NDC codes

FDA NDC Directory
Product NDC (as listed)58264-0042Labeler and product segments. Claims need a package NDC.
Product NDC at billing width58264-0042Add 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
58264-0042-1582640042015826400420129.57 mL in 1 BOTTLE, GLASS (58264-0042-1)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-42
Generic name (nonproprietary)
horse chestnut, atropa belladonna, calcium fluoride, milk thistle, hamamelis virginiana root bark/stem bark, daphne mezereum bark, anemone pratensis, claviceps purpurea sclerotium, vipera berus venom, and bos taurus placenta
Active ingredients
Horse chestnut — 30 [hp_X]/mLAtropa belladonna — 12 [hp_X]/mLCalcium fluoride — 30 [hp_X]/mLMilk thistle — 12 [hp_X]/mLHamamelis virginiana root bark/stem bark — 6 [hp_X]/mLDaphne mezereum bark — 12 [hp_X]/mLAnemone pratensis — 30 [hp_X]/mLClaviceps purpurea sclerotium — 30 [hp_X]/mLVipera berus venom — 12 [hp_X]/mLBos taurus placenta — 30 [hp_X]/mL
Dosage form
Solution
Route
Sublingual
Labeler
DNA Labs, Inc.NDC labeler code 58264
Product type
Over-the-counter drug
Marketing category
Unapproved homeopathic
Marketing start
Listing expires
Identifiers
Product ID 58264-0042_2b9ea788-da08-c3ef-e063-6394a90a6b11SPL ID 2b9ea788-da08-c3ef-e063-6394a90a6b11SPL set ID 400cbb19-5475-43ee-8630-608e673dc986UNII 3C18L6RJAZ, WQZ3G9PF0H, O3B55K4YKI, U946SH95EE, T7S323PKJS, X2N6E405GV, 8E272251DI, 01G9XEA93N, 0ORO6NCA4M, 83AL37E3A7

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

N458264004201 followed by a unit qualifier and the quantity

Package 58264-0042-01. 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 Supports healthy veins.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 58264-0042

What is NDC 58264-0042?
58264-0042 is the product NDC for D-42, Horse chestnut 30 [hp_X]/mL + 9 more ingredients solution, listed with the FDA by DNA Labs, Inc.. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
D-42 (HORSE CHESTNUT, ATROPA BELLADONNA, CALCIUM FLUORIDE, MILK THISTLE, HAMAMELIS VIRGINIANA ROOT BARK/STEM BARK, DAPHNE MEZEREUM BARK, ANEMONE PRATENSIS, CLAVICEPS PURPUREA SCLEROTIUM, VIPERA BERUS VENOM, and BOS TAURUS PLACENTA).
What is the active ingredient?
Horse chestnut, Atropa belladonna, Calcium fluoride, Milk thistle, Hamamelis virginiana root bark/stem bark, Daphne mezereum bark, Anemone pratensis, Claviceps purpurea sclerotium, Vipera berus venom, Bos taurus placenta.
Who is the labeler?
DNA Labs, Inc., NDC labeler code 58264. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for D-42?
None: this is the only finished product listed under this name.
Is there a related HCPCS / J-code?
Not in Med-Code's curated HCPCS directory. See Billing references above.

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