NDC codes

FDA NDC Directory
Product NDC (as listed)58264-0353Labeler and product segments. Claims need a package NDC.
Product NDC at billing width58264-0353Add 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
58264-0353-15826403530129.57 mL in 1 BOTTLE, GLASS (58264-0353-1)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)
Am-14
Generic name (nonproprietary)
silver, calcium iodide, lytta vesicatoria, copper, ferrous iodide, goldenseal, iodine, daphne mezereum bark, phosphoric acid, phosphorus, toxicodendron pubescens leaf, and rumex crispus whole
Active ingredients
Silver — 12 [hp_X]/mLCalcium iodide — 8 [hp_X]/mLLytta vesicatoria — 6 [hp_X]/mLCopper — 12 [hp_X]/mLFerrous iodide — 8 [hp_X]/mLGoldenseal — 6 [hp_X]/mLIodine — 6 [hp_X]/mLDaphne mezereum bark — 30 [hp_X]/mLPhosphoric acid — 6 [hp_X]/mLPhosphorus — 30 [hp_X]/mLToxicodendron pubescens leaf — 6 [hp_X]/mLRumex crispus whole — 6 [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
Calcium (Chemical structure)Divalent (Chemical structure)Copper (Chemical structure)Decreased Embryonic Implantation (Physiologic effect)Decreased Sperm Motility (Physiologic effect)Increased Coagulation Factor Activity (Physiologic effect)Inhibit Ovum Fertilization (Physiologic effect)Phosphate Chelating Activity (Mechanism)
Identifiers
Product ID 58264-0353_2b530979-bfa9-24b5-e063-6394a90a76ebSPL ID 2b530979-bfa9-24b5-e063-6394a90a76ebSPL set ID 8bf2fde6-fd71-47f8-b5ec-c5e34857ab64UNII 3M4G523W1G, 8EKI9QEE2H, 3Q034RO3BT, 789U1901C5, F5452U54PN, ZW3Z11D0JV, 9679TC07X4, X2N6E405GV, E4GA8884NN, 27YLU75U4W, 6IO182RP7A, UQJ679MZAK
Pharmacologic class
Blood Coagulation Factor; Copper-containing Intrauterine Device; 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

N458264035301 followed by a unit qualifier and the quantity

Package 58264-0353-01. 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 Regulates energy flow in the conception vessel meridian.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

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