NDC codes

FDA NDC Directory
Product NDC (as listed)0268-1302Labeler and product segments. Claims need a package NDC.
Product NDC at billing width00268-1302Add 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
0268-1302-0600268130206002681302065.5 mL in 1 VIAL (0268-1302-06)Marketed from Feb 23, 1998

How the 11-digit form is made: The labeler segment has 4 digits, so one leading zero is added to it (4-4-2 → 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)
Sorrel/Dock Mix
Generic name (nonproprietary)
rumex acetosella pollen and rumex crispus pollen
Active ingredients
Rumex acetosella pollen — .05 g/mLRumex crispus pollen — .05 g/mL
Dosage form
Injection, Solution
Route
Percutaneous
Labeler
ALK-Abello, Inc.NDC labeler code 0268
Product type
Non-standardized allergenic
Marketing category
BLA — Biologics License ApplicationApplication BLA 103753
Marketing start
Listing expires
Other FDA classes
Allergens (Chemical structure)Allergens (Chemical structure)Cell-mediated Immunity (Physiologic effect)Cell-mediated Immunity (Physiologic effect)Increased Histamine Release (Physiologic effect)Increased Histamine Release (Physiologic effect)Increased IgG Production (Physiologic effect)Increased IgG Production (Physiologic effect)Pollen (Chemical structure)Pollen (Chemical structure)
Identifiers
Product ID 0268-1302_739911f7-038e-48f0-a424-9b2c786a6c68SPL ID 739911f7-038e-48f0-a424-9b2c786a6c68
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 drug-specific HCPCS code in Med-Code's directory for this product. The directory is curated and not complete — check the current CMS HCPCS file before billing.

NDC on a medical claim

N400268130206 followed by a unit qualifier and the quantity

Package 00268-1302-06. 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

The FDA listing for this product does not reference a label (SPL) set.

About NDC 0268-1302

What is NDC 0268-1302?
0268-1302 is the product NDC for Sorrel/Dock Mix, Rumex acetosella pollen .05 g/mL; Rumex crispus pollen .05 g/mL injection, solution, listed with the FDA by ALK-Abello, Inc.. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Sorrel/Dock Mix (RUMEX ACETOSELLA POLLEN and RUMEX CRISPUS POLLEN).
What is the active ingredient?
Rumex acetosella pollen, Rumex crispus pollen.
Who is the labeler?
ALK-Abello, Inc., NDC labeler code 0268. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Sorrel/Dock Mix?
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.

Other NDCs under BLA 103753

Products listed under the same FDA application: other strengths and forms, and repackagers who relabel the same product.

FDA NDC Directory listings under BLA 103753
ProductStrengthForm · routeLabelerProduct NDC
Trichophyton MentagrophytesTrichophyton mentagrophytes .05 g/mLInjection, SolutionPercutaneous, SubcutaneousALK-Abello, Inc.0268-8108
Candida AlbicansCandida albicans .05 g/mLInjection, SolutionPercutaneous, SubcutaneousALK-Abello, Inc.0268-8093
Elymus Repens Pollenquack grassElymus repens pollen .1 g/mLInjection, SolutionSubcutaneousALK-Abello, Inc.0268-1418
Ambrosia Artemisiifolia Pollenragweed shortAmbrosia artemisiifolia pollen .05 g/mLInjection, SolutionSubcutaneousALK-Abello, Inc.0268-1532
Juniperus Virginiana Pollenred cedarJuniperus virginiana pollen .05 g/mLInjection, SolutionPercutaneousALK-Abello, Inc.0268-6615
Quercus Rubra Pollenred oakQuercus rubra pollen .05 g/mLInjection, SolutionPercutaneousALK-Abello, Inc.0268-6642
9 Tree Mixacer saccharinum pollen, alnus rhombifolia pollen, betula lenta whole, carya ovata pollen, fraxinus americana pollen, platanus occidentalis pollen, populus alba pollen, quercus alba pollen, ulmus crassifolia pollenAlnus rhombifolia pollen .1 g/mL + 8 more ingredientsInjection, SolutionSubcutaneousALK-Abello, Inc.0268-8021
Grapefruitcitrus x paradisiGrapefruit .1 g/mLInjection, SolutionPercutaneousALK-Abello, Inc.0268-6141
Thea SinensisTea leaf .1 g/mLInjection, SolutionPercutaneousALK-Abello, Inc.0268-6235
Eucalyptus Globulus PolleneucalyptusEucalyptus globulus pollen .05 g/mLInjection, SolutionPercutaneousALK-Abello, Inc.0268-6712
Broccolibrassica oleracea var. botrytisBroccoli .1 g/mLInjection, SolutionPercutaneousALK-Abello, Inc.0268-6112
Pineappleananas comosusPineapple .1 g/mLInjection, SolutionPercutaneousALK-Abello, Inc.0268-6200
Olea Europaea Pollenolive pollenOlea europaea pollen .05 g/mLInjection, SolutionSubcutaneousALK-Abello, Inc.0268-1340
Iva Xanthifolia Pollenmarshelder burweedCyclachaena xanthifolia pollen .1 g/mLInjection, SolutionSubcutaneousALK-Abello, Inc.0268-1258
Amaranthus Palmeri PollencarelessweedAmaranthus palmeri pollen .05 g/mLInjection, SolutionSubcutaneousALK-Abello, Inc.0268-1092
Ulmus Americana Pollenelm americanUlmus americana pollen 40000 [PNU]/mLInjection, SolutionSubcutaneousALK-Abello, Inc.0268-1170
Ustilago Maydiscorn smutUstilago maydis .05 g/mLInjection, SolutionSubcutaneousALK-Abello, Inc.0268-0945
Xanthium Strumarium Var Canadense PollencockleburXanthium strumarium var. Canadense pollen .05 g/mLInjection, SolutionPercutaneousALK-Abello, Inc.0268-6616
Quercus Virginiana Pollenvirginia live oakQuercus virginiana pollen .05 g/mLInjection, SolutionPercutaneousALK-Abello, Inc.0268-6643
9 Tree Mixacer saccharum pollen, alnus rhombifolia pollen, betula lenta pollen, carya ovata pollen, fraxinus americana pollen, platanus occidentalis pollen, populus alba pollen, quercus alba pollen and ulmus crassifolia pollenAlnus rhombifolia pollen .05 g/mL + 8 more ingredientsInjection, SolutionSubcutaneousALK-Abello, Inc.0268-8022

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