NDC codes

FDA NDC Directory
Product NDC (as listed)58264-0119Labeler and product segments. Claims need a package NDC.
Product NDC at billing width58264-0119Add 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
58264-0119-15826401190129.57 mL in 1 BOTTLE, GLASS (58264-0119-1)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-113
Generic name (nonproprietary)
nitric acid, potassium chlorate, virola sebifera resin, and mercurius solubilis
Active ingredients
Nitric acid — 6 [hp_X]/mLPotassium chlorate — 6 [hp_X]/mLVirola sebifera resin — 12 [hp_X]/mLMercurius solubilis — 30 [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
Increased Large Intestinal Motility (Physiologic effect)Inhibition Large Intestine Fluid/Electrolyte Absorption (Physiologic effect)Osmotic Activity (Mechanism)Potassium Compounds (Chemical structure)
Identifiers
Product ID 58264-0119_2b9eda10-4ea0-e31e-e063-6394a90a53c6SPL ID 2b9eda10-4ea0-e31e-e063-6394a90a53c6SPL set ID 5b6d2798-9924-415a-b60f-5e5540d53c9cUNII 411VRN1TV4, H35KS68EE7, GHJ5XX5SGS, 324Y4038G2
Pharmacologic class
Osmotic Laxative; Potassium Salt

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

N458264011901 followed by a unit qualifier and the quantity

Package 58264-0119-01. 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 Gingivitis, inflammation, red swollen gums.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

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