Dairy Allergen Mix Liquid
NDC Package 43742-2201-1

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, calcarea carbonica, calcarea fluorica, calcarea phosphorica, calcium citrate, calcium gluconate, carbo vegetabilis, chamomilla, cholinum, cinnamic acid, coumarinum, eugenol, folic acid, folliculinum, formalinum, gaba (gamma-aminobutyric acid), gaertner bacillus (bach), histaminum hydrochloricum, ileum (suis), jejunum (suis), l-asparagine (monohydrate), lac caninum, lac defloratum, lac felinum, lac humanum, lac vaccinum, menadione,) liquids is 1-10 drops under the tongue, 3 times a day or as directed by a health professional. This formulation utilizes a liquid delivery system. Marketed by Deseret Biologicals, Inc., this product is identified by NDC 43742-2201.

Identification & Billing

NDC Package Code
43742-2201-1
Package Description
30 mL in 1 BOTTLE, DROPPER
Product Code
43742-2201
11-Digit Billing Format
43742220101

Clinical Specifications

Proprietary Name
Dairy Allergen Mix
Non-Proprietary Name
Adenosinum Triphosphoricum Dinatrum, Benzoicum Acidum, Calcarea Carbonica, Calcarea Fluorica, Calcarea Phosphorica, Calcium Citrate, Calcium Gluconate, Carbo Vegetabilis, Chamomilla, Cholinum, Cinnamic Acid, Coumarinum, Eugenol, Folic Acid, Folliculinum, Formalinum, Gaba (gamma-aminobutyric Acid), Gaertner Bacillus (bach), Histaminum Hydrochloricum, Ileum (suis), Jejunum (suis), L-asparagine (monohydrate), Lac Caninum, Lac Defloratum, Lac Felinum, Lac Humanum, Lac Vaccinum, Menadione,
Substance Name
.gamma.-aminobutyric Acid; Activated Charcoal; Adenosine Triphosphate Disodium; Asparagine Monohydrate; Benzoic Acid; Calcium Citrate; Calcium Fluoride; Calcium Gluconate; Canis Lupus Familiaris Milk; Choline Hydroxide; Cinnamic Acid; Coumarin; Cow Milk; Estrone; Eugenol; Felis Catus Milk; Folic Acid; Formaldehyde Solution; Histamine Dihydrochloride; Human Milk; Lactic Acid, L-; Lactose, Unspecified Form; Matricaria Chamomilla Whole; Menadione; Oyster Shell Calcium Carbonate, Crude; Petroselinum Crispum Whole; Phenyl Isothiocyanate; Piperine; Quercetin; Rutin; Salmonella Enterica Enterica Serovar Enteritidis; Skim Milk; Sus Scrofa Ileum; Sus Scrofa Jejunum; Sus Scrofa Ovary; Sus Scrofa Stomach; Toxicodendron Pubescens Leaf; Tribasic Calcium Phosphate
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
1-10 drops under the tongue, 3 times a day or as directed by a health professional. Consult a physician for use in children under 12 years of age.

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
09-06-2024
Listing Expiration
12-31-2026
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 43742-2201-1 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 .gamma.-aminobutyric acid; activated charcoal; adenosine triphosphate disodium; asparagine monohydrate; benzoic acid; calcium citrate; calcium fluoride; calcium gluconate; canis lupus familiaris milk; choline hydroxide; cinnamic acid; coumarin; cow milk; estrone; eugenol; felis catus milk; folic acid; formaldehyde solution; histamine dihydrochloride; human milk; lactic acid, l-; lactose, unspecified form; matricaria chamomilla whole; menadione; oyster shell calcium carbonate, crude; petroselinum crispum whole; phenyl isothiocyanate; piperine; quercetin; rutin; salmonella enterica enterica serovar enteritidis; skim milk; sus scrofa ileum; sus scrofa jejunum; sus scrofa ovary; sus scrofa stomach; toxicodendron pubescens leaf; tribasic calcium phosphate 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 September 06, 2024. The current certification is valid through December 31, 2026.

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

For medical billing and reimbursement, this package follows the 11-digit CMS format: 43742220101. 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)
43742-2201-1
11-Digit CMS (5-4-2)
43742-2201-01

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