NDC codes

FDA NDC Directory
Product NDC (as listed)58264-0043Labeler and product segments. Claims need a package NDC.
Product NDC at billing width58264-0043Add 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
58264-0043-1582640043015826400430129.57 mL in 1 BOTTLE, GLASS (58264-0043-1)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-43
Generic name (nonproprietary)
arsenic trioxide, atropa belladonna, bryonia alba root, activated charcoal, bos taurus pituitary gland, posterior, sodium sulfate, veratrum album root, eriodictyon californicum leaf, sodium chloride, and dibasic potassium phosphate
Active ingredients
Arsenic trioxide — 6 [hp_X]/mLAtropa belladonna — 30 [hp_X]/mLBryonia alba root — 12 [hp_X]/mLActivated charcoal — 30 [hp_X]/mLBos taurus pituitary gland, Posterior — 30 [hp_X]/mLSodium sulfate — 30 [hp_X]/mLVeratrum album root — 30 [hp_X]/mLEriodictyon californicum leaf — 12 [hp_X]/mLSodium chloride — 30 [hp_X]/mLDibasic potassium phosphate — 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 58264-0043_2b9eb825-2e85-846c-e063-6394a90a0a7bSPL ID 2b9eb825-2e85-846c-e063-6394a90a0a7bSPL set ID 937e2b7e-4001-402f-bd12-dcff4627e928UNII S7V92P67HO, WQZ3G9PF0H, T7J046YI2B, 2P3VWU3H10, 7JM57I419K, 0YPR65R21J, QNS6W5US1Z, 2Y7TIQ135H, 451W47IQ8X, CI71S98N1Z

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

N458264004301 followed by a unit qualifier and the quantity

Package 58264-0043-01. 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 Difficulty breathing especially upon exertion.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 58264-0043

What is NDC 58264-0043?
58264-0043 is the product NDC for D-43, Arsenic trioxide 6 [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-43 (Arsenic trioxide, Atropa belladonna, Bryonia alba Root, Activated charcoal, Bos taurus pituitary gland, posterior, Sodium sulfate, Veratrum album Root, Eriodictyon californicum leaf, Sodium chloride, and Dibasic potassium phosphate).
What is the active ingredient?
Arsenic trioxide, Atropa belladonna, Bryonia alba root, Activated charcoal, Bos taurus pituitary gland, Posterior, Sodium sulfate, Veratrum album root, Eriodictyon californicum leaf, Sodium chloride, Dibasic potassium phosphate.
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-43?
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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