NDC codes

FDA NDC Directory
Product NDC (as listed)43742-1589Labeler and product segments. Claims need a package NDC.
Product NDC at billing width43742-1589Add 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
43742-1589-14374215890130 mL in 1 BOTTLE, DROPPER (43742-1589-1)Marketed from Oct 25, 2019

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)
Dairy Allergen Mix
Generic name (nonproprietary)
adenosinum triphosphoricum dinatrum, benzoicum acidum, cholinum, cinnamic acid, eugenol, folic acid, formalinum, histaminum hydrochloricum, l-asparagine (monohydrate), lac defloratum, lac vaccinum, menadione, oophorinum (suis), petroselinum sativum, phenyl isothiocyanate, quercetin, rutin, saccharum lactis, ileum (suis), jejunum (suis), stomach (suis), coumarinum, folliculinum, gaba (gamma-aminobutyric acid), sarcolacticum acidum, lac caninum, lac felinum, lac humanum, piperine, calcarea carbonica,
Active ingredients
Adenosine triphosphate disodium — 4 [hp_X]/mLBenzoic acid — 6 [hp_X]/mLCholine hydroxide — 6 [hp_X]/mLCinnamic acid — 6 [hp_X]/mLEugenol — 6 [hp_X]/mLFolic acid — 6 [hp_X]/mLFormaldehyde — 6 [hp_X]/mLHistamine dihydrochloride — 6 [hp_X]/mLAsparagine monohydrate — 6 [hp_X]/mLSkim milk — 6 [hp_X]/mLCow milk — 6 [hp_X]/mLMenadione — 6 [hp_X]/mLSus scrofa ovary — 6 [hp_X]/mLPetroselinum crispum — 6 [hp_X]/mLPhenyl isothiocyanate — 6 [hp_X]/mLQuercetin — 6 [hp_X]/mLRutin — 6 [hp_X]/mLLactose, Unspecified form — 6 [hp_X]/mLSus scrofa ileum — 8 [hp_X]/mLSus scrofa jejunum — 8 [hp_X]/mLSus scrofa stomach — 8 [hp_X]/mLCoumarin — 8 [hp_X]/mLEstrone — 8 [hp_X]/mL.gamma.-aminobutyric acid — 8 [hp_X]/mLLactic acid, L- — 8 [hp_X]/mLCanis lupus familiaris milk — 30 [hp_X]/mLFelis catus milk — 30 [hp_X]/mLHuman milk — 30 [hp_X]/mLPiperine — 30 [hp_X]/mLOyster shell calcium carbonate, Crude — 6 [hp_C]/mLCalcium fluoride — 6 [hp_C]/mLTribasic calcium phosphate — 6 [hp_C]/mLActivated charcoal — 6 [hp_C]/mLMatricaria recutita — 6 [hp_C]/mLSalmonella enterica subsp. Enterica serovar enteritidis — 6 [hp_C]/mLToxicodendron pubescens leaf — 6 [hp_C]/mLCalcium citrate — 6 [hp_C]/mLCalcium gluconate — 6 [hp_C]/mL
Dosage form
Liquid
Route
Oral
Product type
Over-the-counter drug
Marketing category
Unapproved homeopathic
Marketing start
Marketing end
Other FDA classes
Allergens (Chemical structure)Allergens (Chemical structure)Allergens (Chemical structure)Ammonium Ion Binding Activity (Mechanism)Calcium (Chemical structure)Calcium (Chemical structure)Calcium (Chemical structure)Divalent (Chemical structure)Divalent (Chemical structure)Divalent (Chemical structure)Cell-mediated Immunity (Physiologic effect)Cell-mediated Immunity (Physiologic effect)Cell-mediated Immunity (Physiologic effect)Dietary Proteins (Chemical structure)Increased Coagulation Factor Activity (Physiologic effect)Increased Coagulation Factor Activity (Physiologic effect)Increased Coagulation Factor Activity (Physiologic effect)Increased Histamine Release (Physiologic effect)Increased Histamine Release (Physiologic effect)Increased Histamine Release (Physiologic effect)Milk Proteins (Chemical structure)Phosphate Chelating Activity (Mechanism)Phosphate Chelating Activity (Mechanism)Phosphate Chelating Activity (Mechanism)
Identifiers
Product ID 43742-1589_7fa8a635-fbc2-4637-9292-c854a3bb4bd2SPL ID 7fa8a635-fbc2-4637-9292-c854a3bb4bd2SPL set ID e03d8463-287a-4509-a9f4-0ad38a98377cUNII 5L51B4DR1G, 8SKN0B0MIM, 7THJ3EG9SY, U14A832J8D, 3T8H1794QW, 935E97BOY8, 1HG84L3525, 3POA0Q644U, 2PD79VF521, 6A001Y4M5A, 917J3173FT, 723JX6CXY5, S7YTV04R8O, 1WZA4Y92EX, 0D58F84LSU, 9IKM0I5T1E, 5G06TVY3R7, J2B2A4N98G, C998R1XSRA, TA501QD69R, T0920P9Z9A, A4VZ22K1WT, 2DI9HA706A, 2ACZ6IPC6I, F9S9FFU82N, G39P120JQT, 5A3Y60049Z, 1XCH439UQR, U71XL721QK, 2E32821G6I, O3B55K4YKI, 91D9GV0Z28, 2P3VWU3H10, G0R4UBI2ZZ, Y3V16D4PV4, 6IO182RP7A, MLM29U2X85, SQE6VB453K
Pharmacologic class
Blood Coagulation Factor; Nitrogen Binding Agent; Non-Standardized Food Allergenic Extract; Phosphate Binder; Standardized Chemical Allergen

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

N443742158901 followed by a unit qualifier and the quantity

Package 43742-1589-01. 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)

HOMEOPATHIC INDICATIONS: For the temporary relief of symptoms of allergies to calcium in foods and supplements, including cramping of muscles, fatigue, and musculoskeletal weakness.** **These statements are based upon homeopathic principles. They have not been reviewed by the Food and Drug Administration.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

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