Ulmus Americana Pollen
NDC Package 0268-6708-05

View Billable Units, 11-Digit Conversion Format, and RxNorm mappings
Table of Contents
    1. Package Information
    2. Frequently Asked Questions

Package Information

This product is EXCLUDED from the official NDC directory because the listing data was discontinued by the firm.

Ulmus Americana Pollen is these products are for diagnostic use only. Marketed by Alk-abello, Inc., this product is identified by NDC 0268-6708 and is authorized under FDA application BLA103753.

Identification & Billing

NDC Package Code
0268-6708-05
Package Description
5 mL in 1 VIAL, MULTI-DOSE
Product Code
0268-6708
11-Digit Billing Format
00268670805
RxNorm Crosswalk
  • RxCUI: 1013964 - bald cypress pollen extract 50 MG/ML Injectable Solution
  • RxCUI: 1013964 - bald cypress pollen extract 0.05 GM/ML Injectable Solution
  • RxCUI: 1013964 - Taxodium distichum pollen extract 0.05 GM/ML Injectable Solution
  • RxCUI: 1013964 - Taxodium distichum pollen extract 50 MG/ML Injectable Solution
  • RxCUI: 1014194 - cedar elm pollen extract 50 MG/ML Injectable Solution

Clinical Specifications

Proprietary Name
Ulmus Americana Pollen
Dosage Form
-
Usage Information
These products are for diagnostic use only. Diagnostic allergenic extracts are indicated for use in skin testing to establish the clinical relevance of specific allergens to which the patient has been exposed. By measuring skin test response the physician may assess the degree of sensitivity that patients have to the allergens. For extracts standardized in AU and BAU, see individual directions for use. Allergenic extracts for diagnostic use only of coffee, mosquito, cottonseed, and flaxseed have not been shown by adequate data to be safe and effective for therapeutic use.

Regulatory & Marketing

Labeler Name
Alk-abello, Inc.
FDA Application #
BLA103753
Marketing Category
BLA - A product marketed under an approved Biologic License Application.
Start Marketing Date
01-01-1965
End Marketing Date
11-30-2021
Listing Expiration
11-30-2021
Exclude Flag
D
Sample Package
No

Hierarchy Structure

Code Lineage

The NDC Directory contains ONLY information on final marketed drugs submitted to FDA electronically by labelers. A labeler might be a manufacturer, re-packager or re-labeler. The product information included in the NDC directory does not indicate that FDA has verified the information provided by the product labeler. Assigned NDC numbers are not in any way an indication of FDA approval of the product.

* Please review the full disclaimer at the bottom of this page.

Frequently Asked Questions

What is the distribution configuration for this product package?

The code 0268-6708-05 identifies a specific commercial package of 5 ml in 1 vial, multi-dose of Ulmus Americana Pollen, labeled by Alk-abello, Inc.. This is formulated for use and contains as the active substance.

Is this product currently listed with the FDA?

This product code is currently listed as inactive or excluded from the primary directory. It was introduced to the market by Alk-abello, Inc. on January 01, 1965. The current certification is valid through November 30, 2021.

How is this Alk-abello, Inc. product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 00268670805. The table below illustrates the segment conversion from the 10-digit labeler code to the 11-digit provider format.

11-Digit Code Conversion

Billing payers usually require a 5-4-2 segment configuration. Below is the conversion from the 10-digit package format to the 11-digit billing format:

10-Digit Format (4-4-2)
0268-6708-05
11-Digit CMS (5-4-2)
00268-6708-05

Note: The zero is added to the Labeler segment to maintain the 5-4-2 structure.