Grain and Soy Allergen Mix NDC 43742-1627

NDC codes

FDA NDC Directory

Product NDC (as listed)43742-1627Labeler and product segments. Claims need a package NDC.

Product NDC at billing width43742-1627Add 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 NDC	11-digit (billing)	Package	Copy
43742-1627-1	43742162701	30 mL in 1 BOTTLE, DROPPER (43742-1627-1)Marketed from Mar 12, 2020

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): Grain and Soy Allergen Mix
Generic name (nonproprietary): adenosinum triphosphoricum dinatrum, quercetin, rutin, natrum carbonicum, ileum (suis), jejunum (suis) stomach (suis), gluten, amaranth, avena sativa, natrum sulphuricum, sarcolacticum acidum, triticum repens, cortisone aceticum, glyphosate, sycotic co bacillus
Active ingredients: Adenosine triphosphate disodium — 4 [hp_X]/mLQuercetin — 6 [hp_X]/mLRutin — 6 [hp_X]/mLSodium carbonate — 6 [hp_X]/mLSus scrofa ileum — 8 [hp_X]/mLSus scrofa jejunum — 8 [hp_X]/mLSus scrofa stomach — 8 [hp_X]/mLWheat gluten — 30 [hp_X]/mLAmaranth — 6 [hp_C]/mLAvena sativa flowering top — 6 [hp_C]/mLSodium sulfate — 6 [hp_C]/mLLactic acid, L- — 6 [hp_C]/mLElymus repens root — 6 [hp_C]/mLCortisone acetate — 8 [hp_C]/mLGlyphosate — 12 [hp_C]/mLEnterococcus faecalis — 30 [hp_C]/mL
Dosage form: Liquid
Route: Oral
Labeler: Deseret Biologicals, Inc.
Product type: Over-the-counter drug
Marketing category: Unapproved homeopathic
Marketing start: Mar 12, 2020
Listing expires: Dec 31, 2026
Other FDA classes: Allergens (Chemical structure)Cell-mediated Immunity (Physiologic effect)Corticosteroid Hormone Receptor Agonists (Mechanism)Dietary Proteins (Chemical structure)Grain Proteins (EXT)Increased Histamine Release (Physiologic effect)
Identifiers: Product ID 43742-1627_7051531c-7167-4297-bb0a-61eaab795e84SPL ID 7051531c-7167-4297-bb0a-61eaab795e84SPL set ID c34957b3-d2e8-4d28-b0eb-0e96cb7b83a6UNII 5L51B4DR1G, 9IKM0I5T1E, 5G06TVY3R7, 45P3261C7T, C998R1XSRA, TA501QD69R, T0920P9Z9A, 1534K8653J, 37RBV3X49K, MA9CQJ3F7F, 0YPR65R21J, F9S9FFU82N, 3IXW0F6P8W, 883WKN7W8X, 4632WW1X5A, 15E04LZ9CTUPC 0810151881966
Pharmacologic class: Corticosteroid; Non-Standardized Food 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

N443742162701 followed by a unit qualifier and the quantity

Package 43742-1627-01. 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 Feb 22, 2024.

Indications (excerpt from the label)

USES: • For the temporary relief of symptoms including: • bowel irregularity • occasional diarrhea • fatigue • occasional constipation intestinal support • stomach support 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)