NDC codes

FDA NDC Directory
Product NDC (as listed)55714-2422Labeler and product segments. Claims need a package NDC.
Product NDC at billing width55714-2422Add 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
55714-2422-15571424220130 mL in 1 BOTTLE, GLASS (55714-2422-1)Marketed from Jan 1, 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)
Dust-Mold-Dander
Generic name (nonproprietary)
iris versicolor, solidago virgaurea, antimonium crudum, apis mellifica, arsenicum album, baptisia tinctoria, blatta orientalis, bromium, bryonia, candida albicans, carduus benedictus, cat hair, chelidonium majus, cinchona officinalis, dog hair, histaminum hydrochloricum, house dust, ipecacuanha, lycopodium clavatum, nux vomica, podophyllum peltatum, rhus toxicodendron, secale cornutum, silicea, ustilago maidis, torula cerevisiae.
Active ingredients
House dust — 15 [hp_X]/mLIris versicolor root — 6 [hp_X]/mLAntimony trisulfide — 15 [hp_X]/mLApis mellifera — 15 [hp_X]/mLArsenic trioxide — 15 [hp_X]/mLBaptisia tinctoria root — 15 [hp_X]/mLBlatta orientalis — 15 [hp_X]/mLBromine — 15 [hp_X]/mLBryonia alba root — 15 [hp_X]/mLCandida albicans — 15 [hp_X]/mLCentaurea benedicta — 15 [hp_X]/mLFelis catus hair — 15 [hp_X]/mLChelidonium majus — 15 [hp_X]/mLCinchona officinalis bark — 15 [hp_X]/mLCanis lupus familiaris hair — 15 [hp_X]/mLHistamine dihydrochloride — 15 [hp_X]/mLIpecac — 15 [hp_X]/mLLycopodium clavatum spore — 15 [hp_X]/mLStrychnos nux-vomica seed — 15 [hp_X]/mLPodophyllum — 15 [hp_X]/mLToxicodendron pubescens leaf — 15 [hp_X]/mLClaviceps purpurea sclerotium — 15 [hp_X]/mLSilicon dioxide — 15 [hp_X]/mLUstilago maydis — 15 [hp_X]/mLSaccharomyces cerevisiae — 16 [hp_X]/mLSolidago virgaurea flowering top — 6 [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)Allergens (Chemical structure)Allergens (Chemical structure)Allergens (Chemical structure)Allergens (Chemical structure)Allergens (Chemical structure)Animal Fur (Chemical structure)Bee Venoms (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)Dander (Chemical structure)Dietary Proteins (Chemical structure)Fungal Proteins (Chemical structure)Fungal Proteins (Chemical structure)Fungal Proteins (Chemical structure)Fungal Proteins (Chemical structure)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 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)Insect Proteins (Chemical structure)Plant Proteins (Chemical structure)Salivary Proteins and Peptides (Chemical structure)Seed Storage Proteins (Chemical structure)
Identifiers
Product ID 55714-2422_2d819832-46d9-b357-e063-6394a90abd0fSPL ID 2d819832-46d9-b357-e063-6394a90abd0fSPL set ID 9ba993f4-97af-4119-e053-2995a90a126dUNII EYO007VX98, X43D4L3DQC, F79059A38U, 7S82P3R43Z, S7V92P67HO, 5EF0HWI5WU, 535787266D, SBV4XY874G, T7J046YI2B, 4D7G21HDBC, 6L5ZL09795, 1564HD0N96, 7E889U5RNN, S003A158SB, 05S7L91ZTR, 3POA0Q644U, 62I3C8233L, C88X29Y479, 269XH13919, 2S713A4VP3, 6IO182RP7A, 01G9XEA93N, ETJ7Z6XBU4, 4K7Z7K7SWG, 978D8U419H, 5405K23S50
Pharmacologic class
Non-Standardized Animal Hair Allergenic Extract; Non-Standardized Food Allergenic Extract; Non-Standardized Fungal Allergenic Extract; Non-Standardized House Dust Allergenic Extract; Non-Standardized Insect Allergenic Extract; Non-Standardized Plant Allergenic Extract; Standardized Animal Hair Allergenic Extract; Standardized Insect Venom 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

N455714242201 followed by a unit qualifier and the quantity

Package 55714-2422-01. 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)

INDICATIONS & USAGE SECTION Formulated for associated symptoms such as labored breathing, congestion, sneezing, runny nose, watery eyes and skin irritations,

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

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