Pollen Mix Liquid
NDC Package 43857-0535-1

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

Package Information

Pollen Mix (american elm, plane (sycamore), ash, beech, willow, elder (box elder), alder, cedar, maple, hazel, poplar, kentucky bluegrass, orchard grass, silver birch, bermuda grass, johnson grass, rye grass, vernal grass, bahia grass, oak, hickory, timothy grass) liquids is for temporary relief of allergies due to pollen. This formulation utilizes a liquid delivery system. Marketed by Bioactive Nutritional, Inc., this product is identified by NDC 43857-0535.

Identification & Billing

NDC Package Code
43857-0535-1
Package Description
30 mL in 1 BOTTLE, DROPPER
Product Code
43857-0535
11-Digit Billing Format
43857053501

Clinical Specifications

Proprietary Name
Pollen Mix
Non-Proprietary Name
American Elm, Plane (sycamore), Ash, Beech, Willow, Elder (box Elder), Alder, Cedar, Maple, Hazel, Poplar, Kentucky Bluegrass, Orchard Grass, Silver Birch, Bermuda Grass, Johnson Grass, Rye Grass, Vernal Grass, Bahia Grass, Oak, Hickory, Timothy Grass
Substance Name
Acer Saccharum Pollen; Alnus Rubra Pollen; Anthoxanthum Odoratum Pollen; Betula Pendula Pollen; Carya Glabra Pollen; Corylus Avellana Pollen; Cynodon Dactylon Pollen; Dactylis Glomerata Pollen; Fagus Sylvatica Pollen; Fraxinus Excelsior Pollen; Juniperus Virginiana Pollen; Paspalum Notatum Pollen; Phleum Pratense Pollen; Platanus X Acerifolia Pollen; Poa Pratensis Pollen; Populus Alba Pollen; Quercus Robur Pollen; Salix X Fragilis Pollen; Sambucus Canadensis Flower; Secale Cereale Pollen; Sorghum Halepense Pollen; Ulmus Americana Pollen
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 temporary relief of allergies due to pollen. For temporary relief of allergies due to pollen.

Regulatory & Marketing

Labeler Name
Bioactive Nutritional, 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
10-29-2019
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 43857-0535-1 identifies a specific commercial package of 30 ml in 1 bottle, dropper of Pollen Mix, a human over the counter drug labeled by Bioactive Nutritional, Inc.. This liquid is formulated for oral use and contains acer saccharum pollen; alnus rubra pollen; anthoxanthum odoratum pollen; betula pendula pollen; carya glabra pollen; corylus avellana pollen; cynodon dactylon pollen; dactylis glomerata pollen; fagus sylvatica pollen; fraxinus excelsior pollen; juniperus virginiana pollen; paspalum notatum pollen; phleum pratense pollen; platanus x acerifolia pollen; poa pratensis pollen; populus alba pollen; quercus robur pollen; salix x fragilis pollen; sambucus canadensis flower; secale cereale pollen; sorghum halepense pollen; ulmus americana pollen 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 Bioactive Nutritional, Inc. on October 29, 2019. The current certification is valid through December 31, 2026.

How is this Bioactive Nutritional, Inc. product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 43857053501. 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)
43857-0535-1
11-Digit CMS (5-4-2)
43857-0535-01

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