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Western Water Hemp

Allergenic Extract

Approved
Approval ID

b8e9933d-eeb3-4379-aaa4-5dfb1179683f

Product Type

HUMAN PRESCRIPTION DRUG LABEL

Effective Date

Nov 13, 2009

Manufacturers
FDA

Antigen Laboratories, Inc.

DUNS: 030705628

Products 10

Detailed information about drug products covered under this FDA approval, including NDC codes, dosage forms, ingredients, and administration routes.

Jerusalem Oak

Product Details

FDA regulatory identification and product classification information

FDA Identifiers
NDC Product Code49288-0628
Application NumberBLA102223
Product Classification
M
Marketing Category
C73585
G
Generic Name
Jerusalem Oak
Product Specifications
Route of AdministrationSUBCUTANEOUS, INTRADERMAL
Effective DateNovember 13, 2009
FDA Product Classification

INGREDIENTS (5)

CHENOPODIUM BOTRYS POLLENActive
Quantity: 0.05 g in 1 mL
Code: IVU789297D
Classification: ACTIB
GLYCERINInactive
Quantity: 0.525 mL in 1 mL
Code: PDC6A3C0OX
Classification: IACT
SODIUM CHLORIDEInactive
Quantity: 0.0095 g in 1 mL
Code: 451W47IQ8X
Classification: IACT
SODIUM BICARBONATEInactive
Quantity: 0.0024 g in 1 mL
Code: 8MDF5V39QO
Classification: IACT
WATERInactive
Code: 059QF0KO0R
Classification: IACT

Sorrel Mixture

Product Details

FDA regulatory identification and product classification information

FDA Identifiers
NDC Product Code49288-0460
Application NumberBLA102223
Product Classification
M
Marketing Category
C73585
G
Generic Name
Sorrel Mixture
Product Specifications
Route of AdministrationSUBCUTANEOUS, INTRADERMAL
Effective DateNovember 13, 2009
FDA Product Classification

INGREDIENTS (9)

RUMEX ACETOSELLA POLLENActive
Quantity: 0.004 g in 1 mL
Code: N52MIQ81ZW
Classification: ACTIB
RUMEX OBTUSIFOLIUS POLLENActive
Quantity: 0.004 g in 1 mL
Code: R6H8O3GVL9
Classification: ACTIB
RUMEX SALICIFOLIUS VAR. MEXICANUS POLLENActive
Quantity: 0.004 g in 1 mL
Code: BHS470V9ON
Classification: ACTIB
RUMEX CRISPUS POLLENActive
Quantity: 0.004 g in 1 mL
Code: V825XJG64G
Classification: ACTIB
GLYCERINInactive
Quantity: 0.525 mL in 1 mL
Code: PDC6A3C0OX
Classification: IACT
SODIUM CHLORIDEInactive
Quantity: 0.0095 g in 1 mL
Code: 451W47IQ8X
Classification: IACT
RUMEX ALTISSIMUS POLLENActive
Quantity: 0.004 g in 1 mL
Code: BML0J15H8W
Classification: ACTIB
SODIUM BICARBONATEInactive
Quantity: 0.0024 g in 1 mL
Code: 8MDF5V39QO
Classification: IACT
WATERInactive
Code: 059QF0KO0R
Classification: IACT

Rough (Redroot) Pigweed

Product Details

FDA regulatory identification and product classification information

FDA Identifiers
NDC Product Code49288-0409
Application NumberBLA102223
Product Classification
M
Marketing Category
C73585
G
Generic Name
Rough (Redroot) Pigweed
Product Specifications
Route of AdministrationSUBCUTANEOUS, INTRADERMAL
Effective DateNovember 13, 2009
FDA Product Classification

INGREDIENTS (5)

AMARANTHUS RETROFLEXUS POLLENActive
Quantity: 0.05 g in 1 mL
Code: 73B14PX5FW
Classification: ACTIB
GLYCERINInactive
Quantity: 0.525 mL in 1 mL
Code: PDC6A3C0OX
Classification: IACT
SODIUM CHLORIDEInactive
Quantity: 0.0095 g in 1 mL
Code: 451W47IQ8X
Classification: IACT
WATERInactive
Code: 059QF0KO0R
Classification: IACT
SODIUM BICARBONATEInactive
Quantity: 0.0024 g in 1 mL
Code: 8MDF5V39QO
Classification: IACT

Marsh Elder Mixture

Product Details

FDA regulatory identification and product classification information

FDA Identifiers
NDC Product Code49288-0268
Application NumberBLA102223
Product Classification
M
Marketing Category
C73585
G
Generic Name
Marsh Elder Mixture
Product Specifications
Route of AdministrationSUBCUTANEOUS, INTRADERMAL
Effective DateNovember 13, 2009
FDA Product Classification

INGREDIENTS (6)

GLYCERINInactive
Quantity: 0.525 mL in 1 mL
Code: PDC6A3C0OX
Classification: IACT
IVA XANTHIFOLIA POLLENActive
Quantity: 0.01 g in 1 mL
Code: V80TPZ0T6J
Classification: ACTIB
SODIUM CHLORIDEInactive
Quantity: 0.0095 g in 1 mL
Code: 451W47IQ8X
Classification: IACT
IVA ANNUA VAR. ANNUA POLLENActive
Quantity: 0.01 g in 1 mL
Code: Y2U5S5PF22
Classification: ACTIB
SODIUM BICARBONATEInactive
Quantity: 0.0024 g in 1 mL
Code: 8MDF5V39QO
Classification: IACT
WATERInactive
Code: 059QF0KO0R
Classification: IACT

English Plantain

Product Details

FDA regulatory identification and product classification information

FDA Identifiers
NDC Product Code49288-0361
Application NumberBLA102223
Product Classification
M
Marketing Category
C73585
G
Generic Name
English Plantain
Product Specifications
Route of AdministrationSUBCUTANEOUS, INTRADERMAL
Effective DateNovember 13, 2009
FDA Product Classification

INGREDIENTS (5)

GLYCERINInactive
Quantity: 0.525 mL in 1 mL
Code: PDC6A3C0OX
Classification: IACT
SODIUM CHLORIDEInactive
Quantity: 0.0095 g in 1 mL
Code: 451W47IQ8X
Classification: IACT
PLANTAGO LANCEOLATA POLLENActive
Quantity: 0.05 g in 1 mL
Code: DO87T1U2CI
Classification: ACTIB
SODIUM BICARBONATEInactive
Quantity: 0.0024 g in 1 mL
Code: 8MDF5V39QO
Classification: IACT
WATERInactive
Code: 059QF0KO0R
Classification: IACT

Russian Thistle

Product Details

FDA regulatory identification and product classification information

FDA Identifiers
NDC Product Code49288-0433
Application NumberBLA102223
Product Classification
M
Marketing Category
C73585
G
Generic Name
Russian Thistle
Product Specifications
Route of AdministrationSUBCUTANEOUS, INTRADERMAL
Effective DateNovember 13, 2009
FDA Product Classification

INGREDIENTS (5)

SODIUM CHLORIDEInactive
Quantity: 0.0095 g in 1 mL
Code: 451W47IQ8X
Classification: IACT
WATERInactive
Code: 059QF0KO0R
Classification: IACT
SODIUM BICARBONATEInactive
Quantity: 0.0024 g in 1 mL
Code: 8MDF5V39QO
Classification: IACT
SALSOLA KALI POLLENActive
Quantity: 0.05 g in 1 mL
Code: 2MH135KC6G
Classification: ACTIB
GLYCERINInactive
Quantity: 0.525 mL in 1 mL
Code: PDC6A3C0OX
Classification: IACT

English Plantain

Product Details

FDA regulatory identification and product classification information

FDA Identifiers
NDC Product Code49288-0362
Application NumberBLA102223
Product Classification
M
Marketing Category
C73585
G
Generic Name
English Plantain
Product Specifications
Route of AdministrationSUBCUTANEOUS, INTRADERMAL
Effective DateNovember 13, 2009
FDA Product Classification

INGREDIENTS (5)

GLYCERINInactive
Quantity: 0.525 mL in 1 mL
Code: PDC6A3C0OX
Classification: IACT
PLANTAGO LANCEOLATA POLLENActive
Quantity: 0.02 g in 1 mL
Code: DO87T1U2CI
Classification: ACTIB
SODIUM CHLORIDEInactive
Quantity: 0.0095 g in 1 mL
Code: 451W47IQ8X
Classification: IACT
WATERInactive
Code: 059QF0KO0R
Classification: IACT
SODIUM BICARBONATEInactive
Quantity: 0.0024 g in 1 mL
Code: 8MDF5V39QO
Classification: IACT

Kochia

Product Details

FDA regulatory identification and product classification information

FDA Identifiers
NDC Product Code49288-0284
Application NumberBLA102223
Product Classification
M
Marketing Category
C73585
G
Generic Name
Kochia
Product Specifications
Route of AdministrationSUBCUTANEOUS, INTRADERMAL
Effective DateNovember 13, 2009
FDA Product Classification

INGREDIENTS (5)

KOCHIA SCOPARIA POLLENActive
Quantity: 0.02 g in 1 mL
Code: 07A108ZKW5
Classification: ACTIB
GLYCERINInactive
Quantity: 0.525 mL in 1 mL
Code: PDC6A3C0OX
Classification: IACT
SODIUM CHLORIDEInactive
Quantity: 0.0095 g in 1 mL
Code: 451W47IQ8X
Classification: IACT
WATERInactive
Code: 059QF0KO0R
Classification: IACT
SODIUM BICARBONATEInactive
Quantity: 0.0024 g in 1 mL
Code: 8MDF5V39QO
Classification: IACT

Chenopodium Mixture

Product Details

FDA regulatory identification and product classification information

FDA Identifiers
NDC Product Code49288-0086
Application NumberBLA102223
Product Classification
M
Marketing Category
C73585
G
Generic Name
Chenopodium Mixture
Product Specifications
Route of AdministrationSUBCUTANEOUS, INTRADERMAL
Effective DateNovember 13, 2009
FDA Product Classification

INGREDIENTS (7)

WATERInactive
Code: 059QF0KO0R
Classification: IACT
SODIUM BICARBONATEInactive
Quantity: 0.0024 g in 1 mL
Code: 8MDF5V39QO
Classification: IACT
CHENOPODIUM BOTRYS POLLENActive
Quantity: 0.0067 g in 1 mL
Code: IVU789297D
Classification: ACTIB
CHENOPODIUM ALBUM POLLENActive
Quantity: 0.0067 g in 1 mL
Code: 098LKX5NCN
Classification: ACTIB
CHENOPODIUM AMBROSIOIDES POLLENActive
Quantity: 0.0067 g in 1 mL
Code: WIB701MW2H
Classification: ACTIB
GLYCERINInactive
Quantity: 0.525 mL in 1 mL
Code: PDC6A3C0OX
Classification: IACT
SODIUM CHLORIDEInactive
Quantity: 0.0095 g in 1 mL
Code: 451W47IQ8X
Classification: IACT

Desert Sage

Product Details

FDA regulatory identification and product classification information

FDA Identifiers
NDC Product Code49288-0497
Application NumberBLA102223
Product Classification
M
Marketing Category
C73585
G
Generic Name
Desert Sage
Product Specifications
Route of AdministrationSUBCUTANEOUS, INTRADERMAL
Effective DateNovember 13, 2009
FDA Product Classification

INGREDIENTS (5)

GLYCERINInactive
Quantity: 0.525 mL in 1 mL
Code: PDC6A3C0OX
Classification: IACT
ARTEMISIA TRIDENTATA POLLENActive
Quantity: 0.05 g in 1 mL
Code: YI19RB8YFD
Classification: ACTIB
WATERInactive
Code: 059QF0KO0R
Classification: IACT
SODIUM CHLORIDEInactive
Quantity: 0.0095 g in 1 mL
Code: 451W47IQ8X
Classification: IACT
SODIUM BICARBONATEInactive
Quantity: 0.0024 g in 1 mL
Code: 8MDF5V39QO
Classification: IACT

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