Bolym-ex Drops Liquid
NDC Package 59469-201-10

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

Package Information

Bolym-ex Drops (benzoic acid, formic acid, aristolochia clematitis root, ferula assa-foetida resin, avena sativa flowering top, berberis vulgaris root bark, calcium phosphate, unspecified form, capsella bursa-pastoris, galium aparine, daphne mezereum bark, and piper methysticum root) liquids is a medication used as Supports relief of minor symptoms related to tick-borne disease. This formulation utilizes a liquid delivery system. Marketed by Pekana Naturheilmittel Gmbh, this product is identified by NDC 59469-201.

Identification & Billing

NDC Package Code
59469-201-10
Package Description
1 BOTTLE, DROPPER in 1 CARTON / 50 mL in 1 BOTTLE, DROPPER
Product Code
59469-201
11-Digit Billing Format
59469020110

Clinical Specifications

Proprietary Name
Bolym-ex Drops
Non-Proprietary Name
Benzoic Acid, Formic Acid, Aristolochia Clematitis Root, Ferula Assa-foetida Resin, Avena Sativa Flowering Top, Berberis Vulgaris Root Bark, Calcium Phosphate, Unspecified Form, Capsella Bursa-pastoris, Galium Aparine, Daphne Mezereum Bark, And Piper Methysticum Root
Substance Name
Aristolochia Clematitis Root; Avena Sativa Flowering Top; Benzoic Acid; Berberis Vulgaris Root Bark; Calcium Phosphate, Unspecified Form; Capsella Bursa-pastoris Whole; Daphne Mezereum Bark; Ferula Assa-foetida Resin; Formic Acid; Galium Aparine Whole; Macropiper Methysticum Root
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
This product is used as Supports relief of minor symptoms related to tick-borne disease. Application of this homeopathic remedy for the designated usage is exclusively based on homeopathic experience. With severe forms of this disease, a clinically proven therapy is indicated.

Regulatory & Marketing

Labeler Name
Pekana Naturheilmittel Gmbh
Product Type
Human Otc Drug
Marketing Category
UNAPPROVED HOMEOPATHIC - A category specifying that a product is marketed as unapproved homeopathic product.
Start Marketing Date
06-01-2015
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 59469-201-10 identifies a specific commercial package of 1 bottle, dropper in 1 carton / 50 ml in 1 bottle, dropper of Bolym-ex Drops, a human over the counter drug labeled by Pekana Naturheilmittel Gmbh. This liquid is formulated for oral use and contains aristolochia clematitis root; avena sativa flowering top; benzoic acid; berberis vulgaris root bark; calcium phosphate, unspecified form; capsella bursa-pastoris whole; daphne mezereum bark; ferula assa-foetida resin; formic acid; galium aparine whole; macropiper methysticum root 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 Pekana Naturheilmittel Gmbh on June 01, 2015. The current certification is valid through December 31, 2026.

How is this Pekana Naturheilmittel Gmbh product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 59469020110. 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 (5-3-2)
59469-201-10
11-Digit CMS (5-4-2)
59469-0201-10

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