NDC codes

FDA NDC Directory
Product NDC (as listed)58264-0319Labeler and product segments. Claims need a package NDC.
Product NDC at billing width58264-0319Add 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
58264-0319-15826403190129.57 mL in 1 BOTTLE, GLASS (58264-0319-1)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-27
Generic name (nonproprietary)
atriplex polycarpa pollen, atriplex lentiformis pollen, and atriplex canescens pollen
Active ingredients
Atriplex polycarpa pollen — 30 [hp_X]/mLAtriplex lentiformis pollen — 30 [hp_X]/mLAtriplex canescens pollen — 30 [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
Other FDA classes
Allergens (Chemical structure)Allergens (Chemical structure)Allergens (Chemical structure)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 IgG Production (Physiologic effect)Increased IgG Production (Physiologic effect)Increased IgG Production (Physiologic effect)Pollen (Chemical structure)Pollen (Chemical structure)Pollen (Chemical structure)
Identifiers
Product ID 58264-0319_2b50d628-cf99-1b05-e063-6394a90a8571SPL ID 2b50d628-cf99-1b05-e063-6394a90a8571SPL set ID 19a73ed5-7a2f-4147-b215-cea815f4587fUNII JQ87AA60GU, 86LWA5503I, 26U0BU8G83
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

N458264031901 followed by a unit qualifier and the quantity

Package 58264-0319-01. 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)

About NDC 58264-0319

What is NDC 58264-0319?
58264-0319 is the product NDC for A-27, Atriplex polycarpa pollen 30 [hp_X]/mL + 2 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?
A-27 (ATRIPLEX POLYCARPA POLLEN, ATRIPLEX LENTIFORMIS POLLEN, and ATRIPLEX CANESCENS POLLEN).
What is the active ingredient?
Atriplex polycarpa pollen, Atriplex lentiformis pollen, Atriplex canescens pollen.
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 A-27?
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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