NDC codes

FDA NDC Directory
Product NDC (as listed)0268-6630Labeler and product segments. Claims need a package NDC.
Product NDC at billing width00268-6630Add 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
0268-6630-06002686630065 mL in 1 VIAL, MULTI-DOSE (0268-6630-06)Marketed from Jan 1, 1965

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)
Juniperus Californica Pollen
Generic name (nonproprietary)
western juniper
Active ingredients
Juniperus californica pollen.05 g/mL
Dosage form
Injection, Solution
Route
Percutaneous
Product type
Non-standardized allergenic
Marketing category
BLA — Biologics License ApplicationApplication BLA 103753
Marketing start
Listing expires
Other FDA classes
Allergens (Chemical structure)Cell-mediated Immunity (Physiologic effect)Increased Histamine Release (Physiologic effect)Increased IgG Production (Physiologic effect)Pollen (Chemical structure)
Identifiers
Product ID 0268-6630_22a0440f-2b25-45c4-997a-ea67c4ccea74SPL ID 22a0440f-2b25-45c4-997a-ea67c4ccea74
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

N400268663006 followed by a unit qualifier and the quantity

Package 00268-6630-06. 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.

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
Morus Rubra Pollenmulberry redMorus rubra pollen .1 g/mLInjection, SolutionSubcutaneousALK-Abello, Inc.0268-1304
Betula Nigra Pollenbirch river redBetula nigra pollen .1 g/mLInjection, SolutionSubcutaneousALK-Abello, Inc.0268-1062
Mixed Cockroachblatella germanica and periplaneta americanaPeriplaneta americana .05 g/mL; Blattella germanica .05 g/mLInjection, SolutionSubcutaneousALK-Abello, Inc.0268-1150
Kochia Scoparia Pollenkochia firebushBassia scoparia pollen .05 g/mLInjection, SolutionSubcutaneousALK-Abello, Inc.0268-1233
Fire AntSolenopsis invicta .05 g/mLInjection, SolutionSubcutaneousALK-Abello, Inc.0268-0722
Periplaneta Americanaamerican cockroachPeriplaneta americana .05 g/mLInjection, SolutionPercutaneousALK-Abello, Inc.0268-6403
Mold Mix Aalternaria alternata, aspergillus fumigatus, cladosporium cladosporioides and penicillium chrysogenum var. chrysogenumAlternaria alternata .05 g/mL + 3 more ingredientsInjection, SolutionSubcutaneousALK-Abello, Inc.0268-8110
Hickory Pecan Mixcarya illinoinensis pollen and carya ovata pollenCarya ovata pollen .05 g/mL; Carya illinoinensis pollen .05 g/mLInjection, SolutionSubcutaneousALK-Abello, Inc.0268-8030
Sarocladium StrictumSarocladium strictum .1 g/mLInjection, SolutionSubcutaneousALK-Abello, Inc.0268-8080
Cladosporium CladosporioidesCladosporium cladosporioides .05 g/mLInjection, SolutionPercutaneousALK-Abello, Inc.0268-8095
Cupressus Arizonica Pollencypress arizonaCupressus arizonica pollen .05 g/mLInjection, SolutionSubcutaneousALK-Abello, Inc.0268-1143
Sorrel/Dock Mixrumex acetosella pollen and rumex crispus pollenRumex acetosella pollen .05 g/mL; Rumex crispus pollen .05 g/mLInjection, SolutionPercutaneous, SubcutaneousALK-Abello, Inc.0268-1302
Cows Milkbos taurusSkim milk .1 g/mLInjection, SolutionPercutaneousALK-Abello, Inc.0268-6178
Salmonsalmo salarAtlantic salmon .1 g/mLInjection, SolutionPercutaneousALK-Abello, Inc.0268-6212
Solidago Canadensis PollengoldenrodSolidago canadensis pollen .05 g/mLInjection, SolutionPercutaneousALK-Abello, Inc.0268-6625
Plantago Lanceolata Pollenenglish plantainPlantago lanceolata pollen .05 g/mLInjection, SolutionPercutaneousALK-Abello, Inc.0268-6652
Chicken Meatgallus gallusChicken .1 g/mLInjection, SolutionPercutaneousALK-Abello, Inc.0268-6122
Artemisia Tridentata Pollensagebrush commonArtemisia tridentata pollen .1 g/mLInjection, SolutionSubcutaneousALK-Abello, Inc.0268-1471
Casuarina Equisetifolia Pollenpine australian beefwoodCasuarina equisetifolia pollen .1 g/mLInjection, SolutionSubcutaneousALK-Abello, Inc.0268-1376
Fagus Grandifolia PollenbeechFagus grandifolia pollen .1 g/mLInjection, SolutionSubcutaneousALK-Abello, Inc.0268-1046

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