.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

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