Over-the-counter drug · UNAPPROVED HOMEOPATHIC
D-4 NDC 58264-0004
Quinine arsenite 12 [hp_X]/mL + 9 more ingredients · Solution · Sublingual · DNA Labs, Inc.
NDC codes
FDA NDC Directory| Package NDC | 11-digit (billing) | Package | Copy |
|---|---|---|---|
| 58264-0004-1 | 58264000401 | 29.57 mL in 1 BOTTLE, GLASS (58264-0004-1)Marketed from Jan 1, 1990 |
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)
- D-4
- Generic name (nonproprietary)
- quinine arsenite, phosphoric acid, matricaria chamomilla, citrullus colocynthis fruit pulp, mercuric chloride, veratrum album root, baptisia tinctoria, ferrosoferric phosphate, nerium oleander leaf, and toxicodendron pubescens leaf
- Active ingredients
- Quinine arsenite — 12 [hp_X]/mLPhosphoric acid — 3 [hp_X]/mLMatricaria chamomilla — 4 [hp_X]/mLCitrullus colocynthis fruit pulp — 6 [hp_X]/mLMercuric chloride — 5 [hp_X]/mLVeratrum album root — 6 [hp_X]/mLBaptisia tinctoria — 4 [hp_X]/mLFerrosoferric phosphate — 8 [hp_X]/mLNerium oleander leaf — 6 [hp_X]/mLToxicodendron pubescens leaf — 4 [hp_X]/mL
- Dosage form
- Solution
- Route
- Sublingual
- Labeler
- DNA Labs, Inc.
- Product type
- Over-the-counter drug
- Marketing category
- Unapproved homeopathic
- Marketing start
- Listing expires
- Identifiers
- Product ID 58264-0004_2b9ea1fc-59a3-8189-e063-6394a90a9ae6SPL ID 2b9ea1fc-59a3-8189-e063-6394a90a9ae6SPL set ID 45577059-73f4-4302-b299-3e356aaf959aUNII 42QO5P0NLM, E4GA8884NN, G0R4UBI2ZZ, 23H32AOH17, 53GH7MZT1R, QNS6W5US1Z, 5K1UO2888Y, 91GQH8I5F7, 7KV510R6H6, 6IO182RP7A
- Pharmacologic class
- Antimalarial
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. Sublingual products like this are usually dispensed by a pharmacy and billed by NDC.
- NDC on a medical claim
N458264000401followed by a unit qualifier and the quantityPackage 58264-0004-01. 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 Diarrhea.
Excerpt only. Read the full label for complete information.