Non-standardized allergenic · BLA
Quackgrass Pollen (agropyron repens) NDC 49643-307
Elymus repens pollen .05 g/mL · Injection · Cutaneous, Intradermal, Subcutaneous · Allermed Laboratories, Inc.
NDC codes
FDA NDC Directory| Package NDC | 11-digit (billing) | Package | Copy |
|---|---|---|---|
| 49643-307-05 | 49643030705 | 5 mL in 1 VIAL, MULTI-DOSE (49643-307-05)Marketed from Mar 12, 1974 | |
| 49643-307-10 | 49643030710 | 10 mL in 1 VIAL, MULTI-DOSE (49643-307-10)Marketed from Mar 12, 1974 | |
| 49643-307-30 | 49643030730 | 30 mL in 1 VIAL, MULTI-DOSE (49643-307-30)Marketed from Mar 12, 1974 | |
| 49643-307-50 | 49643030750 | 50 mL in 1 VIAL, MULTI-DOSE (49643-307-50)Marketed from Mar 12, 1974 |
How the 11-digit form is made: The product segment has 3 digits, so one leading zero is added to it (5-3-2 → 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)
- Quackgrass Pollen
- Generic name (nonproprietary)
- agropyron repens
- Active ingredients
- Elymus repens pollen — .05 g/mL
- Dosage form
- Injection
- Route
- Cutaneous, Intradermal, Subcutaneous
- Labeler
- Allermed Laboratories, Inc.
- Product type
- Non-standardized allergenic
- Marketing category
- BLA — Biologics License ApplicationApplication BLA 102211
- 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 49643-307_36ad1e17-751d-e226-e063-6394a90ab328SPL ID 36ad1e17-751d-e226-e063-6394a90ab328
- 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.
- Administration
Drug administration (CPT 96360–96549)
When a clinician administers the drug, the administration is reported separately. Codes in this range cover hydration, therapeutic injections and infusions, and chemotherapy or other complex drug administration. The right code depends on route, duration and drug type, and self-administered drugs are not billed this way.
- NDC on a medical claim
N449643030705followed by a unit qualifier and the quantityPackage 49643-0307-05. 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 102211
Products listed under the same FDA application: other strengths and forms, and repackagers who relabel the same product.
| Product | Strength | Form · route | Labeler | Product NDC |
|---|---|---|---|---|
| Beech Pollenfagus grandifolia | Fagus grandifolia pollen .05 g/mL | InjectionCutaneous, Intradermal, Subcutaneous | Allermed Laboratories, Inc. | 49643-349 |
| False Ragweed Pollenambrosia acanthicarpa | Ambrosia acanthicarpa pollen .05 g/mL | InjectionCutaneous, Intradermal, Subcutaneous | Allermed Laboratories, Inc. | 49643-351 |
| Alder, White Pollenalnus rhombifolia | Alnus rhombifolia pollen .05 g/mL | InjectionCutaneous, Intradermal, Subcutaneous | Allermed Laboratories, Inc. | 49643-312 |
| Tree of Heaven Pollenailanthus altissima | Ailanthus altissima pollen .05 g/mL | InjectionCutaneous, Intradermal, Subcutaneous | Allermed Laboratories, Inc. | 49643-310 |
| Iodine Bush Pollenallenrolfea occidentalis | Allenrolfea occidentalis pollen .05 g/mL | InjectionCutaneous, Intradermal, Subcutaneous | Allermed Laboratories, Inc. | 49643-311 |
| Western Ragweed Pollenambrosia psilostachia | Ambrosia psilostachya pollen .05 g/mL | InjectionCutaneous, Intradermal, Subcutaneous | Allermed Laboratories, Inc. | 49643-316 |
| Careless Weed Pollenamaranthus palmerii | Amaranthus palmeri pollen .05 g/mL | InjectionCutaneous, Intradermal, Subcutaneous | Allermed Laboratories, Inc. | 49643-313 |
| Redroot Pigweed Pollenamaranthus retroflexus | Amaranthus retroflexus pollen .05 g/mL | InjectionCutaneous, Intradermal, Subcutaneous | Allermed Laboratories, Inc. | 49643-314 |
| Wormwood Sage Pollenartemisia absinthium | Artemisia absinthium pollen .05 g/mL | InjectionCutaneous, Intradermal, Subcutaneous | Allermed Laboratories, Inc. | 49643-319 |
| Giant Ragweed Pollenambrosia trifida | Ambrosia trifida pollen .05 g/mL | InjectionCutaneous, Intradermal, Subcutaneous | Allermed Laboratories, Inc. | 49643-317 |
| Bassia Pollenbassia hyssopifolia | Bassia hyssopifolia pollen .05 g/mL | InjectionCutaneous, Intradermal, Subcutaneous | Allermed Laboratories, Inc. | 49643-323 |
| Common Sage Pollenartemisia tridentata | Artemisia tridentata pollen .05 g/mL | InjectionCutaneous, Intradermal, Subcutaneous | Allermed Laboratories, Inc. | 49643-320 |
| Mugwort Sage Pollenartemisia vulgaris | Artemisia vulgaris pollen .05 g/mL | InjectionCutaneous, Intradermal, Subcutaneous | Allermed Laboratories, Inc. | 49643-321 |
| Cultivated Oat Pollenavena sativa | Avena sativa pollen .05 g/mL | InjectionCutaneous, Intradermal, Subcutaneous | Allermed Laboratories, Inc. | 49643-322 |
| Mustard Pollenbrassica campestris | Brassica rapa pollen .05 g/mL | InjectionCutaneous, Intradermal, Subcutaneous | Allermed Laboratories, Inc. | 49643-327 |
| Sugar Beet Pollenbeta vulgaris | Beta vulgaris pollen .05 g/mL | InjectionCutaneous, Intradermal, Subcutaneous | Allermed Laboratories, Inc. | 49643-324 |
| Gray (White) Birch Pollenbetula populifolia | Betula populifolia pollen .05 g/mL | InjectionCutaneous, Intradermal, Subcutaneous | Allermed Laboratories, Inc. | 49643-325 |
| Grama grass Pollenbouteloua spp. | Bouteloua gracilis pollen .05 g/mL | InjectionCutaneous, Intradermal, Subcutaneous | Allermed Laboratories, Inc. | 49643-326 |
| Bottlebrush Pollencallistemon citrinus | Callistemon citrinus pollen .05 g/mL | InjectionCutaneous, Intradermal, Subcutaneous | Allermed Laboratories, Inc. | 49643-330 |
| Smooth Brome Pollenbromus inermis | Bromus inermis pollen .05 g/mL | InjectionCutaneous, Intradermal, Subcutaneous | Allermed Laboratories, Inc. | 49643-328 |
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