NDC codes

FDA NDC Directory
Product NDC (as listed)43406-0589Labeler and product segments. Claims need a package NDC.
Product NDC at billing width43406-0589Add 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
43406-0589-14340605890130 mL in 1 BOTTLE, DROPPER (43406-0589-1)Marketed from Oct 21, 2015

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)
Mold Antigen
Generic name (nonproprietary)
alternaria alternata, aspergillus fumigatus, aspergillus niger, boletus sat, botrytis cinerea, cladosporium metanigrum, fusarium oxysporum, helminthosporium, mucor muecedo, pullularia pullulans, rhizopus nigricans, ustilago maydis, arsenicum alb, candida alb, carbo an, lachesis, lycopodium, merc solub, nitricum ac, phosphorus, pulsatilla, sepia, silicea, thuja occ
Active ingredients
Alternaria alternata — 200 [hp_X]/mLAspergillus fumigatus — 200 [hp_X]/mLAspergillus niger var. Niger — 200 [hp_X]/mLBoletus satanas fruiting body — 200 [hp_X]/mLBotrytis cinerea — 200 [hp_X]/mLAureobasidium pullulans var. Pullutans — 200 [hp_X]/mLFusarium oxysporum — 200 [hp_X]/mLCochliobolus sativus — 200 [hp_X]/mLRhizopus stolonifer — 200 [hp_X]/mLUstilago maydis — 200 [hp_X]/mLArsenic trioxide — 30 [hp_C]/mLCandida albicans — 30 [hp_C]/mLCarbo animalis — 30 [hp_C]/mLLachesis muta venom — 30 [hp_C]/mLLycopodium clavatum spore — 30 [hp_C]/mLMercurius solubilis — 30 [hp_C]/mLNitric acid — 30 [hp_C]/mLPhosphorus — 30 [hp_C]/mLPulsatilla vulgaris whole — 30 [hp_C]/mLSepia officinalis juice — 30 [hp_C]/mLSilicon dioxide — 30 [hp_C]/mLThuja occidentalis leafy twig — 30 [hp_C]/mL
Dosage form
Liquid
Route
Oral
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)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)Fungal Proteins (Chemical structure)Fungal Proteins (Chemical structure)Fungal Proteins (Chemical structure)Fungal Proteins (Chemical structure)Fungal Proteins (Chemical structure)Fungal Proteins (Chemical structure)Fungal Proteins (Chemical structure)Fungal Proteins (Chemical structure)Fungal Proteins (Chemical structure)Fungal Proteins (Chemical structure)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)
Identifiers
Product ID 43406-0589_693628b7-1235-443d-b0d5-0833b5af8de6SPL ID 693628b7-1235-443d-b0d5-0833b5af8de6SPL set ID 9dd6f22e-45b0-4771-80f7-6f530c96350dUNII 52B29REC7H, X88DF51T48, 9IOA40ANG6, 68OG1407SM, TBW53313S7, D1A2NG69CK, 5398RXP8KU, 3LN5B70U4W, FEE198DK4Q, 4K7Z7K7SWG, S7V92P67HO, 4D7G21HDBC, 279O8I0433, VSW71SS07I, C88X29Y479, 324Y4038G2, 411VRN1TV4, 27YLU75U4W, I76KB35JEV, QDL83WN8C2, ETJ7Z6XBU4, 1NT28V9397UPC 0877730001986
Pharmacologic class
Non-Standardized Fungal 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. Oral products like this are usually dispensed by a pharmacy and billed by NDC.

NDC on a medical claim

N443406058901 followed by a unit qualifier and the quantity

Package 43406-0589-01. 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)

USES: Temporarily relieves symptoms associated with allergies from mold.**

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

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