NDC codes

FDA NDC Directory
Product NDC (as listed)58264-0139Labeler and product segments. Claims need a package NDC.
Product NDC at billing width58264-0139Add 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
58264-0139-15826401390129.57 mL in 1 BOTTLE, GLASS (58264-0139-1)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-133
Generic name (nonproprietary)
calcium fluoride, silicon dioxide, tribasic calcium phosphate, calcium sulfate anhydrous, ferrosoferric phosphate, potassium chloride, dibasic potassium phosphate, potassium sulfate, magnesium phosphate, dibasic trihydrate, sodium phosphate, dibasic, heptahydrate, sodium chloride, and sodium sulfate
Active ingredients
Calcium fluoride — 8 [hp_X]/mLSilicon dioxide — 8 [hp_X]/mLTribasic calcium phosphate — 6 [hp_X]/mLCalcium sulfate anhydrous — 6 [hp_X]/mLFerrosoferric phosphate — 6 [hp_X]/mLPotassium chloride — 6 [hp_X]/mLDibasic potassium phosphate — 6 [hp_X]/mLPotassium sulfate — 6 [hp_X]/mLMagnesium phosphate, Dibasic trihydrate — 6 [hp_X]/mLSodium phosphate, Dibasic, Heptahydrate — 6 [hp_X]/mLSodium chloride — 6 [hp_X]/mLSodium sulfate — 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
Calcium (Chemical structure)Divalent (Chemical structure)Increased Coagulation Factor Activity (Physiologic effect)Increased Large Intestinal Motility (Physiologic effect)Increased Large Intestinal Motility (Physiologic effect)Increased Large Intestinal Motility (Physiologic effect)Inhibition Large Intestine Fluid/Electrolyte Absorption (Physiologic effect)Inhibition Large Intestine Fluid/Electrolyte Absorption (Physiologic effect)Inhibition Large Intestine Fluid/Electrolyte Absorption (Physiologic effect)Inhibition Small Intestine Fluid/Electrolyte Absorption (Physiologic effect)Magnesium Ion Exchange Activity (Mechanism)Osmotic Activity (Mechanism)Osmotic Activity (Mechanism)Osmotic Activity (Mechanism)Phosphate Chelating Activity (Mechanism)Potassium Compounds (Chemical structure)Potassium Compounds (Chemical structure)Stimulation Large Intestine Fluid/Electrolyte Secretion (Physiologic effect)
Identifiers
Product ID 58264-0139_2b9efed7-5d8a-16bd-e063-6394a90ac14fSPL ID 2b9efed7-5d8a-16bd-e063-6394a90ac14fSPL set ID a250b7e9-7fd2-4cb0-82f3-baa089d17441UNII O3B55K4YKI, ETJ7Z6XBU4, 91D9GV0Z28, E934B3V59H, 91GQH8I5F7, 660YQ98I10, CI71S98N1Z, 1K573LC5TV, HF539G9L3Q, 70WT22SF4B, 451W47IQ8X, 0YPR65R21J
Pharmacologic class
Blood Coagulation Factor; Calculi Dissolution Agent; Osmotic Laxative; Phosphate Binder; 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

N458264013901 followed by a unit qualifier and the quantity

Package 58264-0139-01. 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 Mineral imbalances.

Excerpt only. Read the full label for complete information.

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