A-36 NDC 58264-0328

NDC codes

FDA NDC Directory

Product NDC (as listed)58264-0328Labeler and product segments. Claims need a package NDC.

Product NDC at billing width58264-0328Add 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 NDC	11-digit (billing)	Package	Copy
58264-0328-1	58264032801	29.57 mL in 1 BOTTLE, GLASS (58264-0328-1)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-36
Generic name (nonproprietary): bos taurus adrenal gland, agrimonia eupatoria, bellis perennis, camphor (natural), matricaria chamomilla, equisetum hyemale, fraxinus americana bark, formica rufa, histamine dihydrochloride, iodine, potassium dichromate, canis lupus familiaris milk, sodium chloride, anemone pulsatilla, salix nigra bark, and tobacco leaf
Active ingredients: Bos taurus adrenal gland — 6 [hp_X]/mLAgrimonia eupatoria — 30 [hp_X]/mLBellis perennis — 30 [hp_X]/mLCamphor (Natural) — 30 [hp_X]/mLMatricaria chamomilla — 12 [hp_X]/mLEquisetum hyemale — 6 [hp_X]/mLFraxinus americana bark — 30 [hp_X]/mLFormica rufa — 12 [hp_X]/mLHistamine dihydrochloride — 30 [hp_X]/mLIodine — 6 [hp_X]/mLPotassium dichromate — 12 [hp_X]/mLCanis lupus familiaris milk — 30 [hp_X]/mLSodium chloride — 30 [hp_X]/mLAnemone pulsatilla — 4 [hp_X]/mLSalix nigra bark — 30 [hp_X]/mLTobacco leaf — 30 [hp_X]/mL
Dosage form: Solution
Route: Sublingual
Labeler: DNA Labs, Inc.
Product type: Over-the-counter drug
Marketing category: Unapproved homeopathic
Marketing start: Jan 1, 1990
Listing expires: Dec 31, 2026
Other FDA classes: Allergens (Chemical structure)Cell-mediated Immunity (Physiologic effect)Increased Histamine Release (Physiologic effect)Increased IgG Production (Physiologic effect)Increased Large Intestinal Motility (Physiologic effect)Inhibition Large Intestine Fluid/Electrolyte Absorption (Physiologic effect)Osmotic Activity (Mechanism)Plant Proteins (Chemical structure)
Identifiers: Product ID 58264-0328_2b50dbc5-fefa-3296-e063-6294a90ac8c3SPL ID 2b50dbc5-fefa-3296-e063-6294a90ac8c3SPL set ID 161c4738-9ead-4687-9f5a-029d5a496e07UNII M2776SWB29, EBU0U94820, 2HU33I03UY, N20HL7Q941, G0R4UBI2ZZ, 59677RXH25, 0B24UR1O1S, 55H0W83JO5, 3POA0Q644U, 9679TC07X4, T4423S18FM, G39P120JQT, 451W47IQ8X, I76KB35JEV, QU52J3A5B3, 6YR2608RSU
Pharmacologic class: 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

N458264032801 followed by a unit qualifier and the quantity

Package 58264-0328-01. 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 Jan 9, 2025.

Indications (excerpt from the label)

INDICATIONS Constitutional treatment of inhalant allergies.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)