NDC codes

FDA NDC Directory
Product NDC (as listed)43857-0624Labeler and product segments. Claims need a package NDC.
Product NDC at billing width43857-0624Add 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
43857-0624-14385706240130 mL in 1 BOTTLE, DROPPER (43857-0624-1)Marketed from Jun 21, 2022

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)
Dust Mix Antigens
Generic name (nonproprietary)
arsenicum album, drosera (rotundifolia), lycopodium clavatum, pothos foetidus, pulsatilla (pratensis), barley, corn, house, millet, milo, oat, rice, carpet, furniture, wheat
Active ingredients
Arsenic trioxide — 12 [hp_X]/mLDrosera rotundifolia whole — 12 [hp_X]/mLLycopodium clavatum spore — 12 [hp_X]/mLSymplocarpus foetidus root — 12 [hp_X]/mLPulsatilla pratensis whole — 12 [hp_X]/mLBarley — 16 [hp_X]/mLCorn — 16 [hp_X]/mLHouse dust — 16 [hp_X]/mLMillet — 16 [hp_X]/mLSorghum bicolor whole — 16 [hp_X]/mLOat — 16 [hp_X]/mLWhite rice — 16 [hp_X]/mLWheat — 16 [hp_X]/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)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)Dietary Proteins (Chemical structure)Dietary Proteins (Chemical structure)Dietary Proteins (Chemical structure)Dietary Proteins (Chemical structure)Grain Proteins (EXT)Grain Proteins (EXT)Grain Proteins (EXT)Grain Proteins (EXT)House Dust (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 IgG Production (Physiologic effect)
Identifiers
Product ID 43857-0624_c8aa531e-e911-4da2-905b-30b8dfb50c5cSPL ID c8aa531e-e911-4da2-905b-30b8dfb50c5cSPL set ID 6f0e22e2-92be-4a66-95aa-692260f01fa6UNII S7V92P67HO, QR44N9XPJQ, C88X29Y479, R88254608W, 8E272251DI, 5PWM7YLI7R, 0N8672707O, EYO007VX98, TJR6B3R47P, Y3T98X3AL6, Z6J799EAJK, A195V20H7A, 4J2I0SN84YUPC 0810184340201
Pharmacologic class
Non-Standardized Food Allergenic Extract; Non-Standardized House Dust 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

N443857062401 followed by a unit qualifier and the quantity

Package 43857-0624-01. 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

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