NDC codes

FDA NDC Directory
Product NDC (as listed)58264-0329Labeler and product segments. Claims need a package NDC.
Product NDC at billing width58264-0329Add 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
58264-0329-15826403290129.57 mL in 1 BOTTLE, GLASS (58264-0329-1)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-24
Generic name (nonproprietary)
agrostis gigantea pollen, festuca pratensis pollen, poa pratensis pollen, dactylis glomerata pollen, phleum pratense pollen, anthoxanthum odoratum pollen, lolium perenne pollen, medicago sativa pollen, trifolium pratense pollen, solidago canadensis pollen, ambrosia acanthicarpa pollen, ambrosia psilostachya pollen, ambrosia trifida pollen, ambrosia artemisiifolia pollen, xanthium strumarium pollen, chenopodium album pollen, amaranthus retroflexus pollen, and cynodon dactylon pollen
Active ingredients
Agrostis gigantea pollen — 30 [hp_X]/mLFestuca pratensis pollen — 30 [hp_X]/mLPoa pratensis pollen — 30 [hp_X]/mLDactylis glomerata pollen — 30 [hp_X]/mLPhleum pratense pollen — 30 [hp_X]/mLAnthoxanthum odoratum pollen — 30 [hp_X]/mLLolium perenne pollen — 30 [hp_X]/mLMedicago sativa pollen — 30 [hp_X]/mLTrifolium pratense pollen — 30 [hp_X]/mLSolidago canadensis pollen — 30 [hp_X]/mLAmbrosia acanthicarpa pollen — 30 [hp_X]/mLAmbrosia psilostachya pollen — 30 [hp_X]/mLAmbrosia trifida pollen — 30 [hp_X]/mLAmbrosia artemisiifolia pollen — 30 [hp_X]/mLXanthium strumarium pollen — 30 [hp_X]/mLChenopodium album pollen — 30 [hp_X]/mLAmaranthus retroflexus pollen — 30 [hp_X]/mLCynodon dactylon pollen — 30 [hp_X]/mLSorghum halepense 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)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 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)
Identifiers
Product ID 58264-0329_2b50d137-37d9-851a-e063-6294a90a0a4dSPL ID 2b50d137-37d9-851a-e063-6294a90a0a4dSPL set ID f4bdb7fa-e564-44ab-b9d8-3d3783a41086UNII HU8V6E7HOA, A0WFQ8P6N1, SCB8J7LS3T, 83N78IDA7P, 65M88RW2EG, 2KIK19R45Y, 4T81LB52R0, G515RAI9FY, 3SNK70F46Y, 644CZ16IR5, U2AI3H2J5Y, RX18M46K8L, KU1V1898XX, K20Y81ACO3, 2QOF601J1M, 098LKX5NCN, 73B14PX5FW, 175F461W10, 577VA5B4HP
Pharmacologic class
Non-Standardized Pollen Allergenic Extract; 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

N458264032901 followed by a unit qualifier and the quantity

Package 58264-0329-01. 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

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