Allergen Liquid
NDC Package 43857-0557-1

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

Package Information

Allergen (potassium gluconate, adrenalinum, hepar bovine, arsenicum album, phosphorus, pulsatilla (pratensis), sulphur, ambrosia artemisiaefolia, kentucky bluegrass, orchard grass, bermuda grass, johnson grass, rye grass, vernal grass, bahia grass, timothy grass, histaminum hydrochloricum) liquids is for temporary relief of sinus congestion, symptoms due to hay fever & allergic rhinitis. This formulation utilizes a liquid delivery system. Marketed by Bioactive Nutritional, Inc., this product is identified by NDC 43857-0557.

Identification & Billing

NDC Package Code
43857-0557-1
Package Description
30 mL in 1 BOTTLE, DROPPER
Product Code
43857-0557
11-Digit Billing Format
43857055701

Clinical Specifications

Proprietary Name
Allergen II
Non-Proprietary Name
Potassium Gluconate, Adrenalinum, Hepar Bovine, Arsenicum Album, Phosphorus, Pulsatilla (pratensis), Sulphur, Ambrosia Artemisiaefolia, Kentucky Bluegrass, Orchard Grass, Bermuda Grass, Johnson Grass, Rye Grass, Vernal Grass, Bahia Grass, Timothy Grass, Histaminum Hydrochloricum
Substance Name
Potassium Gluconate; Epinephrine; Beef Liver; Arsenic Trioxide; Phosphorus; Pulsatilla Pratensis Whole; Sulfur; Ambrosia Artemisiifolia Whole; Poa Pratensis Top; Dactylis Glomerata Top; Cynodon Dactylon Pollen; Sorghum Halepense Pollen; Lolium Perenne Pollen; Anthoxanthum Odoratum; Paspalum Notatum Pollen; Phleum Pratense Top; Histamine Dihydrochloride
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 sinus congestion, symptoms due to hay fever & allergic rhinitis. For temporary relief of sinus congestion, symptoms due to hay fever & allergic rhinitis.

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
04-30-2020
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 43857-0557-1 identifies a specific commercial package of 30 ml in 1 bottle, dropper of Allergen II, a human over the counter drug labeled by Bioactive Nutritional, Inc.. This liquid is formulated for oral use and contains potassium gluconate; epinephrine; beef liver; arsenic trioxide; phosphorus; pulsatilla pratensis whole; sulfur; ambrosia artemisiifolia whole; poa pratensis top; dactylis glomerata top; cynodon dactylon pollen; sorghum halepense pollen; lolium perenne pollen; anthoxanthum odoratum; paspalum notatum pollen; phleum pratense top; histamine dihydrochloride 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 April 30, 2020. 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: 43857055701. 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)
43857-0557-1
11-Digit CMS (5-4-2)
43857-0557-01

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