Over-the-counter drug · UNAPPROVED HOMEOPATHIC
D-104 NDC 58264-0110
Apium graveolens whole 6 [hp_X]/mL + 11 more ingredients · Solution · Sublingual · DNA Labs, Inc.
NDC codes
FDA NDC Directory| Package NDC | 11-digit (billing) | Package | Copy |
|---|---|---|---|
| 58264-0110-1 | 58264011001 | 29.57 mL in 1 BOTTLE, GLASS (58264-0110-1)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-104
- Generic name (nonproprietary)
- apium graveolens whole, asclepias incarnata root, calcium arsenate, camphor (natural), echinacea angustifolia, eupatorium perfoliatum flowering top, euphrasia stricta, ferrous iodide, ichthammol, scabies lesion lysate (human), thuja occidentalis leafy twig, and trifolium repens flower
- Active ingredients
- Apium graveolens whole — 6 [hp_X]/mLAsclepias incarnata root — 4 [hp_X]/mLCalcium arsenate — 12 [hp_X]/mLCamphor (Natural) — 12 [hp_X]/mLEchinacea angustifolia — 4 [hp_X]/mLEupatorium perfoliatum flowering top — 6 [hp_X]/mLEuphrasia stricta — 6 [hp_X]/mLFerrous iodide — 6 [hp_X]/mLIchthammol — 12 [hp_X]/mLScabies lesion lysate (Human) — 30 [hp_X]/mLThuja occidentalis leafy twig — 6 [hp_X]/mLTrifolium repens flower — 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 58264-0110_2b9ed194-def5-363e-e063-6294a90a8cdcSPL ID 2b9ed194-def5-363e-e063-6294a90a8cdcSPL set ID 09c3912a-71ba-4814-8b91-d0e787b542bfUNII 15V0BLB71G, 4N9UU1HQKG, 95OX15I8ZU, N20HL7Q941, VB06AV5US8, 1W0775VX6E, C9642I91WL, F5452U54PN, NQ14646378, 5UAU16Z1U4, 1NT28V9397, 49Y788T742
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
N458264011001followed by a unit qualifier and the quantityPackage 58264-0110-01. 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 For viral infections.
Excerpt only. Read the full label for complete information.