D-120 NDC 58264-0126

NDC codes

FDA NDC Directory

Product NDC (as listed)58264-0126Labeler and product segments. Claims need a package NDC.

Product NDC at billing width58264-0126Add 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
58264-0126-1	58264012601	29.57 mL in 1 BOTTLE, GLASS (58264-0126-1)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-120
Generic name (nonproprietary): calcium fluoride, bismuth subnitrate, zinc, mercuric chloride, toxicodendron pubescens leaf, antimony trisulfide, barium carbonate, echinacea angustifolia, iodine, phosphoric acid, potassium carbonate, dibasic potassium phosphate, and thuja occidentalis leafy twig
Active ingredients: Calcium fluoride — 8 [hp_X]/mLBismuth subnitrate — 6 [hp_X]/mLZinc — 8 [hp_X]/mLMercuric chloride — 6 [hp_X]/mLToxicodendron pubescens leaf — 4 [hp_X]/mLAntimony trisulfide — 8 [hp_X]/mLBarium carbonate — 8 [hp_X]/mLEchinacea angustifolia — 4 [hp_X]/mLIodine — 4 [hp_X]/mLPhosphoric acid — 4 [hp_X]/mLPotassium carbonate — 6 [hp_X]/mLDibasic potassium phosphate — 4 [hp_X]/mLThuja occidentalis leafy twig — 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: Bismuth (Chemical structure)
Identifiers: Product ID 58264-0126_2b9ef26a-132d-fdee-e063-6394a90abb13SPL ID 2b9ef26a-132d-fdee-e063-6394a90abb13SPL set ID 9525c016-f0dd-43fd-a4e9-062075107eecUNII O3B55K4YKI, H19J064BA5, J41CSQ7QDS, 53GH7MZT1R, 6IO182RP7A, F79059A38U, 6P669D8HQ8, VB06AV5US8, 9679TC07X4, E4GA8884NN, BQN1B9B9HA, CI71S98N1Z, 1NT28V9397
Pharmacologic class: Bismuth

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

N458264012601 followed by a unit qualifier and the quantity

Package 58264-0126-01. 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 Loose teeth, sore gums.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)