NDC codes

FDA NDC Directory
Product NDC (as listed)58264-0112Labeler and product segments. Claims need a package NDC.
Product NDC at billing width58264-0112Add 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
58264-0112-15826401120129.57 mL in 1 BOTTLE, GLASS (58264-0112-1)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-106
Generic name (nonproprietary)
betaine hydrochloride, bos taurus bile, pancrelipase lipase, beef liver, sodium phosphate, dibasic, heptahydrate, bos taurus pancreas, pepsin, and sus scrofa stomach
Active ingredients
Betaine hydrochloride — 3 [hp_X]/mLBos taurus bile — 6 [hp_X]/mLPancrelipase lipase — 3 [hp_X]/mLBeef liver — 6 [hp_X]/mLSodium phosphate, Dibasic, Heptahydrate — 3 [hp_X]/mLBos taurus pancreas — 6 [hp_X]/mLPepsin — 3 [hp_X]/mLSus scrofa stomach — 6 [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)Dietary Proteins (Chemical structure)Increased Histamine Release (Physiologic effect)Meat Proteins (EXT)Methylating Activity (Mechanism)
Identifiers
Product ID 58264-0112_2b9eda10-4e9c-e31e-e063-6394a90a53c6SPL ID 2b9eda10-4e9c-e31e-e063-6394a90a53c6SPL set ID c032c034-c58b-4287-b78c-37fab1feb425UNII JK8U8K4D6K, ET3651ZLOU, 8MYC33932O, W8N8R55022, 70WT22SF4B, 1M529TNT1D, GID333S43J, T0920P9Z9A
Pharmacologic class
Methylating Agent; Non-Standardized Food 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

N458264011201 followed by a unit qualifier and the quantity

Package 58264-0112-01. 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 Stimulates digestion and absorption.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

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