NDC codes

FDA NDC Directory
Product NDC (as listed)62713-100Labeler and product segments. Claims need a package NDC.
Product NDC at billing width62713-0100Add 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
62713-100-016271301000130 mL in 1 BOTTLE, DROPPER (62713-100-01)Marketed from Sep 25, 2025
62713-100-026271301000259 mL in 1 BOTTLE, DROPPER (62713-100-02)Marketed from Sep 25, 2025

How the 11-digit form is made: The product segment has 3 digits, so one leading zero is added to it (5-3-2 → 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)
Allergena Mold MixSuffix: Mold Mix
Generic name (nonproprietary)
alternaria tenuis, aspergillus mixture, botrytis cinerea, chaetomium globosum, cladosporium cladosporioides, curvularia, epicoccum nigrum, fusarium vasinfectum, mucor racemosus, neurospora, nigrospora, penicillium mixture, phoma herbarum, pullularia pullulans, rhizopus, rhodotorula, stemphylium, trichoderma lignorum, trichophyton mentagrophytes, baptisia tinctoria, hydrastis canadensis, myrrha, nasturtium aquaticum, phytolacca decandra, trigonella foenum-graecum, echinacea
Active ingredients
Alternaria alternata — 30 [hp_X]/mLAspergillus niger var. Niger — 30 [hp_X]/mLAureobasidium pullulans var. Pullutans — 30 [hp_X]/mLBotrytis cinerea — 30 [hp_X]/mLChaetomium globosum — 30 [hp_X]/mLCladosporium cladosporioides — 30 [hp_X]/mLCochliobolus spicifer — 30 [hp_X]/mLEpicoccum nigrum — 30 [hp_X]/mLFusarium oxysporum vasinfectum — 30 [hp_X]/mLMucor racemosus — 30 [hp_X]/mLNeurospora sitophila — 30 [hp_X]/mLKhuskia oryzae — 30 [hp_X]/mLPenicillium chrysogenum var. Chrysogenum — 30 [hp_X]/mLPhoma exigua var. Exigua — 30 [hp_X]/mLRhizopus stolonifer — 30 [hp_X]/mLRhodotorula rubra — 30 [hp_X]/mLStemphylium sarciniforme — 30 [hp_X]/mLTrichoderma viride — 30 [hp_X]/mLTrichophyton mentagrophytes — 30 [hp_X]/mLBaptisia tinctoria root — 3 [hp_X]/mLGoldenseal — 3 [hp_X]/mLMyrrh — 3 [hp_X]/mLPhytolacca americana root — 3 [hp_X]/mLFenugreek leaf — 3 [hp_X]/mLEchinacea, Unspecified — 3 [hp_X]/mL
Dosage form
Liquid
Route
Oral
Product type
Over-the-counter drug
Marketing category
Unapproved homeopathic
Marketing start
Listing expires
Other FDA classes
Allergens (Chemical structure)Allergens (Chemical structure)Allergens (Chemical structure)Allergens (Chemical structure)Allergens (Chemical structure)Allergens (Chemical structure)Allergens (Chemical structure)Allergens (Chemical structure)Allergens (Chemical structure)Allergens (Chemical structure)Allergens (Chemical structure)Allergens (Chemical structure)Allergens (Chemical structure)Allergens (Chemical structure)Allergens (Chemical structure)Allergens (Chemical structure)Allergens (Chemical structure)Allergens (Chemical structure)Allergens (Chemical structure)Cell-mediated Immunity (Physiologic effect)Cell-mediated Immunity (Physiologic effect)Cell-mediated Immunity (Physiologic effect)Cell-mediated Immunity (Physiologic effect)Cell-mediated Immunity (Physiologic effect)Cell-mediated Immunity (Physiologic effect)Cell-mediated Immunity (Physiologic effect)Cell-mediated Immunity (Physiologic effect)Cell-mediated Immunity (Physiologic effect)Cell-mediated Immunity (Physiologic effect)Cell-mediated Immunity (Physiologic effect)Cell-mediated Immunity (Physiologic effect)Cell-mediated Immunity (Physiologic effect)Cell-mediated Immunity (Physiologic effect)Cell-mediated Immunity (Physiologic effect)Cell-mediated Immunity (Physiologic effect)Cell-mediated Immunity (Physiologic effect)Cell-mediated Immunity (Physiologic effect)Cell-mediated Immunity (Physiologic effect)Fungal Proteins (Chemical structure)Fungal Proteins (Chemical structure)Fungal Proteins (Chemical structure)Fungal Proteins (Chemical structure)Fungal Proteins (Chemical structure)Fungal Proteins (Chemical structure)Fungal Proteins (Chemical structure)Fungal Proteins (Chemical structure)Fungal Proteins (Chemical structure)Fungal Proteins (Chemical structure)Fungal Proteins (Chemical structure)Fungal Proteins (Chemical structure)Fungal Proteins (Chemical structure)Fungal Proteins (Chemical structure)Fungal Proteins (Chemical structure)Fungal Proteins (Chemical structure)Fungal Proteins (Chemical structure)Fungal Proteins (Chemical structure)Fungal Proteins (Chemical structure)Increased Histamine Release (Physiologic effect)Increased Histamine Release (Physiologic effect)Increased Histamine Release (Physiologic effect)Increased Histamine Release (Physiologic effect)Increased Histamine Release (Physiologic effect)Increased Histamine Release (Physiologic effect)Increased Histamine Release (Physiologic effect)Increased Histamine Release (Physiologic effect)Increased Histamine Release (Physiologic effect)Increased Histamine Release (Physiologic effect)Increased Histamine Release (Physiologic effect)Increased Histamine Release (Physiologic effect)Increased Histamine Release (Physiologic effect)Increased Histamine Release (Physiologic effect)Increased Histamine Release (Physiologic effect)Increased Histamine Release (Physiologic effect)Increased Histamine Release (Physiologic effect)Increased Histamine Release (Physiologic effect)Increased Histamine Release (Physiologic effect)Increased IgG Production (Physiologic effect)Increased IgG Production (Physiologic effect)Increased IgG Production (Physiologic effect)Increased IgG Production (Physiologic effect)Increased IgG Production (Physiologic effect)Increased IgG Production (Physiologic effect)Increased IgG Production (Physiologic effect)Increased IgG Production (Physiologic effect)Increased IgG Production (Physiologic effect)Increased IgG Production (Physiologic effect)Increased IgG Production (Physiologic effect)Increased IgG Production (Physiologic effect)Increased IgG Production (Physiologic effect)Increased IgG Production (Physiologic effect)Increased IgG Production (Physiologic effect)Increased IgG Production (Physiologic effect)Increased IgG Production (Physiologic effect)Increased IgG Production (Physiologic effect)Increased IgG Production (Physiologic effect)
Identifiers
Product ID 62713-100_5befc2d2-a75e-4d8e-e063-6294a90a32d2SPL ID 5befc2d2-a75e-4d8e-e063-6294a90a32d2
Pharmacologic class
Non-Standardized Fungal 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. Oral products like this are usually dispensed by a pharmacy and billed by NDC.

NDC on a medical claim

N462713010001 followed by a unit qualifier and the quantity

Package 62713-0100-01. 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

The FDA listing for this product does not reference a label (SPL) set.

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