NDC codes

FDA NDC Directory
Product NDC (as listed)58264-0005Labeler and product segments. Claims need a package NDC.
Product NDC at billing width58264-0005Add 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
58264-0005-15826400050129.57 mL in 1 BOTTLE, GLASS (58264-0005-1)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-5
Generic name (nonproprietary)
silver nitrate, strychnos nux-vomica seed, lycopodium clavatum spore, semecarpus anacardium juice, scrophularia nodosa, atropa belladonna, arsenic trioxide, activated charcoal, matricaria chamomilla, and chelidonium majus
Active ingredients
Silver nitrate — 6 [hp_X]/mLStrychnos nux-vomica seed — 4 [hp_X]/mLLycopodium clavatum spore — 5 [hp_X]/mLSemecarpus anacardium juice — 6 [hp_X]/mLScrophularia nodosa — 1 [hp_X]/mLAtropa belladonna — 4 [hp_X]/mLArsenic trioxide — 4 [hp_X]/mLActivated charcoal — 8 [hp_X]/mLMatricaria chamomilla — 2 [hp_X]/mLChelidonium majus — 3 [hp_X]/mL
Dosage form
Solution
Route
Sublingual
Product type
Over-the-counter drug
Marketing category
Unapproved homeopathic
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)Plant Proteins (Chemical structure)Seed Storage Proteins (Chemical structure)
Identifiers
Product ID 58264-0005_2b9ea4e9-9a4f-adab-e063-6394a90a8323SPL ID 2b9ea4e9-9a4f-adab-e063-6394a90a8323SPL set ID c286e9b3-51c6-4633-aef1-cda2505c1fa0UNII 95IT3W8JZE, 269XH13919, C88X29Y479, Y0F0BU8RDU, 7H443NUB2T, WQZ3G9PF0H, S7V92P67HO, 2P3VWU3H10, G0R4UBI2ZZ, 7E889U5RNN
Pharmacologic class
Non-Standardized Plant 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. Sublingual products like this are usually dispensed by a pharmacy and billed by NDC.

NDC on a medical claim

N458264000501 followed by a unit qualifier and the quantity

Package 58264-0005-01. 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 Frequent belching, flatulence, indigestion.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

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