D-112 NDC 58264-0118

NDC codes

FDA NDC Directory

Product NDC (as listed)58264-0118Labeler and product segments. Claims need a package NDC.

Product NDC at billing width58264-0118Add 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 NDC	11-digit (billing)	Package	Copy
58264-0118-1	58264011801	29.57 mL in 1 BOTTLE, GLASS (58264-0118-1)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-112
Generic name (nonproprietary): lachesis muta venom, silicon dioxide, sodium chloride, ranunculus bulbosus, aconitum napellus, activated charcoal, nitroglycerin, oyster shell calcium carbonate, crude, anemone pratensis, plantago major, arsenic trioxide, and magnesium phosphate, dibasic trihydrate
Active ingredients: Lachesis muta venom — 12 [hp_X]/mLSilicon dioxide — 8 [hp_X]/mLSodium chloride — 4 [hp_X]/mLRanunculus bulbosus — 4 [hp_X]/mLAconitum napellus — 4 [hp_X]/mLActivated charcoal — 8 [hp_X]/mLNitroglycerin — 6 [hp_X]/mLOyster shell calcium carbonate, Crude — 8 [hp_X]/mLAnemone pratensis — 4 [hp_X]/mLPlantago major — 4 [hp_X]/mLArsenic trioxide — 6 [hp_X]/mLMagnesium phosphate, Dibasic trihydrate — 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: Jan 1, 1990
Listing expires: Dec 31, 2026
Other FDA classes: Increased Large Intestinal Motility (Physiologic effect)Inhibition Large Intestine Fluid/Electrolyte Absorption (Physiologic effect)Inhibition Small Intestine Fluid/Electrolyte Absorption (Physiologic effect)Magnesium Ion Exchange Activity (Mechanism)Nitrates (Chemical structure)Osmotic Activity (Mechanism)Stimulation Large Intestine Fluid/Electrolyte Secretion (Physiologic effect)Vasodilation (Physiologic effect)
Identifiers: Product ID 58264-0118_2b9eda10-4e9d-e31e-e063-6394a90a53c6SPL ID 2b9eda10-4e9d-e31e-e063-6394a90a53c6SPL set ID 8d517ef2-3a1e-4393-9452-a4cd0f0a3bcaUNII VSW71SS07I, ETJ7Z6XBU4, 451W47IQ8X, AEQ8NXJ0MB, U0NQ8555JD, 2P3VWU3H10, G59M7S0WS3, 2E32821G6I, 8E272251DI, W2469WNO6U, S7V92P67HO, HF539G9L3Q
Pharmacologic class: Calculi Dissolution Agent; Nitrate Vasodilator; Osmotic Laxative

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

N458264011801 followed by a unit qualifier and the quantity

Package 58264-0118-01. 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 Jan 13, 2025.

Indications (excerpt from the label)

INDICATIONS Teeth sensitive to cold and heat.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)