Dairy Allergen Mix Liquid
NDC Package 43742-1589-1

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

Package Information

Dairy Allergen Mix (adenosinum triphosphoricum dinatrum, benzoicum acidum, cholinum, cinnamic acid, eugenol, folic acid, formalinum, histaminum hydrochloricum, l-asparagine (monohydrate), lac defloratum, lac vaccinum, menadione, oophorinum (suis), petroselinum sativum, phenyl isothiocyanate, quercetin, rutin, saccharum lactis, ileum (suis), jejunum (suis), stomach (suis), coumarinum, folliculinum, gaba (gamma-aminobutyric acid), sarcolacticum acidum, lac caninum, lac felinum, lac humanum, piperine, calcarea carbonica,) liquids is for the temporary relief of symptoms of allergies to calcium in foods and supplements, including cramping of muscles, fatigue, and musculoskeletal weakness.****These statements are based upon homeopathic principles. This formulation utilizes a liquid delivery system. Marketed by Deseret Biologicals, Inc., this product is identified by NDC 43742-1589.

Identification & Billing

NDC Package Code
43742-1589-1
Package Description
30 mL in 1 BOTTLE, DROPPER
Product Code
43742-1589
11-Digit Billing Format
43742158901

Clinical Specifications

Proprietary Name
Dairy Allergen Mix
Non-Proprietary Name
Adenosinum Triphosphoricum Dinatrum, Benzoicum Acidum, Cholinum, Cinnamic Acid, Eugenol, Folic Acid, Formalinum, Histaminum Hydrochloricum, L-asparagine (monohydrate), Lac Defloratum, Lac Vaccinum, Menadione, Oophorinum (suis), Petroselinum Sativum, Phenyl Isothiocyanate, Quercetin, Rutin, Saccharum Lactis, Ileum (suis), Jejunum (suis), Stomach (suis), Coumarinum, Folliculinum, Gaba (gamma-aminobutyric Acid), Sarcolacticum Acidum, Lac Caninum, Lac Felinum, Lac Humanum, Piperine, Calcarea Carbonica,
Substance Name
Adenosine Triphosphate Disodium; Benzoic Acid; Choline Hydroxide; Cinnamic Acid; Eugenol; Folic Acid; Formaldehyde; Histamine Dihydrochloride; Asparagine Monohydrate; Skim Milk; Cow Milk; Menadione; Sus Scrofa Ovary; Petroselinum Crispum; Phenyl Isothiocyanate; Quercetin; Rutin; Lactose, Unspecified Form; Sus Scrofa Ileum; Sus Scrofa Jejunum; Sus Scrofa Stomach; Coumarin; Estrone; .gamma.-aminobutyric Acid; Lactic Acid, L-; Canis Lupus Familiaris Milk; Felis Catus Milk; Human Milk; Piperine; Oyster Shell Calcium Carbonate, Crude; Calcium Fluoride; Tribasic Calcium Phosphate; Activated Charcoal; Matricaria Recutita; Salmonella Enterica Subsp. Enterica Serovar Enteritidis; Toxicodendron Pubescens Leaf; Calcium Citrate; Calcium Gluconate
Dosage Form
Liquid - A dosage form consisting of a pure chemical in its liquid1 state. This dosage form term should not be applied to solutions.
Administration Route
Oral - Administration to or by way of the mouth.
Active Ingredient(s)
Pharmacologic Class
Usage Information
For the temporary relief of symptoms of allergies to calcium in foods and supplements, including cramping of muscles, fatigue, and musculoskeletal weakness.****These statements are based upon homeopathic principles. They have not been reviewed by the Food and Drug Administration. For the temporary relief of symptoms of allergies to calcium in foods and supplements, including cramping of muscles, fatigue, and musculoskeletal weakness.****These statements are based upon homeopathic principles. They have not been reviewed by the Food and Drug Administration.

Regulatory & Marketing

Labeler Name
Deseret Biologicals, Inc.
Product Type
Human Otc Drug
Marketing Category
UNAPPROVED HOMEOPATHIC - A category specifying that a product is marketed as unapproved homeopathic product.
Start Marketing Date
10-25-2019
End Marketing Date
01-04-2029
Exclude Flag
N
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 43742-1589-1 identifies a specific commercial package of 30 ml in 1 bottle, dropper of Dairy Allergen Mix, a human over the counter drug labeled by Deseret Biologicals, Inc.. This liquid is formulated for oral use and contains adenosine triphosphate disodium; benzoic acid; choline hydroxide; cinnamic acid; eugenol; folic acid; formaldehyde; histamine dihydrochloride; asparagine monohydrate; skim milk; cow milk; menadione; sus scrofa ovary; petroselinum crispum; phenyl isothiocyanate; quercetin; rutin; lactose, unspecified form; sus scrofa ileum; sus scrofa jejunum; sus scrofa stomach; coumarin; estrone; .gamma.-aminobutyric acid; lactic acid, l-; canis lupus familiaris milk; felis catus milk; human milk; piperine; oyster shell calcium carbonate, crude; calcium fluoride; tribasic calcium phosphate; activated charcoal; matricaria recutita; salmonella enterica subsp. enterica serovar enteritidis; toxicodendron pubescens leaf; calcium citrate; calcium gluconate as the active substance.

Is this product currently listed with the FDA?

Yes, this product is active and verified within the NDC Directory. It was introduced to the market by Deseret Biologicals, Inc. on October 25, 2019.

How is this Deseret Biologicals, Inc. product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 43742158901. 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 (5-4-1)
43742-1589-1
11-Digit CMS (5-4-2)
43742-1589-01

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