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Pollen Injection

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Dosage Form: injection
ALLERGENIC EXTRACT INSTRUCTIONS FOR USE AND DOSAGE SCHEDULE

Warnings

This allergenic product is intended for use by physicians who are experienced in the administration of allergenic extracts, and the emergency care of anaphylaxis, or for use under the guidance of an allergy specialist.
This allergenic extract is not directly interchangeable with other allergenic extracts. The initial dose must be based on skin testing as described in the dosage and administration section of this insert. Patients being switched from other types of extracts, such as alum precipitated extracts, should be started as though they were coming under treatment for the first time. Patients should be instructed to recognize adverse reaction symptoms and cautioned to contact the physician's office if reaction symptoms occur. As with all allergenic extracts, severe systemic reactions may occur. In certain individuals these systemic reactions may occur. In certain individuals these reactions may be life threatening. Patients should be observed for at least 20 minutes following treatment, and emergency measures as well as personnel trained in their use should be immediately available in the event of a life threatening reaction.
This product should not be injected intravenously (see Dosage and Administration). Refer also to the Warnings, Precautions, Adverse Reactions and Overdosage sections below.

Pollen Injection Description

Allergenic extract contains the aqueous extractables from allergenic source material in extracting solution containing 0.25% sodium chloride, 0.125% sodium bicarbonate, and 50% glycerol. 0.4% phenol is added as a preservative. The weight by volume value shown on the label is a measurement of extract concentration, rather than extract potency. Extracts for which U.S. standards exist are labeled in allergy units, in addition to w/v strength.

Pollen Injection - Clinical Pharmacology

Positive skin tests with allergenic extract are the result of histamine release from mast cells sensitized with allergen specific IgE. The exact mechanisms by which immunotherapy relieves symptoms of allergy are still under investigation. Elevations in allergen-specific IgG antibodies and an increase in the activity of T suppressor lymphocytes appear to be some of the immunologic changes that occur from hyposensitization.1,2,3



Indications and Usage for Pollen Injection

Allergenic extract may be used as a diagnostic skin test reagent in persons suspected of being sensitive to the allergenic source material from which the extract is made. Skin tests should be used in conjunction with a thorough allergic history to establish the relevance of a given allergen in the etiology of allergic disease.4,5,6
Immunotherapy with allergenic extract is indicated in persons suffering from allergic rhinitis, bronchitis, conjunctivitis, urticaria and asthma. The therapeutic efficacy of allergenic extract has been proven in ragweed, grass, and mountain cedar pollinosis, cat-induced asthma and hypersensitivity to hymenoptera venoms.7-12
Immunotherapy may be used along with or exclusive of antihistamines and other medications used to control allergic symptoms.

Contraindications

Allergenic extract should not be administered to a non-allergic person. However, there are no absolute contraindications to the use of allergenic extract for treatment in appropriate individuals. Relative contraindications include: EXTREME SENSITIVITY TO AN ALLERGEN - Determined from the allergic history, or from previous anaphylaxis following skin testing or subcutaneous injection; AUTOIMMUNE DISEASE - Individuals with autoimmune disease may be at risk, due to the possibility of routine immunizations exacerbating symptoms of the underlying disease; PREGNANCY - In limited controlled studies of women receiving allergenic extract during conception and throughout all trimesters of pregnancy, no evidence was found that extract is harmful to the fetus or mother. However, because of the known pharmacologic action of histamine on uterine muscle, any treatment that might result in the release of significant amounts of this mediator should be avoided if possible13. See Precaution #4; MYOCARDIAL INFARCTION - Patients who have experienced a recent myocardial infarction may not be able to tolerate immunotherapy. As in all of the above circumstances, the benefit to risk ration must be carefully evaluated; BLEEDING DIATHESIS - Patients with a bleeding tendency should not be tested or treated with allergenic extract, unless the physician responsible believes that such procedures are safe to perform.
Allergenic extract should be temporarily withheld from patients if any of the following conditions exist: (1) severe symptoms of hay fever and/or asthma; (2) infection or flu accompanied by fever; and (3) exposure to excessive amounts of clinically relevant allergens prior to skin testing or immunotherapy.

Warnings

The only approved method for determining hypersensitivity to Allermed Laboratories Allergenic Extracts is by diagnostic skin testing (See DOSAGE AND ADMINISTRATION — DIAGNOSIS).
Physicians who administer allergenic extract should have emergency medication and equipment available to treat anaphylaxis14. See Precautions, Adverse Reactions and Overdosage below.
To reduce the risk of anaphylaxis, the following measures must be observed:

  1. Concentrated extract must be diluted before use for intradermal skin testing and for beginning immunotherapy. It should never be injected intravenously during testing or treatment procedures.
  2. Patients who are highly sensitive, determined from clinical findings and test results, may require that treatment start with a very weak concentration of extract, such as 1:10,000,000 v/v.
  3. The dosage of fresh (new) extract given to a patient receiving maintenance injections must be reduced to one-fourth the amount given from the previous (old) lot (See Immunotherapy, last paragraph).
  4. Patients who are transferred to standardized extract after previous treatment with unstandardized extract must be skin tested with serial dilutions, starting with a 1:100,000 v/v dilution of the standardized extract, to determine a safe, non-reacting starting dose.
  5. Patients who are transferred to this extract after treatment with alum precipitated or other modified extract must re-start injections with the beginning recommended dose of this extract.

Precautions

  1. Extract should be stored at 2°C to 8°C since higher temperatures may adversely affect the stability of the product. Do not freeze.
  2. After the needle is inserted subcutaneously, the plunger should be withdrawn slightly to check for the presence of blood in the syringe. If blood is observed, a new injection should be prepared and given at another site, observing the same precautions.
  3. Treatment with beta-blocking drugs may make patients refractory to the usual dose of epinephrine, in the event epinephrine is required to control an adverse allergic reaction.
  4. PREGNANCY CATEGORY C. Allergenic extract. Animal reproduction studies have not been conducted with allergenic extract. It is also not known whether allergenic extract can cause fetal harm when administered to a pregnant woman or can affect reproduction capacity. Allergenic extract should be given to a pregnant woman only if clearly needed.
  5. PATIENT INSTRUCTIONS: Patients should be instructed to remain in the physician's office for at least 20 minutes after skin testing and after each treatment injection, and immediately notify the physician if symptoms of a generalized reaction or shock occur.
  6. CARCINOGENESIS, MUTAGENESIS, IMPAIRMENT OF FERTILITY: Long term studies have not been conducted with allergenic extracts to determine their potential for carcinogenesis, mutagenesis, and impairment of fertility.
  7. LACTATION: Data are not available on the secretion of allergenic extract in human milk and it is not known what affect this might have on the nursing infant.
  8. PEDIATRIC USE: The dose of allergenic extract recommended for children is the same as that used for adults, except in the injection of large doses of extract for treatment. In this case, the amount of extract given to a child may be modified so that the discomfort of the injection is minimized.

Adverse Reactions

Local Reactions: The occurrence of a hive 5 to 15 minutes after the subcutaneous injection of extract does not require a reduction in dosage. However, a local reaction with edema larger than 2 cm in diameter or swelling and redness that persist for several hours or longer indicates that too much extract has been given. Treatment should be altered as follows:

  1. Additional injections should not be given until all evidence of the reaction has disappeared.
  2. The next injection administered should be 50% of the last non-reacting dose or less, depending upon the size and severity of the local reaction.
  3. Subsequent injections should be continued at the reduced dosage unless the physician responsible for treatment believes that it is safe to increase the dose, and that possible clinical improvement would result form the administration of a larger dose of extract.

Systemic Reactions:Systemic (generalized) reactions may range from a mild exacerbation of the patient's allergic symptoms to hives, anaphylactic shock, or even death from anaphylaxis. The reaction usually occurs 5 to 20 minutes after injection. As a rule, the more quickly a reaction develops, the more serious it is likely to become. Symptoms may include sneezing, coughing, itching, shortness of breath, abdominal cramps, vomiting, diarrhea, tachycardia, hypotension and respiratory failure in severe cases. The reaction is usually stopped by the subcutaneous injection of Epinephrine HCL 1:1,000 (See Overdosage below). The oral administration of antihistamines and the placement of a tourniquet proximal to the injection site are helpful adjuncts. In the event that additional measures are required, it may be necessary to treat the patient for BRONCHOSPASM with intravenous aminophylline, intravenous fluids and corticosteroids; for HYPOTENSION with vasopressors, volume repletion, isoproterenol and corticosteroids; for LARYNGEAL OBSTRUCTION with oxygen and tracheostomy and for CARDIAC ARREST with cardiopulmonary resuscitation and other appropriate measures.
Immunotherapy after anaphylaxis should be continued if the cause of the reaction can be identified and appropriate precautions taken to insure that a subsequent reaction does not occur.

Overdosage

A strong local reaction to the injection of extract may be treated with oral antihistamines and the local application of a cold compress. The dosage must be reduced and additional extract must not be given until all evidence of the reaction has disappeared.
A systemic reaction following the injection of extract must be treated immediately. Reported procedures include (Ref. #4, vol. 2, p. 888):

  1. 0.01 mL/kg up to 0.2 mL of aqueous epinephrine HCL 1:1000 subcutaneously at the injection site of antigen.
  2. 0.01 mL/kg up to 0.3 mL of aqueous epinephrine HCL 1:1000 subcutaneously at another site.
  3. Diphenhydramine intravenously or intramuscularly, 1.25 mg/kg up to 50 mg.
  4. Tourniquet above the injection site of antigen.

Specific reactions:

  1. Brochospasm: intravenous aminophylline 4 mg/kg up to 500 mg given over 10 to 15 minutes, aqueous hydrocortisone 5 mg/kg up to 200 mg, oxygen.
  2. Laryngeal edema: oxygen, intubation, tracheostomy.
  3. Hypotension: vasopressors, fluids, corticosteroids.
  4. Cardiac arrest: resuscitation, sodium bicarbonate, defibrillation, antiarrhythmia medications.

Pollen Injection Dosage and Administration

Diagnosis: Concentrated extract may be used for scratch or prick testing providing the patient is not extremely sensitive. In this case, the extract should be diluted 10 fold before a scratch or prick test is performed. Extract for intradermal testing must be used as follows:

a. Patients with a negative scratch or prick test: Patients who do not react who do not react to a valid scratch or prick test should be tested intradermally with 0.05 mL of a 1:1000 v/v dilution of the concentrate. If the test is negative, a second test should be performed with 0.05 mL of a 1:100 v/v dilution or concentrate.
b. Patients with positive scratch or prick tests: It is not advisable to perform an intradermal skin test if the patient has a positive scratch or prick test.
c. Patients tested only by the intradermal method: Patients suspected of being highly allergic should be tested with 0.05 mL of a 1:100,000 v/v dilution of the concentrate. A negative test should be followed by repeat tests using 10 fold stronger concentrations until the maximum dose of 0.05 mL of a 1:100 v/v dilution is reached.

Interpretation of Results
Scratch and Prick Test
A negative test shows only a slight red area at the site of scarification or prick penetration. Positive tests are scored as follows:

1+ Erythema with 5 mm wheal
2+ Erythema with a 5-10 mm wheal
3+ Erythema with a 10-15 mm wheal
4+ Erythema with a wheal 15 mm (or larger) with pseudopodia

Intradermal Test
A negative test shows no change in the appearance and size of the 5 mm wheal created by the I.D. injection of 0.05 mL of extract. Positive tests are scored as follows:

1+ Erythema 10-20 mm with a 5-10 mm wheal
2+ Erythema 20-30 mm with a 5-10 mm wheal
3+ Erythema 30-40 mm with a 10-15 mm wheal
4+ Erythema greater than 40 mm with a 15 mm wheal (or larger) with pseudopodia

Immunotherapy

Allergenic extract should be administered subcutaneously in the outer aspect of the upper arm using a sterile tuberculin syringe and needle. The skin should be cleaned with 70% alcohol and aseptic technique should be observed in removing the extract from the vial. Care must be taken to avoid injecting the extract into a blood vessel because of the risk of anaphylaxis.
Concentrated extract must be diluted before administration to new patients. A 1:100,000 v/v dilution of concentrate is usually satisfactory to start treatment. However, as a precaution against overdose, a skin test with the intended starting dose should be done to help evaluate the patient's sensitivity to the product. If the skin response is larger than 5 mm edema/15 mm erythema, the extract is too strong and must be diluted before it is given subcutaneously. The doses shown in the Dosage Schedule (Table 1) below are recommended unless the patient's skin test response and allergic history indicates that more dilute extract should be used.
Little is known about the required accumulated dosage of allergen that is needed to relieve symptoms. However, studies have shown that high dose immunotherapy is efficacious in the treatment of allergic rhinitis and asthma. For this reason, treatment with extract from Vial #5 is recommended, providing the patient can tolerate the extract without experiencing local or systemic reactions. Treatment with Vial #6 may be used for patients who have not had adverse reactions to extract in Vial #5 and who require more concentrated extract to control or relieve symptoms.
Patients who have received allergenic extract for maintenance therapy SHOULD NOT be given the same dose from a fresh vial of extract. IT IS ADVISABLE TO REDUCE THE DOSAGE OF FRESH EXTRACT TO ONE-FOURTH THE AMOUNT GIVEN FROM A PREVIOUS LOT OF EXTRACT MADE AT THE SAME CONCENTRATION AND BY THE SAME FORMULA.

Table 1 - Suggested Dosage Schedule
No.
Vial #1
1:100,000 w/v
frequency twice
weekly
mL
Vial #2
1:10,000 w/v
frequency twice
weekly
mL
Vial #3
1:1,000 w/v
frequency once
weekly
mL
Vial #4
1:100 w/v
frequency once
weekly
mL
Vial #5
1:10 w/v
frequency every
two-four weeks
mL
Vial #6
Concentrate
frequency every
two-four weeks
mL
1
0.025
0.025
0.025
0.025
0.025
0.025
2
0.05
0.05 0.05 0.05 0.05 0.05
3
0.10
0.10
0.10
0.10
0.10
0.10
4
0.15
0.15
0.15
0.15
0.15
0.15
5
0.20
0.20
0.20
0.20
0.20
0.20
6
0.25
0.25
0.25
0.25
0.25
0.25
7
0.30
0.30
0.30
0.30
0.30
0.30

SUPPLIED

Allergenic extract is supplied in dropper vials for scratch or prick testing and in 10, 30, and 50 mL vials for bulk use.

WARRANTY

Allermed Laboratories, Inc. certifies that allergenic extract prepared within the Laboratories meets the safety and sterility standards of the F.D.A. Because the Laboratories have no control over the conditions under which extract is sued, or the purposes intended, neither a good nor a bad effect following its administration is warranted.
The users of this product should be aware of the potential dangers involved in the injection of allergenic extract and accept the risk of any consequences resulting from such injections.
No representatives of the Laboratories may change this warranty whether written, oral or implied. The buyer or user must assume full responsibility for the product after it leaves the premises of the Laboratories.

REFERENCES

  1. Levy, D.A., L.M., Lichtenstein, E.O. Goldstein and K. Ishizaka. Immunologic and cellular changes accompanying the therapy of pollen allergy. J. Clinical Investigations. 50:360, 1971.
  2. Evans, R., H. Pence, H. Kaplan and R. Rocklin. The effect of immunotherapy on humoral and cellular response in ragweed hayfever. J. Clinical Investigations. 57:1378, 1976.
  3. Ishizaka, K. Cellular events in the IgE antibody response. Adv. In Immunology. 23:50, 1976.
  4. Middleton, Elliott, Jr., C.E. Reed and E.F. Ellis (Eds.) Allergy, Principles and Practice Vols. 1&2, C.V. Mosby 1978.
  5. Sheldon, J.M., R.G. Lovell and K.P. Matthews. A Manual of Clinical Allergy. W.B. Saunders, 1967.
  6. Nelson, H.S. Diagnostic procedures in allergy. I. Allergy skin testing. Ann. Allergy. 51:411, 1983.
  7. Norma, P.S., W.L. Winkenwerder and L.M. Lichtenstein. Immunotherapy of hay fever with ragweed antigen E: comparisons with whole pollen extract and placebos. J. Allergy. 42:93, 1968.
  8. Milner, F.H. and E.C. Tees. Specific sensitivity to individual grass pollens in some hay fever patients. Clinical Allergy. 2:83, 1972.
  9. Frankland, A.W. and R. Augustine. Grass pollen antigens effective in treatment. Clinical Science. 23:95, 1962.
  10. Pence, H.L., D.Q. Mitchell, R.L. Greely, B.R. Updegraff and H.A. Selfridge. Immunotherapy for mountain cedar pollinosis: a double-blind controlled study. J. Allergy ad Clinical Immunology. 58:39, 1976.
  11. Taylor, W.W., J.L. Ohman, Jr. and F.C. Lowell. Immunotherapy in cat-induced asthma. Double-blind trial with evaluation of bronchial responses to cat allergen and histamine. J. Allergy and Clinical Immunology. 61:283. 1978.
  12. Lichtenstein, L.M., M.D. Valentine and A.K. Sobotka. Insect allergies. The state of the art. J. Allergy and Clinical Immunology. 61:268, 1978.
  13. Metzger, W.J., E. Turner and R. Patterson. The safety of immunotherapy during pregnancy. J. Allergy and Clinical Immunology. 61:268. 1978.
  14. Ouellette, J.J. Emergency management of allergic reactions. Modern Medicine 99, 1975.

ACACIA POLLEN 
acacia spp.  injection
Product Information
Product Type NON-STANDARDIZED ALLERGENIC NDC Product Code (Source) 49643-301
Route of Administration INTRADERMAL, CUTANEOUS, SUBCUTANEOUS DEA Schedule     
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
ACACIA POLLEN (ACACIA POLLEN) ACACIA POLLEN 1 g  in 20 mL
Inactive Ingredients
Ingredient Name Strength
Sodium Chloride 0.25 g  in 100 mL
Sodium Bicarbonate 0.125   in 100 mL
Glycerin 53 mL  in 100 mL
Phenol 0.4 g  in 100 mL
Water  
Product Characteristics
Color      Score     
Shape Size
Flavor Imprint Code
Contains     
Packaging
# NDC Package Description Multilevel Packaging
1 49643-301-05 5 mL In 1 VIAL, MULTI-DOSE None
2 49643-301-10 10 mL In 1 VIAL, MULTI-DOSE None
3 49643-301-30 30 mL In 1 VIAL, MULTI-DOSE None
4 49643-301-50 50 mL In 1 VIAL, MULTI-DOSE None

Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
BLA BLA102212 03/12/1974

ALDER, WHITE POLLEN 
alnus rhombifolia  injection
Product Information
Product Type NON-STANDARDIZED ALLERGENIC NDC Product Code (Source) 49643-312
Route of Administration INTRADERMAL, CUTANEOUS, SUBCUTANEOUS DEA Schedule     
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
ALNUS RHOMBIFOLIA POLLEN (ALNUS RHOMBIFOLIA POLLEN) ALNUS RHOMBIFOLIA POLLEN 1 g  in 20 mL
Inactive Ingredients
Ingredient Name Strength
Sodium Chloride 0.25 g  in 100 mL
Sodium Bicarbonate 0.125   in 100 mL
Glycerin 53 mL  in 100 mL
Phenol 0.4 g  in 100 mL
Water  
Product Characteristics
Color      Score     
Shape Size
Flavor Imprint Code
Contains     
Packaging
# NDC Package Description Multilevel Packaging
1 49643-312-05 5 mL In 1 VIAL, MULTI-DOSE None
2 49643-312-10 10 mL In 1 VIAL, MULTI-DOSE None
3 49643-312-30 30 mL In 1 VIAL, MULTI-DOSE None
4 49643-312-50 50 mL In 1 VIAL, MULTI-DOSE None

Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
BLA BLA102212 03/12/1974

ALFALFA POLLEN 
medicago sativa  injection
Product Information
Product Type NON-STANDARDIZED ALLERGENIC NDC Product Code (Source) 49643-300
Route of Administration INTRADERMAL, CUTANEOUS, SUBCUTANEOUS DEA Schedule     
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
MEDICAGO SATIVA POLLEN (MEDICAGO SATIVA POLLEN) MEDICAGO SATIVA POLLEN 1 g  in 50 mL
Inactive Ingredients
Ingredient Name Strength
Sodium Chloride 0.25 g  in 100 mL
Sodium Bicarbonate 0.125   in 100 mL
Glycerin 53 mL  in 100 mL
Phenol 0.4 g  in 100 mL
Water  
Product Characteristics
Color      Score     
Shape Size
Flavor Imprint Code
Contains     
Packaging
# NDC Package Description Multilevel Packaging
1 49643-300-05 5 mL In 1 VIAL, MULTI-DOSE None
2 49643-300-10 10 mL In 1 VIAL, MULTI-DOSE None
3 49643-300-30 30 mL In 1 VIAL, MULTI-DOSE None
4 49643-300-50 50 mL In 1 VIAL, MULTI-DOSE None

Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
BLA BLA102212 03/12/1974

ALKALI BLITE POLLEN 
suaeda spp.  injection
Product Information
Product Type NON-STANDARDIZED ALLERGENIC NDC Product Code (Source) 49643-414
Route of Administration INTRADERMAL, CUTANEOUS, SUBCUTANEOUS DEA Schedule     
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
SUAEDA MOQUINII POLLEN (SUAEDA MOQUINII POLLEN) SUAEDA MOQUINII POLLEN 1 g  in 20 mL
Inactive Ingredients
Ingredient Name Strength
Sodium Chloride 0.25 g  in 100 mL
Sodium Bicarbonate 0.125   in 100 mL
Glycerin 53 mL  in 100 mL
Phenol 0.4 g  in 100 mL
Water  
Product Characteristics
Color      Score     
Shape Size
Flavor Imprint Code
Contains     
Packaging
# NDC Package Description Multilevel Packaging
1 49643-414-05 5 mL In 1 VIAL, MULTI-DOSE None
2 49643-414-10 10 mL In 1 VIAL, MULTI-DOSE None
3 49643-414-30 30 mL In 1 VIAL, MULTI-DOSE None
4 49643-414-50 50 mL In 1 VIAL, MULTI-DOSE None

Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
BLA BLA102212 03/12/1974

ALTERNARIA 
alternaria alternata  injection
Product Information
Product Type NON-STANDARDIZED ALLERGENIC NDC Product Code (Source) 49643-101
Route of Administration INTRADERMAL, CUTANEOUS, SUBCUTANEOUS DEA Schedule     
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
ALTERNARIA ALTERNATA (ALTERNARIA ALTERNATA) ALTERNARIA ALTERNATA 1 g  in 10 mL
Inactive Ingredients
Ingredient Name Strength
Sodium Chloride 0.25 g  in 100 mL
Sodium Bicarbonate 0.125   in 100 mL
Glycerin 53 mL  in 100 mL
Phenol 0.4 g  in 100 mL
Water  
Product Characteristics
Color      Score     
Shape Size
Flavor Imprint Code
Contains     
Packaging
# NDC Package Description Multilevel Packaging
1 49643-101-05 5 mL In 1 VIAL, MULTI-DOSE None
2 49643-101-10 10 mL In 1 VIAL, MULTI-DOSE None
3 49643-101-30 30 mL In 1 VIAL, MULTI-DOSE None
4 49643-101-50 50 mL In 1 VIAL, MULTI-DOSE None

Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
BLA BLA102212 03/12/1974

AMERICAN ELM POLLEN 
ulmus americana  injection
Product Information
Product Type NON-STANDARDIZED ALLERGENIC NDC Product Code (Source) 49643-417
Route of Administration INTRADERMAL, CUTANEOUS, SUBCUTANEOUS DEA Schedule     
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
ULMUS AMERICANA POLLEN (ULMUS AMERICANA POLLEN) ULMUS AMERICANA POLLEN 1 g  in 20 mL
Inactive Ingredients
Ingredient Name Strength
Sodium Chloride 0.25 g  in 100 mL
Sodium Bicarbonate 0.125   in 100 mL
Glycerin 53 mL  in 100 mL
Phenol 0.4 g  in 100 mL
Water  
Product Characteristics
Color      Score     
Shape Size
Flavor Imprint Code
Contains     
Packaging
# NDC Package Description Multilevel Packaging
1 49643-417-05 5 mL In 1 VIAL, MULTI-DOSE None
2 49643-417-10 10 mL In 1 VIAL, MULTI-DOSE None
3 49643-417-30 30 mL In 1 VIAL, MULTI-DOSE None
4 49643-417-50 50 mL In 1 VIAL, MULTI-DOSE None

Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
BLA BLA102212 03/12/1974

ARIZONA ASH POLLEN 
fraxinus velutina  injection
Product Information
Product Type NON-STANDARDIZED ALLERGENIC NDC Product Code (Source) 49643-359
Route of Administration INTRADERMAL, CUTANEOUS, SUBCUTANEOUS DEA Schedule     
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
FRAXINUS VELUTINA POLLEN (FRAXINUS VELUTINA POLLEN) FRAXINUS VELUTINA POLLEN 1 g  in 20 mL
Inactive Ingredients
Ingredient Name Strength
Sodium Chloride 0.25 g  in 100 mL
Sodium Bicarbonate 0.125   in 100 mL
Glycerin 53 mL  in 100 mL
Phenol 0.4 g  in 100 mL
Water  
Product Characteristics
Color      Score     
Shape Size
Flavor Imprint Code
Contains     
Packaging
# NDC Package Description Multilevel Packaging
1 49643-359-05 5 mL In 1 VIAL, MULTI-DOSE None
2 49643-359-10 10 mL In 1 VIAL, MULTI-DOSE None
3 49643-359-30 30 mL In 1 VIAL, MULTI-DOSE None
4 49643-359-50 50 mL In 1 VIAL, MULTI-DOSE None

Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
BLA BLA102212 03/12/1974

ARROYO WILLOW POLLEN 
salix lasiolepsis  injection
Product Information
Product Type NON-STANDARDIZED ALLERGENIC NDC Product Code (Source) 49643-408
Route of Administration INTRADERMAL, CUTANEOUS, SUBCUTANEOUS DEA Schedule     
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
SALIX LASIOLEPIS POLLEN (SALIX LASIOLEPIS POLLEN) SALIX LASIOLEPIS POLLEN 1 g  in 20 mL
Inactive Ingredients
Ingredient Name Strength
Sodium Chloride 0.25 g  in 100 mL
Sodium Bicarbonate 0.125   in 100 mL
Glycerin 53 mL  in 100 mL
Phenol 0.4 g  in 100 mL
Water  
Product Characteristics
Color      Score     
Shape Size
Flavor Imprint Code
Contains     
Packaging
# NDC Package Description Multilevel Packaging
1 49643-408-05 5 mL In 1 VIAL, MULTI-DOSE None
2 49643-408-10 10 mL In 1 VIAL, MULTI-DOSE None
3 49643-408-30 30 mL In 1 VIAL, MULTI-DOSE None
4 49643-408-50 50 mL In 1 VIAL, MULTI-DOSE None

Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
BLA BLA102212 03/12/1974

ASPEN POLLEN 
populus tremuloides  injection
Product Information
Product Type NON-STANDARDIZED ALLERGENIC NDC Product Code (Source) 49643-398
Route of Administration INTRADERMAL, CUTANEOUS, SUBCUTANEOUS DEA Schedule     
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
POPULUS TREMULOIDES POLLEN (POPULUS TREMULOIDES POLLEN) POPULUS TREMULOIDES POLLEN 1 g  in 20 mL
Inactive Ingredients
Ingredient Name Strength
Sodium Chloride 0.25 g  in 100 mL
Sodium Bicarbonate 0.125   in 100 mL
Glycerin 53 mL  in 100 mL
Phenol 0.4 g  in 100 mL
Water  
Product Characteristics
Color      Score     
Shape Size
Flavor Imprint Code
Contains     
Packaging
# NDC Package Description Multilevel Packaging
1 49643-398-05 5 mL In 1 VIAL, MULTI-DOSE None
2 49643-398-10 10 mL In 1 VIAL, MULTI-DOSE None
3 49643-398-30 30 mL In 1 VIAL, MULTI-DOSE None
4 49643-398-50 50 mL In 1 VIAL, MULTI-DOSE None

Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
BLA BLA102212 03/12/1974

ASPERGILLUS FUMIGATUS 
aspergillus fumigatus  injection
Product Information
Product Type NON-STANDARDIZED ALLERGENIC NDC Product Code (Source) 49643-130
Route of Administration INTRADERMAL, CUTANEOUS, SUBCUTANEOUS DEA Schedule     
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
ASPERGILLUS FUMIGATUS (ASPERGILLUS FUMIGATUS) ASPERGILLUS FUMIGATUS 1 g  in 10 mL
Inactive Ingredients
Ingredient Name Strength
Sodium Chloride 0.25 g  in 100 mL
Sodium Bicarbonate 0.125   in 100 mL
Glycerin 53 mL  in 100 mL
Phenol 0.4 g  in 100 mL
Water  
Product Characteristics
Color      Score     
Shape Size
Flavor Imprint Code
Contains     
Packaging
# NDC Package Description Multilevel Packaging
1 49643-130-05 5 mL In 1 VIAL, MULTI-DOSE None
2 49643-130-10 10 mL In 1 VIAL, MULTI-DOSE None
3 49643-130-30 30 mL In 1 VIAL, MULTI-DOSE None
4 49643-130-50 50 mL In 1 VIAL, MULTI-DOSE None

Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
BLA BLA102212 03/12/1974

AUSTRALIAN PINE POLLEN 
casuarina equisetifoli  injection
Product Information
Product Type NON-STANDARDIZED ALLERGENIC NDC Product Code (Source) 49643-335
Route of Administration INTRADERMAL, CUTANEOUS, SUBCUTANEOUS DEA Schedule     
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
CASUARINA EQUISETIFOLIA POLLEN (CASUARINA EQUISETIFOLIA POLLEN) CASUARINA EQUISETIFOLIA POLLEN 1 g  in 20 mL
Inactive Ingredients
Ingredient Name Strength
Sodium Chloride 0.25 g  in 100 mL
Sodium Bicarbonate 0.125   in 100 mL
Glycerin 53 mL  in 100 mL
Phenol 0.4 g  in 100 mL
Water  
Product Characteristics
Color      Score     
Shape Size
Flavor Imprint Code
Contains     
Packaging
# NDC Package Description Multilevel Packaging
1 49643-335-05 5 mL In 1 VIAL, MULTI-DOSE None
2 49643-335-10 10 mL In 1 VIAL, MULTI-DOSE None
3 49643-335-30 30 mL In 1 VIAL, MULTI-DOSE None
4 49643-335-50 50 mL In 1 VIAL, MULTI-DOSE None

Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
BLA BLA102212 03/12/1974

BAHIA GRASS POLLEN 
paspalum notatum  injection
Product Information
Product Type NON-STANDARDIZED ALLERGENIC NDC Product Code (Source) 49643-384
Route of Administration INTRADERMAL, CUTANEOUS, SUBCUTANEOUS DEA Schedule     
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
PASPALUM NOTATUM POLLEN (PASPALUM NOTATUM POLLEN) PASPALUM NOTATUM POLLEN 1 g  in 20 mL
Inactive Ingredients
Ingredient Name Strength
Sodium Chloride 0.25 g  in 100 mL
Sodium Bicarbonate 0.125   in 100 mL
Glycerin 53 mL  in 100 mL
Phenol 0.4 g  in 100 mL
Water  
Product Characteristics
Color      Score     
Shape Size
Flavor Imprint Code
Contains     
Packaging
# NDC Package Description Multilevel Packaging
1 49643-384-05 5 mL In 1 VIAL, MULTI-DOSE None
2 49643-384-10 10 mL In 1 VIAL, MULTI-DOSE None
3 49643-384-30 30 mL In 1 VIAL, MULTI-DOSE None
4 49643-384-50 50 mL In 1 VIAL, MULTI-DOSE None

Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
BLA BLA102212 03/12/1974

BASSIA POLLEN 
bassia hyssopifolia  injection
Product Information
Product Type NON-STANDARDIZED ALLERGENIC NDC Product Code (Source) 49643-323
Route of Administration INTRADERMAL, CUTANEOUS, SUBCUTANEOUS DEA Schedule     
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
BASSIA HYSSOPIFOLIA POLLEN (BASSIA HYSSOPIFOLIA POLLEN) BASSIA HYSSOPIFOLIA POLLEN 1 g  in 20 mL
Inactive Ingredients
Ingredient Name Strength
Sodium Chloride 0.25 g  in 100 mL
Sodium Bicarbonate 0.125   in 100 mL
Glycerin 53 mL  in 100 mL
Phenol 0.4 g  in 100 mL
Water  
Product Characteristics
Color      Score     
Shape Size
Flavor Imprint Code
Contains     
Packaging
# NDC Package Description Multilevel Packaging
1 49643-323-05 5 mL In 1 VIAL, MULTI-DOSE None
2 49643-323-10 10 mL In 1 VIAL, MULTI-DOSE None
3 49643-323-30 30 mL In 1 VIAL, MULTI-DOSE None
4 49643-323-50 50 mL In 1 VIAL, MULTI-DOSE None

Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
BLA BLA102212 03/12/1974

BEECH POLLEN 
fagus grandifolia  injection
Product Information
Product Type NON-STANDARDIZED ALLERGENIC NDC Product Code (Source) 49643-349
Route of Administration INTRADERMAL, CUTANEOUS, SUBCUTANEOUS DEA Schedule     
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
FAGUS GRANDIFOLIA POLLEN (FAGUS GRANDIFOLIA POLLEN) FAGUS GRANDIFOLIA POLLEN 1 g  in 20 mL
Inactive Ingredients
Ingredient Name Strength
Sodium Chloride 0.25 g  in 100 mL
Sodium Bicarbonate 0.125   in 100 mL
Glycerin 53 mL  in 100 mL
Phenol 0.4 g  in 100 mL
Water  
Product Characteristics
Color      Score     
Shape Size
Flavor Imprint Code
Contains     
Packaging
# NDC Package Description Multilevel Packaging
1 49643-349-05 5 mL In 1 VIAL, MULTI-DOSE None
2 49643-349-10 10 mL In 1 VIAL, MULTI-DOSE None
3 49643-349-30 30 mL In 1 VIAL, MULTI-DOSE None
4 49643-349-50 50 mL In 1 VIAL, MULTI-DOSE None

Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
BLA BLA102212 03/12/1974

BLACK COTTONWOOD POLLEN 
populus trichocarpa  injection
Product Information
Product Type NON-STANDARDIZED ALLERGENIC NDC Product Code (Source) 49643-399
Route of Administration INTRADERMAL, CUTANEOUS, SUBCUTANEOUS DEA Schedule     
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
POPULUS BALSAMIFERA SSP. TRICHOCARPA POLLEN (POPULUS BALSAMIFERA SSP. TRICHOCARPA POLLEN) POPULUS BALSAMIFERA SSP. TRICHOCARPA POLLEN 1 g  in 20 mL
Inactive Ingredients
Ingredient Name Strength
Sodium Chloride 0.25 g  in 100 mL
Sodium Bicarbonate 0.125   in 100 mL
Glycerin 53 mL  in 100 mL
Phenol 0.4 g  in 100 mL
Water  
Product Characteristics
Color      Score     
Shape Size
Flavor Imprint Code
Contains     
Packaging
# NDC Package Description Multilevel Packaging
1 49643-399-05 5 mL In 1 VIAL, MULTI-DOSE None
2 49643-399-10 10 mL In 1 VIAL, MULTI-DOSE None
3 49643-399-30 30 mL In 1 VIAL, MULTI-DOSE None
4 49643-399-50 50 mL In 1 VIAL, MULTI-DOSE None

Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
BLA BLA102212 03/12/1974

BLACK OAK POLLEN 
quercus velutina  injection
Product Information
Product Type NON-STANDARDIZED ALLERGENIC NDC Product Code (Source) 49643-451
Route of Administration INTRADERMAL, CUTANEOUS, SUBCUTANEOUS DEA Schedule     
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
QUERCUS VELUTINA POLLEN (QUERCUS VELUTINA POLLEN) QUERCUS VELUTINA POLLEN 1 g  in 20 mL
Inactive Ingredients
Ingredient Name Strength
Sodium Chloride 0.25 g  in 100 mL
Sodium Bicarbonate 0.125   in 100 mL
Glycerin 53 mL  in 100 mL
Phenol 0.4 g  in 100 mL
Water  
Product Characteristics
Color      Score     
Shape Size
Flavor Imprint Code
Contains     
Packaging
# NDC Package Description Multilevel Packaging
1 49643-451-05 5 mL In 1 VIAL, MULTI-DOSE None
2 49643-451-10 10 mL In 1 VIAL, MULTI-DOSE None
3 49643-451-30 30 mL In 1 VIAL, MULTI-DOSE None
4 49643-451-50 50 mL In 1 VIAL, MULTI-DOSE None

Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
BLA BLA102212 03/12/1974

BLACK WALNUT POLLEN 
juglans nigra  injection
Product Information
Product Type NON-STANDARDIZED ALLERGENIC NDC Product Code (Source) 49643-366
Route of Administration INTRADERMAL, CUTANEOUS, SUBCUTANEOUS DEA Schedule     
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
JUGLANS NIGRA POLLEN (JUGLANS NIGRA POLLEN) JUGLANS NIGRA POLLEN 1 g  in 20 mL
Inactive Ingredients
Ingredient Name Strength
Sodium Chloride 0.25 g  in 100 mL
Sodium Bicarbonate 0.125   in 100 mL
Glycerin 53 mL  in 100 mL
Phenol 0.4 g  in 100 mL
Water  
Product Characteristics
Color      Score     
Shape Size
Flavor Imprint Code
Contains     
Packaging
# NDC Package Description Multilevel Packaging
1 49643-366-05 5 mL In 1 VIAL, MULTI-DOSE None
2 49643-366-10 10 mL In 1 VIAL, MULTI-DOSE None
3 49643-366-30 30 mL In 1 VIAL, MULTI-DOSE None
4 49643-366-50 50 mL In 1 VIAL, MULTI-DOSE None

Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
BLA BLA102212 03/12/1974

BLACK WILLOW POLLEN 
salix nigra  injection
Product Information
Product Type NON-STANDARDIZED ALLERGENIC NDC Product Code (Source) 49643-409
Route of Administration INTRADERMAL, CUTANEOUS, SUBCUTANEOUS DEA Schedule     
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
SALIX NIGRA POLLEN (SALIX NIGRA POLLEN) SALIX NIGRA POLLEN 1 g  in 20 mL
Inactive Ingredients
Ingredient Name Strength
Sodium Chloride 0.25 g  in 100 mL
Sodium Bicarbonate 0.125   in 100 mL
Glycerin 53 mL  in 100 mL
Phenol 0.4 g  in 100 mL
Water  
Product Characteristics
Color      Score     
Shape Size
Flavor Imprint Code
Contains     
Packaging
# NDC Package Description Multilevel Packaging
1 49643-409-05 5 mL In 1 VIAL, MULTI-DOSE None
2 49643-409-10 10 mL In 1 VIAL, MULTI-DOSE None
3 49643-409-30 30 mL In 1 VIAL, MULTI-DOSE None
4 49643-409-50 50 mL In 1 VIAL, MULTI-DOSE None

Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
BLA BLA102212 03/12/1974

BOTRYTIS 
botrytis cinerea  injection
Product Information
Product Type NON-STANDARDIZED ALLERGENIC NDC Product Code (Source) 49643-104
Route of Administration INTRADERMAL, CUTANEOUS, SUBCUTANEOUS DEA Schedule     
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
BOTRYTIS CINEREA (BOTRYTIS CINEREA) BOTRYTIS CINEREA 1 g  in 10 mL
Inactive Ingredients
Ingredient Name Strength
Sodium Chloride 0.25 g  in 100 mL
Sodium Bicarbonate 0.125   in 100 mL
Glycerin 53 mL  in 100 mL
Phenol 0.4 g  in 100 mL
Water  
Product Characteristics
Color      Score     
Shape Size
Flavor Imprint Code
Contains     
Packaging
# NDC Package Description Multilevel Packaging
1 49643-104-05 5 mL In 1 VIAL, MULTI-DOSE None
2 49643-104-10 10 mL In 1 VIAL, MULTI-DOSE None
3 49643-104-30 30 mL In 1 VIAL, MULTI-DOSE None
4 49643-104-50 50 mL In 1 VIAL, MULTI-DOSE None

Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
BLA BLA102212 03/12/1974

BOTTLEBRUSH POLLEN 
callistemon citrinus  injection
Product Information
Product Type NON-STANDARDIZED ALLERGENIC NDC Product Code (Source) 49643-330
Route of Administration INTRADERMAL, CUTANEOUS, SUBCUTANEOUS DEA Schedule     
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
CALLISTEMON CITRINUS POLLEN (CALLISTEMON CITRINUS POLLEN) CALLISTEMON CITRINUS POLLEN 1 g  in 20 mL
Inactive Ingredients
Ingredient Name Strength
Sodium Chloride 0.25 g  in 100 mL
Sodium Bicarbonate 0.125   in 100 mL
Glycerin 53 mL  in 100 mL
Phenol 0.4 g  in 100 mL
Water  
Product Characteristics
Color      Score     
Shape Size
Flavor Imprint Code
Contains     
Packaging
# NDC Package Description Multilevel Packaging
1 49643-330-05 5 mL In 1 VIAL, MULTI-DOSE None
2 49643-330-10 10 mL In 1 VIAL, MULTI-DOSE None
3 49643-330-30 30 mL In 1 VIAL, MULTI-DOSE None
4 49643-330-50 50 mL In 1 VIAL, MULTI-DOSE None

Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
BLA BLA102212 03/12/1974

BOX ELDER MAPLE POLLEN 
acer negundo  injection
Product Information
Product Type NON-STANDARDIZED ALLERGENIC NDC Product Code (Source) 49643-303
Route of Administration INTRADERMAL, CUTANEOUS, SUBCUTANEOUS DEA Schedule     
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
ACER NEGUNDO POLLEN (ACER NEGUNDO POLLEN) ACER NEGUNDO POLLEN 1 g  in 20 mL
Inactive Ingredients
Ingredient Name Strength
Sodium Chloride 0.25 g  in 100 mL
Sodium Bicarbonate 0.125   in 100 mL
Glycerin 53 mL  in 100 mL
Phenol 0.4 g  in 100 mL
Water  
Product Characteristics
Color      Score     
Shape Size
Flavor Imprint Code
Contains     
Packaging
# NDC Package Description Multilevel Packaging
1 49643-303-05 5 mL In 1 VIAL, MULTI-DOSE None
2 49643-303-10 10 mL In 1 VIAL, MULTI-DOSE None
3 49643-303-30 30 mL In 1 VIAL, MULTI-DOSE None
4 49643-303-50 50 mL In 1 VIAL, MULTI-DOSE None

Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
BLA BLA102212 03/12/1974

BURNING BUSH POLLEN 
kochia scoparia  injection
Product Information
Product Type NON-STANDARDIZED ALLERGENIC NDC Product Code (Source) 49643-374
Route of Administration INTRADERMAL, CUTANEOUS, SUBCUTANEOUS DEA Schedule     
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
KOCHIA SCOPARIA POLLEN (KOCHIA SCOPARIA POLLEN) KOCHIA SCOPARIA POLLEN 1 g  in 20 mL
Inactive Ingredients
Ingredient Name Strength
Sodium Chloride 0.25 g  in 100 mL
Sodium Bicarbonate 0.125   in 100 mL
Glycerin 53 mL  in 100 mL
Phenol 0.4 g  in 100 mL
Water  
Product Characteristics
Color      Score     
Shape Size
Flavor Imprint Code
Contains     
Packaging
# NDC Package Description Multilevel Packaging
1 49643-374-05 5 mL In 1 VIAL, MULTI-DOSE None
2 49643-374-10 10 mL In 1 VIAL, MULTI-DOSE None
3 49643-374-30 30 mL In 1 VIAL, MULTI-DOSE None
4 49643-374-50 50 mL In 1 VIAL, MULTI-DOSE None

Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
BLA BLA102212 03/12/1974

BURROBRUSH POLLEN 
hymenoclea salsola  injection
Product Information
Product Type NON-STANDARDIZED ALLERGENIC NDC Product Code (Source) 49643-362
Route of Administration INTRADERMAL, CUTANEOUS, SUBCUTANEOUS DEA Schedule     
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
HYMENOCLEA SALSOLA POLLEN (HYMENOCLEA SALSOLA POLLEN) HYMENOCLEA SALSOLA POLLEN 1 g  in 20 mL
Inactive Ingredients
Ingredient Name Strength
Sodium Chloride 0.25 g  in 100 mL
Sodium Bicarbonate 0.125   in 100 mL
Glycerin 53 mL  in 100 mL
Phenol 0.4 g  in 100 mL
Water  
Product Characteristics
Color      Score     
Shape Size
Flavor Imprint Code
Contains     
Packaging
# NDC Package Description Multilevel Packaging
1 49643-362-05 5 mL In 1 VIAL, MULTI-DOSE None
2 49643-362-10 10 mL In 1 VIAL, MULTI-DOSE None
3 49643-362-30 30 mL In 1 VIAL, MULTI-DOSE None
4 49643-362-50 50 mL In 1 VIAL, MULTI-DOSE None

Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
BLA BLA102212 03/12/1974

BURWEED MARSHELDER POLLEN 
iva xanthifolia  injection
Product Information
Product Type NON-STANDARDIZED ALLERGENIC NDC Product Code (Source) 49643-365
Route of Administration INTRADERMAL, CUTANEOUS, SUBCUTANEOUS DEA Schedule     
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
IVA XANTHIFOLIA POLLEN (IVA XANTHIFOLIA POLLEN) IVA XANTHIFOLIA POLLEN 1 g  in 20 mL
Inactive Ingredients
Ingredient Name Strength
Sodium Chloride 0.25 g  in 100 mL
Sodium Bicarbonate 0.125   in 100 mL
Glycerin 53 mL  in 100 mL
Phenol 0.4 g  in 100 mL
Water  
Product Characteristics
Color      Score     
Shape Size
Flavor Imprint Code
Contains     
Packaging
# NDC Package Description Multilevel Packaging
1 49643-365-05 5 mL In 1 VIAL, MULTI-DOSE None
2 49643-365-10 10 mL In 1 VIAL, MULTI-DOSE None
3 49643-365-30 30 mL In 1 VIAL, MULTI-DOSE None
4 49643-365-50 50 mL In 1 VIAL, MULTI-DOSE None

Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
BLA BLA102212 03/12/1974

CALIF. BLACK WALNUT POLLEN 
juglans californica  injection
Product Information
Product Type NON-STANDARDIZED ALLERGENIC NDC Product Code (Source) 49643-446
Route of Administration INTRADERMAL, CUTANEOUS, SUBCUTANEOUS DEA Schedule     
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
JUGLANS CALIFORNICA POLLEN (JUGLANS CALIFORNICA POLLEN) JUGLANS CALIFORNICA POLLEN 1 g  in 20 mL
Inactive Ingredients
Ingredient Name Strength
Sodium Chloride 0.25 g  in 100 mL
Sodium Bicarbonate 0.125   in 100 mL
Glycerin 53 mL  in 100 mL
Phenol 0.4 g  in 100 mL
Water  
Product Characteristics
Color      Score     
Shape Size
Flavor Imprint Code
Contains     
Packaging
# NDC Package Description Multilevel Packaging
1 49643-446-05 5 mL In 1 VIAL, MULTI-DOSE None
2 49643-446-10 10 mL In 1 VIAL, MULTI-DOSE None
3 49643-446-30 30 mL In 1 VIAL, MULTI-DOSE None
4 49643-446-50 50 mL In 1 VIAL, MULTI-DOSE None

Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
BLA BLA102212 03/12/1974

CALIFORNIA JUNIPER POLLEN 
juniperus californica  injection
Product Information
Product Type NON-STANDARDIZED ALLERGENIC NDC Product Code (Source) 49643-368
Route of Administration INTRADERMAL, CUTANEOUS, SUBCUTANEOUS DEA Schedule     
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
JUNIPERUS CALIFORNICA POLLEN (JUNIPERUS CALIFORNICA POLLEN) JUNIPERUS CALIFORNICA POLLEN 1 g  in 20 mL
Inactive Ingredients
Ingredient Name Strength
Sodium Chloride 0.25 g  in 100 mL
Sodium Bicarbonate 0.125   in 100 mL
Glycerin 53 mL  in 100 mL
Phenol 0.4 g  in 100 mL
Water  
Product Characteristics
Color      Score     
Shape Size
Flavor Imprint Code
Contains     
Packaging
# NDC Package Description Multilevel Packaging
1 49643-368-05 5 mL In 1 VIAL, MULTI-DOSE None
2 49643-368-10 10 mL In 1 VIAL, MULTI-DOSE None
3 49643-368-30 30 mL In 1 VIAL, MULTI-DOSE None
4 49643-368-50 50 mL In 1 VIAL, MULTI-DOSE None

Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
BLA BLA102212 03/12/1974

CALIFORNIA SCRUB OAK POLLEN 
quercus dumosa  injection
Product Information
Product Type NON-STANDARDIZED ALLERGENIC NDC Product Code (Source) 49643-403
Route of Administration INTRADERMAL, CUTANEOUS, SUBCUTANEOUS DEA Schedule     
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
QUERCUS DUMOSA POLLEN (QUERCUS DUMOSA POLLEN) QUERCUS DUMOSA POLLEN 1 g  in 20 mL
Inactive Ingredients
Ingredient Name Strength
Sodium Chloride 0.25 g  in 100 mL
Sodium Bicarbonate 0.125   in 100 mL
Glycerin 53 mL  in 100 mL
Phenol 0.4 g  in 100 mL
Water  
Product Characteristics
Color      Score     
Shape Size
Flavor Imprint Code
Contains     
Packaging
# NDC Package Description Multilevel Packaging
1 49643-403-05 5 mL In 1 VIAL, MULTI-DOSE None
2 49643-403-10 10 mL In 1 VIAL, MULTI-DOSE None
3 49643-403-30 30 mL In 1 VIAL, MULTI-DOSE None
4 49643-403-50 50 mL In 1 VIAL, MULTI-DOSE None

Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
BLA BLA102212 03/12/1974

CANARY GRASS POLLEN 
phalaris arundinaceae  injection
Product Information
Product Type NON-STANDARDIZED ALLERGENIC NDC Product Code (Source) 49643-385
Route of Administration INTRADERMAL, CUTANEOUS, SUBCUTANEOUS DEA Schedule     
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
PHALARIS ARUNDINACEA POLLEN (PHALARIS ARUNDINACEA POLLEN) PHALARIS ARUNDINACEA POLLEN 1 g  in 20 mL
Inactive Ingredients
Ingredient Name Strength
Sodium Chloride 0.25 g  in 100 mL
Sodium Bicarbonate 0.125   in 100 mL
Glycerin 53 mL  in 100 mL
Phenol 0.4 g  in 100 mL
Water  
Product Characteristics
Color      Score     
Shape Size
Flavor Imprint Code
Contains     
Packaging
# NDC Package Description Multilevel Packaging
1 49643-385-05 5 mL In 1 VIAL, MULTI-DOSE None
2 49643-385-10 10 mL In 1 VIAL, MULTI-DOSE None
3 49643-385-30 30 mL In 1 VIAL, MULTI-DOSE None
4 49643-385-50 50 mL In 1 VIAL, MULTI-DOSE None

Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
BLA BLA102212 03/12/1974

CANDIDA 
candida albicans  injection
Product Information
Product Type NON-STANDARDIZED ALLERGENIC NDC Product Code (Source) 49643-105
Route of Administration INTRADERMAL, CUTANEOUS, SUBCUTANEOUS DEA Schedule     
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
CANDIDA ALBICANS (CANDIDA ALBICANS) CANDIDA ALBICANS 1 g  in 20 mL
Inactive Ingredients
Ingredient Name Strength
Sodium Chloride 0.25 g  in 100 mL
Sodium Bicarbonate 0.125   in 100 mL
Glycerin 53 mL  in 100 mL
Phenol 0.4 g  in 100 mL
Water  
Product Characteristics
Color      Score     
Shape Size
Flavor Imprint Code
Contains     
Packaging
# NDC Package Description Multilevel Packaging
1 49643-105-05 5 mL In 1 VIAL, MULTI-DOSE None
2 49643-105-10 10 mL In 1 VIAL, MULTI-DOSE None
3 49643-105-30 30 mL In 1 VIAL, MULTI-DOSE None
4 49643-105-50 50 mL In 1 VIAL, MULTI-DOSE None

Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
BLA BLA102212 03/12/1974

CANYON RAGWEED POLLEN 
ambrosia ambrosioides  injection
Product Information
Product Type NON-STANDARDIZED ALLERGENIC NDC Product Code (Source) 49643-352
Route of Administration INTRADERMAL, CUTANEOUS, SUBCUTANEOUS DEA Schedule     
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
AMBROSIA AMBROSIOIDES POLLEN (AMBROSIA AMBROSIOIDES POLLEN) AMBROSIA AMBROSIOIDES POLLEN 1 g  in 20 mL
Inactive Ingredients
Ingredient Name Strength
Sodium Chloride 0.25 g  in 100 mL
Sodium Bicarbonate 0.125   in 100 mL
Glycerin 53 mL  in 100 mL
Phenol 0.4 g  in 100 mL
Water  
Product Characteristics
Color      Score     
Shape Size
Flavor Imprint Code
Contains     
Packaging
# NDC Package Description Multilevel Packaging
1 49643-352-05 5 mL In 1 VIAL, MULTI-DOSE None
2 49643-352-10 10 mL In 1 VIAL, MULTI-DOSE None
3 49643-352-30 30 mL In 1 VIAL, MULTI-DOSE None
4 49643-352-50 50 mL In 1 VIAL, MULTI-DOSE None

Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
BLA BLA102212 03/12/1974

CARELESS WEED POLLEN 
amaranthus palmerii  injection
Product Information
Product Type NON-STANDARDIZED ALLERGENIC NDC Product Code (Source) 49643-313
Route of Administration INTRADERMAL, CUTANEOUS, SUBCUTANEOUS DEA Schedule     
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
AMARANTHUS PALMERI POLLEN (AMARANTHUS PALMERI POLLEN) AMARANTHUS PALMERI POLLEN 1 g  in 20 mL
Inactive Ingredients
Ingredient Name Strength
Sodium Chloride 0.25 g  in 100 mL
Sodium Bicarbonate 0.125   in 100 mL
Glycerin 53 mL  in 100 mL
Phenol 0.4 g  in 100 mL
Water  
Product Characteristics
Color      Score     
Shape Size
Flavor Imprint Code
Contains     
Packaging
# NDC Package Description Multilevel Packaging
1 49643-313-05 5 mL In 1 VIAL, MULTI-DOSE None
2 49643-313-10 10 mL In 1 VIAL, MULTI-DOSE None
3 49643-313-30 30 mL In 1 VIAL, MULTI-DOSE None
4 49643-313-50 50 mL In 1 VIAL, MULTI-DOSE None

Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
BLA BLA102212 03/12/1974

CATTLE EPITHELIA 
cattle epithelia  injection
Product Information
Product Type NON-STANDARDIZED ALLERGENIC NDC Product Code (Source) 49643-003
Route of Administration INTRADERMAL, CUTANEOUS, SUBCUTANEOUS DEA Schedule     
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
BOS TAURUS SKIN (BOS TAURUS SKIN) BOS TAURUS SKIN 1 g  in 10 mL
Inactive Ingredients
Ingredient Name Strength
Sodium Chloride 0.25 g  in 100 mL
Sodium Bicarbonate 0.125   in 100 mL
Glycerin 53 mL  in 100 mL
Phenol 0.4 g  in 100 mL
Water  
Product Characteristics
Color      Score     
Shape Size
Flavor Imprint Code
Contains     
Packaging
# NDC Package Description Multilevel Packaging
1 49643-003-05 5 mL In 1 VIAL, MULTI-DOSE None
2 49643-003-10 10 mL In 1 VIAL, MULTI-DOSE None
3 49643-003-30 30 mL In 1 VIAL, MULTI-DOSE None
4 49643-003-50 50 mL In 1 VIAL, MULTI-DOSE None

Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
BLA BLA102212 03/12/1974

CEPHALOSPORIUM 
cephalosporium roseum  injection
Product Information
Product Type NON-STANDARDIZED ALLERGENIC NDC Product Code (Source) 49643-106
Route of Administration INTRADERMAL, CUTANEOUS, SUBCUTANEOUS DEA Schedule     
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
CEPHALOSPORIUM ROSEUM (CEPHALOSPORIUM ROSEUM) CEPHALOSPORIUM ROSEUM 1 g  in 10 mL
Inactive Ingredients
Ingredient Name Strength
Sodium Chloride 0.25 g  in 100 mL
Sodium Bicarbonate 0.125   in 100 mL
Glycerin 53 mL  in 100 mL
Phenol 0.4 g  in 100 mL
Water  
Product Characteristics
Color      Score     
Shape Size
Flavor Imprint Code
Contains     
Packaging
# NDC Package Description Multilevel Packaging
1 49643-106-05 5 mL In 1 VIAL, MULTI-DOSE None
2 49643-106-10 10 mL In 1 VIAL, MULTI-DOSE None
3 49643-106-30 30 mL In 1 VIAL, MULTI-DOSE None
4 49643-106-50 50 mL In 1 VIAL, MULTI-DOSE None

Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
BLA BLA102212 03/12/1974

CHAETOMIUM 
chaetomium globosum  injection
Product Information
Product Type NON-STANDARDIZED ALLERGENIC NDC Product Code (Source) 49643-107
Route of Administration INTRADERMAL, CUTANEOUS, SUBCUTANEOUS DEA Schedule     
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
CHAETOMIUM GLOBOSUM (CHAETOMIUM GLOBOSUM) CHAETOMIUM GLOBOSUM 1 g  in 10 mL
Inactive Ingredients
Ingredient Name Strength
Sodium Chloride 0.25 g  in 100 mL
Sodium Bicarbonate 0.125   in 100 mL
Glycerin 53 mL  in 100 mL
Phenol 0.4 g  in 100 mL
Water  
Product Characteristics
Color      Score     
Shape Size
Flavor Imprint Code
Contains     
Packaging
# NDC Package Description Multilevel Packaging
1 49643-107-05 5 mL In 1 VIAL, MULTI-DOSE None
2 49643-107-10 10 mL In 1 VIAL, MULTI-DOSE None
3 49643-107-30 30 mL In 1 VIAL, MULTI-DOSE None
4 49643-107-50 50 mL In 1 VIAL, MULTI-DOSE None

Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
BLA BLA102212 03/12/1974

CHEAT GRASS POLLEN 
bromus secalinus  injection
Product Information
Product Type NON-STANDARDIZED ALLERGENIC NDC Product Code (Source) 49643-329
Route of Administration INTRADERMAL, CUTANEOUS, SUBCUTANEOUS DEA Schedule     
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
BROMUS SECALINUS POLLEN (BROMUS SECALINUS POLLEN) BROMUS SECALINUS POLLEN 1 g  in 20 mL
Inactive Ingredients
Ingredient Name Strength
Sodium Chloride 0.25 g  in 100 mL
Sodium Bicarbonate 0.125   in 100 mL
Glycerin 53 mL  in 100 mL
Phenol 0.4 g  in 100 mL
Water  
Product Characteristics
Color      Score     
Shape Size
Flavor Imprint Code
Contains     
Packaging
# NDC Package Description Multilevel Packaging
1 49643-329-05 5 mL In 1 VIAL, MULTI-DOSE None
2 49643-329-10 10 mL In 1 VIAL, MULTI-DOSE None
3 49643-329-30 30 mL In 1 VIAL, MULTI-DOSE None
4 49643-329-50 50 mL In 1 VIAL, MULTI-DOSE None

Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
BLA BLA102212 03/12/1974

CHERRY BIRCH POLLEN 
betula lenta  injection
Product Information
Product Type NON-STANDARDIZED ALLERGENIC NDC Product Code (Source) 49643-442
Route of Administration INTRADERMAL, CUTANEOUS, SUBCUTANEOUS DEA Schedule     
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
BETULA LENTA POLLEN (BETULA LENTA POLLEN) BETULA LENTA POLLEN 1 g  in 20 mL
Inactive Ingredients
Ingredient Name Strength
Sodium Chloride 0.25 g  in 100 mL
Sodium Bicarbonate 0.125   in 100 mL
Glycerin 53 mL  in 100 mL
Phenol 0.4 g  in 100 mL
Water  
Product Characteristics
Color      Score     
Shape Size
Flavor Imprint Code
Contains     
Packaging
# NDC Package Description Multilevel Packaging
1 49643-442-05 5 mL In 1 VIAL, MULTI-DOSE None
2 49643-442-10 10 mL In 1 VIAL, MULTI-DOSE None
3 49643-442-30 30 mL In 1 VIAL, MULTI-DOSE None
4 49643-442-50 50 mL In 1 VIAL, MULTI-DOSE None

Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
BLA BLA102212 03/12/1974

CHINESE ELM POLLEN 
ulmus pumila  injection
Product Information
Product Type NON-STANDARDIZED ALLERGENIC NDC Product Code (Source) 49643-419
Route of Administration INTRADERMAL, CUTANEOUS, SUBCUTANEOUS DEA Schedule     
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
ULMUS PUMILA POLLEN (ULMUS PUMILA POLLEN) ULMUS PUMILA POLLEN 1 g  in 20 mL
Inactive Ingredients
Ingredient Name Strength
Sodium Chloride 0.25 g  in 100 mL
Sodium Bicarbonate 0.125   in 100 mL
Glycerin 53 mL  in 100 mL
Phenol 0.4 g  in 100 mL
Water  
Product Characteristics
Color      Score     
Shape Size
Flavor Imprint Code
Contains     
Packaging
# NDC Package Description Multilevel Packaging
1 49643-419-05 5 mL In 1 VIAL, MULTI-DOSE None
2 49643-419-10 10 mL In 1 VIAL, MULTI-DOSE None
3 49643-419-30 30 mL In 1 VIAL, MULTI-DOSE None
4 49643-419-50 50 mL In 1 VIAL, MULTI-DOSE None

Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
BLA BLA102212 03/12/1974

CLADOSPORIUM 
cladosporium herbarum  injection
Product Information
Product Type NON-STANDARDIZED ALLERGENIC NDC Product Code (Source) 49643-108
Route of Administration INTRADERMAL, CUTANEOUS, SUBCUTANEOUS DEA Schedule     
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
CLADOSPORIUM HERBARUM (CLADOSPORIUM HERBARUM) CLADOSPORIUM HERBARUM 1 g  in 10 mL
Inactive Ingredients
Ingredient Name Strength
Sodium Chloride 0.25 g  in 100 mL
Sodium Bicarbonate 0.125   in 100 mL
Glycerin 53 mL  in 100 mL
Phenol 0.4 g  in 100 mL
Water  
Product Characteristics
Color      Score     
Shape Size
Flavor Imprint Code
Contains     
Packaging
# NDC Package Description Multilevel Packaging
1 49643-108-05 5 mL In 1 VIAL, MULTI-DOSE None
2 49643-108-10 10 mL In 1 VIAL, MULTI-DOSE None
3 49643-108-30 30 mL In 1 VIAL, MULTI-DOSE None
4 49643-108-50 50 mL In 1 VIAL, MULTI-DOSE None

Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
BLA BLA102212 03/12/1974

COAST LIVE OAK POLLEN 
quercus agrifolia  injection
Product Information
Product Type NON-STANDARDIZED ALLERGENIC NDC Product Code (Source) 49643-401
Route of Administration INTRADERMAL, CUTANEOUS, SUBCUTANEOUS DEA Schedule     
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
QUERCUS AGRIFOLIA POLLEN (QUERCUS AGRIFOLIA POLLEN) QUERCUS AGRIFOLIA POLLEN 1 g  in 20 mL
Inactive Ingredients
Ingredient Name Strength
Sodium Chloride 0.25 g  in 100 mL
Sodium Bicarbonate 0.125   in 100 mL
Glycerin 53 mL  in 100 mL
Phenol 0.4 g  in 100 mL
Water  
Product Characteristics
Color      Score     
Shape Size
Flavor Imprint Code
Contains     
Packaging
# NDC Package Description Multilevel Packaging
1 49643-401-05 5 mL In 1 VIAL, MULTI-DOSE None
2 49643-401-10 10 mL In 1 VIAL, MULTI-DOSE None
3 49643-401-30 30 mL In 1 VIAL, MULTI-DOSE None
4 49643-401-50 50 mL In 1 VIAL, MULTI-DOSE None

Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
BLA BLA102212 03/12/1974

COAST MAPLE POLLEN 
acer macrophyllum  injection
Product Information
Product Type NON-STANDARDIZED ALLERGENIC NDC Product Code (Source) 49643-302
Route of Administration INTRADERMAL, CUTANEOUS, SUBCUTANEOUS DEA Schedule     
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
ACER MACROPHYLLUM POLLEN (ACER MACROPHYLLUM POLLEN) ACER MACROPHYLLUM POLLEN 1 g  in 20 mL
Inactive Ingredients
Ingredient Name Strength
Sodium Chloride 0.25 g  in 100 mL
Sodium Bicarbonate 0.125   in 100 mL
Glycerin 53 mL  in 100 mL
Phenol 0.4 g  in 100 mL
Water  
Product Characteristics
Color      Score     
Shape Size
Flavor Imprint Code
Contains     
Packaging
# NDC Package Description Multilevel Packaging
1 49643-302-05 5 mL In 1 VIAL, MULTI-DOSE None
2 49643-302-10 10 mL In 1 VIAL, MULTI-DOSE None
3 49643-302-30 30 mL In 1 VIAL, MULTI-DOSE None
4 49643-302-50 50 mL In 1 VIAL, MULTI-DOSE None

Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
BLA BLA102212 03/12/1974

COAST SAGE POLLEN 
artemisia californica  injection
Product Information
Product Type NON-STANDARDIZED ALLERGENIC NDC Product Code (Source) 49643-437
Route of Administration INTRADERMAL, CUTANEOUS, SUBCUTANEOUS DEA Schedule     
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
ARTEMISIA CALIFORNICA POLLEN (ARTEMISIA CALIFORNICA POLLEN) ARTEMISIA CALIFORNICA POLLEN 1 g  in 20 mL
Inactive Ingredients
Ingredient Name Strength
Sodium Chloride 0.25 g  in 100 mL
Sodium Bicarbonate 0.125   in 100 mL
Glycerin 53 mL  in 100 mL
Phenol 0.4 g  in 100 mL
Water  
Product Characteristics
Color      Score     
Shape Size
Flavor Imprint Code
Contains     
Packaging
# NDC Package Description Multilevel Packaging
1 49643-437-05 5 mL In 1 VIAL, MULTI-DOSE None
2 49643-437-10 10 mL In 1 VIAL, MULTI-DOSE None
3 49643-437-30 30 mL In 1 VIAL, MULTI-DOSE None
4 49643-437-50 50 mL In 1 VIAL, MULTI-DOSE None

Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
BLA BLA102212 03/12/1974

COCKLEBUR POLLEN 
xanthium commune  injection
Product Information
Product Type NON-STANDARDIZED ALLERGENIC NDC Product Code (Source) 49643-420
Route of Administration INTRADERMAL, CUTANEOUS, SUBCUTANEOUS DEA Schedule     
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
XANTHIUM STRUMARIUM POLLEN (XANTHIUM STRUMARIUM POLLEN) XANTHIUM STRUMARIUM POLLEN 1 g  in 20 mL
Inactive Ingredients
Ingredient Name Strength
Sodium Chloride 0.25 g  in 100 mL
Sodium Bicarbonate 0.125   in 100 mL
Glycerin 53 mL  in 100 mL
Phenol 0.4 g  in 100 mL
Water  
Product Characteristics
Color      Score     
Shape Size
Flavor Imprint Code
Contains     
Packaging
# NDC Package Description Multilevel Packaging
1 49643-420-05 5 mL In 1 VIAL, MULTI-DOSE None
2 49643-420-10 10 mL In 1 VIAL, MULTI-DOSE None
3 49643-420-30 30 mL In 1 VIAL, MULTI-DOSE None
4 49643-420-50 50 mL In 1 VIAL, MULTI-DOSE None

Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
BLA BLA102212 03/12/1974

COCKROACH, AMERICAN 
periplaneta americana  injection
Product Information
Product Type NON-STANDARDIZED ALLERGENIC NDC Product Code (Source) 49643-047
Route of Administration INTRADERMAL, CUTANEOUS, SUBCUTANEOUS DEA Schedule     
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
PERIPLANETA AMERICANA (PERIPLANETA AMERICANA) PERIPLANETA AMERICANA 1 g  in 10 mL
Inactive Ingredients
Ingredient Name Strength
Sodium Chloride 0.25 g  in 100 mL
Sodium Bicarbonate 0.125   in 100 mL
Glycerin 53 mL  in 100 mL
Phenol 0.4 g  in 100 mL
Water  
Product Characteristics
Color      Score     
Shape Size
Flavor Imprint Code
Contains     
Packaging
# NDC Package Description Multilevel Packaging
1 49643-047-05 5 mL In 1 VIAL, MULTI-DOSE None
2 49643-047-10 10 mL In 1 VIAL, MULTI-DOSE None
3 49643-047-30 30 mL In 1 VIAL, MULTI-DOSE None
4 49643-047-50 50 mL In 1 VIAL, MULTI-DOSE None

Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
BLA BLA102212 03/12/1974

COCKROACH, GERMAN 
blattella germanica  injection
Product Information
Product Type NON-STANDARDIZED ALLERGENIC NDC Product Code (Source) 49643-048
Route of Administration INTRADERMAL, CUTANEOUS, SUBCUTANEOUS DEA Schedule     
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
BLATELLA GERMANICA (BLATELLA GERMANICA) BLATELLA GERMANICA 1 g  in 10 mL
Inactive Ingredients
Ingredient Name Strength
Sodium Chloride 0.25 g  in 100 mL
Sodium Bicarbonate 0.125   in 100 mL
Glycerin 53 mL  in 100 mL
Phenol 0.4 g  in 100 mL
Water  
Product Characteristics
Color      Score     
Shape Size
Flavor Imprint Code
Contains     
Packaging
# NDC Package Description Multilevel Packaging
1 49643-048-05 5 mL In 1 VIAL, MULTI-DOSE None
2 49643-048-10 10 mL In 1 VIAL, MULTI-DOSE None
3 49643-048-30 30 mL In 1 VIAL, MULTI-DOSE None
4 49643-048-50 50 mL In 1 VIAL, MULTI-DOSE None

Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
BLA BLA102212 03/12/1974

COMMON SAGE POLLEN 
artemisia tridentata  injection
Product Information
Product Type NON-STANDARDIZED ALLERGENIC NDC Product Code (Source) 49643-320
Route of Administration INTRADERMAL, CUTANEOUS, SUBCUTANEOUS DEA Schedule     
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
ARTEMISIA TRIDENTATA POLLEN (ARTEMISIA TRIDENTATA POLLEN) ARTEMISIA TRIDENTATA POLLEN 1 g  in 20 mL
Inactive Ingredients
Ingredient Name Strength
Sodium Chloride 0.25 g  in 100 mL
Sodium Bicarbonate 0.125   in 100 mL
Glycerin 53 mL  in 100 mL
Phenol 0.4 g  in 100 mL
Water  
Product Characteristics
Color      Score     
Shape Size
Flavor Imprint Code
Contains     
Packaging
# NDC Package Description Multilevel Packaging
1 49643-320-05 5 mL In 1 VIAL, MULTI-DOSE None
2 49643-320-10 10 mL In 1 VIAL, MULTI-DOSE None
3 49643-320-30 30 mL In 1 VIAL, MULTI-DOSE None
4 49643-320-50 50 mL In 1 VIAL, MULTI-DOSE None

Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
BLA BLA102212 03/12/1974

CORN POLLEN POLLEN 
zea mays  injection
Product Information
Product Type NON-STANDARDIZED ALLERGENIC NDC Product Code (Source) 49643-422
Route of Administration INTRADERMAL, CUTANEOUS, SUBCUTANEOUS DEA Schedule     
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
ZEA MAYS POLLEN (ZEA MAYS POLLEN) ZEA MAYS POLLEN 1 g  in 20 mL
Inactive Ingredients
Ingredient Name Strength
Sodium Chloride 0.25 g  in 100 mL
Sodium Bicarbonate 0.125   in 100 mL
Glycerin 53 mL  in 100 mL
Phenol 0.4 g  in 100 mL
Water  
Product Characteristics
Color      Score     
Shape Size
Flavor Imprint Code
Contains     
Packaging
# NDC Package Description Multilevel Packaging
1 49643-422-05 5 mL In 1 VIAL, MULTI-DOSE None
2 49643-422-10 10 mL In 1 VIAL, MULTI-DOSE None
3 49643-422-30 30 mL In 1 VIAL, MULTI-DOSE None
4 49643-422-50 50 mL In 1 VIAL, MULTI-DOSE None

Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
BLA BLA102212 03/12/1974

COTTON LINTERS 
cotton linters  injection
Product Information
Product Type NON-STANDARDIZED ALLERGENIC NDC Product Code (Source) 49643-004
Route of Administration INTRADERMAL, CUTANEOUS, SUBCUTANEOUS DEA Schedule     
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
COTTON FIBER (COTTON FIBER) COTTON FIBER 1 g  in 10 mL
Inactive Ingredients
Ingredient Name Strength
Sodium Chloride 0.25 g  in 100 mL
Sodium Bicarbonate 0.125   in 100 mL
Glycerin 53 mL  in 100 mL
Phenol 0.4 g  in 100 mL
Water  
Product Characteristics
Color      Score     
Shape Size
Flavor Imprint Code
Contains     
Packaging
# NDC Package Description Multilevel Packaging
1 49643-004-05 5 mL In 1 VIAL, MULTI-DOSE None
2 49643-004-10 10 mL In 1 VIAL, MULTI-DOSE None
3 49643-004-30 30 mL In 1 VIAL, MULTI-DOSE None
4 49643-004-50 50 mL In 1 VIAL, MULTI-DOSE None

Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
BLA BLA102212 03/12/1974

COTTONSEED 
cottonseed  injection
Product Information
Product Type NON-STANDARDIZED ALLERGENIC NDC Product Code (Source) 49643-005
Route of Administration INTRADERMAL, CUTANEOUS, SUBCUTANEOUS DEA Schedule     
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
COTTON SEED (COTTON SEED) COTTON SEED 1 g  in 10 mL
Inactive Ingredients
Ingredient Name Strength
Sodium Chloride 0.25 g  in 100 mL
Sodium Bicarbonate 0.125   in 100 mL
Glycerin 53 mL  in 100 mL
Phenol 0.4 g  in 100 mL
Water  
Product Characteristics
Color      Score     
Shape Size
Flavor Imprint Code
Contains     
Packaging
# NDC Package Description Multilevel Packaging
1 49643-005-05 5 mL In 1 VIAL, MULTI-DOSE None
2 49643-005-10 10 mL In 1 VIAL, MULTI-DOSE None
3 49643-005-30 30 mL In 1 VIAL, MULTI-DOSE None
4 49643-005-50 50 mL In 1 VIAL, MULTI-DOSE None

Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
BLA BLA102212 03/12/1974

CULTIVATED OAT POLLEN 
avena sativa  injection
Product Information
Product Type NON-STANDARDIZED ALLERGENIC NDC Product Code (Source) 49643-322
Route of Administration INTRADERMAL, CUTANEOUS, SUBCUTANEOUS DEA Schedule     
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
AVENA SATIVA POLLEN (AVENA SATIVA POLLEN) AVENA SATIVA POLLEN 1 g  in 20 mL
Inactive Ingredients
Ingredient Name Strength
Sodium Chloride 0.25 g  in 100 mL
Sodium Bicarbonate 0.125   in 100 mL
Glycerin 53 mL  in 100 mL
Phenol 0.4 g  in 100 mL
Water  
Product Characteristics
Color      Score     
Shape Size
Flavor Imprint Code
Contains     
Packaging
# NDC Package Description Multilevel Packaging
1 49643-322-05 5 mL In 1 VIAL, MULTI-DOSE None
2 49643-322-10 10 mL In 1 VIAL, MULTI-DOSE None
3 49643-322-30 30 mL In 1 VIAL, MULTI-DOSE None
4 49643-322-50 50 mL In 1 VIAL, MULTI-DOSE None

Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
BLA BLA102212 03/12/1974

CURVULARIA 
curvularia lunata  injection
Product Information
Product Type NON-STANDARDIZED ALLERGENIC NDC Product Code (Source) 49643-109
Route of Administration INTRADERMAL, CUTANEOUS, SUBCUTANEOUS DEA Schedule     
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
COCHLIOBOLUS LUNATUS (COCHLIOBOLUS LUNATUS) COCHLIOBOLUS LUNATUS 1 g  in 10 mL
Inactive Ingredients
Ingredient Name Strength
Sodium Chloride 0.25 g  in 100 mL
Sodium Bicarbonate 0.125   in 100 mL
Glycerin 53 mL  in 100 mL
Phenol 0.4 g  in 100 mL
Water  
Product Characteristics
Color      Score     
Shape Size
Flavor Imprint Code
Contains     
Packaging
# NDC Package Description Multilevel Packaging
1 49643-109-05 5 mL In 1 VIAL, MULTI-DOSE None
2 49643-109-10 10 mL In 1 VIAL, MULTI-DOSE None
3 49643-109-30 30 mL In 1 VIAL, MULTI-DOSE None
4 49643-109-50 50 mL In 1 VIAL, MULTI-DOSE None

Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
BLA BLA102212 03/12/1974

CYPRESS, ARIZONA POLLEN 
cupressus arizonica  injection
Product Information
Product Type NON-STANDARDIZED ALLERGENIC NDC Product Code (Source) 49643-341
Route of Administration INTRADERMAL, CUTANEOUS, SUBCUTANEOUS DEA Schedule     
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
CUPRESSUS ARIZONICA POLLEN (CUPRESSUS ARIZONICA POLLEN) CUPRESSUS ARIZONICA POLLEN 1 g  in 20 mL
Inactive Ingredients
Ingredient Name Strength
Sodium Chloride 0.25 g  in 100 mL
Sodium Bicarbonate 0.125   in 100 mL
Glycerin 53 mL  in 100 mL
Phenol 0.4 g  in 100 mL
Water  
Product Characteristics
Color      Score     
Shape Size
Flavor Imprint Code
Contains     
Packaging
# NDC Package Description Multilevel Packaging
1 49643-341-05 5 mL In 1 VIAL, MULTI-DOSE None
2 49643-341-10 10 mL In 1 VIAL, MULTI-DOSE None
3 49643-341-30 30 mL In 1 VIAL, MULTI-DOSE None
4 49643-341-50 50 mL In 1 VIAL, MULTI-DOSE None

Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
BLA BLA102212 03/12/1974

DANDELION POLLEN 
taraxacum officinale  injection
Product Information
Product Type NON-STANDARDIZED ALLERGENIC NDC Product Code (Source) 49643-416
Route of Administration INTRADERMAL, CUTANEOUS, SUBCUTANEOUS DEA Schedule     
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
TARAXACUM OFFICINALE POLLEN (TARAXACUM OFFICINALE POLLEN) TARAXACUM OFFICINALE POLLEN 1 g  in 20 mL
Inactive Ingredients
Ingredient Name Strength
Sodium Chloride 0.25 g  in 100 mL
Sodium Bicarbonate 0.125   in 100 mL
Glycerin 53 mL  in 100 mL
Phenol 0.4 g  in 100 mL
Water  
Product Characteristics
Color      Score     
Shape Size
Flavor Imprint Code
Contains     
Packaging
# NDC Package Description Multilevel Packaging
1 49643-416-05 5 mL In 1 VIAL, MULTI-DOSE None
2 49643-416-10 10 mL In 1 VIAL, MULTI-DOSE None
3 49643-416-30 30 mL In 1 VIAL, MULTI-DOSE None
4 49643-416-50 50 mL In 1 VIAL, MULTI-DOSE None

Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
BLA BLA102212 03/12/1974

DATE PALM POLLEN 
phoenix dactylifera  injection
Product Information
Product Type NON-STANDARDIZED ALLERGENIC NDC Product Code (Source) 49643-387
Route of Administration INTRADERMAL, CUTANEOUS, SUBCUTANEOUS DEA Schedule     
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
PHOENIX DACTYLIFERA POLLEN (PHOENIX DACTYLIFERA POLLEN) PHOENIX DACTYLIFERA POLLEN 1 g  in 20 mL
Inactive Ingredients
Ingredient Name Strength
Sodium Chloride 0.25 g  in 100 mL
Sodium Bicarbonate 0.125   in 100 mL
Glycerin 53 mL  in 100 mL
Phenol 0.4 g  in 100 mL
Water  
Product Characteristics
Color      Score     
Shape Size
Flavor Imprint Code
Contains     
Packaging
# NDC Package Description Multilevel Packaging
1 49643-387-05 5 mL In 1 VIAL, MULTI-DOSE None
2 49643-387-10 10 mL In 1 VIAL, MULTI-DOSE None
3 49643-387-30 30 mL In 1 VIAL, MULTI-DOSE None
4 49643-387-50 50 mL In 1 VIAL, MULTI-DOSE None

Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
BLA BLA102212 03/12/1974

DESERT RAGWEED POLLEN 
ambrosia dumosa  injection
Product Information
Product Type NON-STANDARDIZED ALLERGENIC NDC Product Code (Source) 49643-355
Route of Administration INTRADERMAL, CUTANEOUS, SUBCUTANEOUS DEA Schedule     
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
AMBROSIA DUMOSA POLLEN (AMBROSIA DUMOSA POLLEN) AMBROSIA DUMOSA POLLEN 1 g  in 20 mL
Inactive Ingredients
Ingredient Name Strength
Sodium Chloride 0.25 g  in 100 mL
Sodium Bicarbonate 0.125   in 100 mL
Glycerin 53 mL  in 100 mL
Phenol 0.4 g  in 100 mL
Water  
Product Characteristics
Color      Score     
Shape Size
Flavor Imprint Code
Contains     
Packaging
# NDC Package Description Multilevel Packaging
1 49643-355-05 5 mL In 1 VIAL, MULTI-DOSE None
2 49643-355-10 10 mL In 1 VIAL, MULTI-DOSE None
3 49643-355-30 30 mL In 1 VIAL, MULTI-DOSE None
4 49643-355-50 50 mL In 1 VIAL, MULTI-DOSE None

Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
BLA BLA102212 03/12/1974

DOCK, YELLOW POLLEN 
rumex crispus  injection
Product Information
Product Type NON-STANDARDIZED ALLERGENIC NDC Product Code (Source) 49643-406
Route of Administration INTRADERMAL, CUTANEOUS, SUBCUTANEOUS DEA Schedule     
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
RUMEX CRISPUS POLLEN (RUMEX CRISPUS POLLEN) RUMEX CRISPUS POLLEN 1 g  in 20 mL
Inactive Ingredients
Ingredient Name Strength
Sodium Chloride 0.25 g  in 100 mL
Sodium Bicarbonate 0.125   in 100 mL
Glycerin 53 mL  in 100 mL
Phenol 0.4 g  in 100 mL
Water  
Product Characteristics
Color      Score     
Shape Size
Flavor Imprint Code
Contains     
Packaging
# NDC Package Description Multilevel Packaging
1 49643-406-05 5 mL In 1 VIAL, MULTI-DOSE None
2 49643-406-10 10 mL In 1 VIAL, MULTI-DOSE None
3 49643-406-30 30 mL In 1 VIAL, MULTI-DOSE None
4 49643-406-50 50 mL In 1 VIAL, MULTI-DOSE None

Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
BLA BLA102212 03/12/1974

DOG HAIR 
dog hair  injection
Product Information
Product Type NON-STANDARDIZED ALLERGENIC NDC Product Code (Source) 49643-006
Route of Administration INTRADERMAL, CUTANEOUS, SUBCUTANEOUS DEA Schedule     
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
CANIS LUPUS FAMILIARIS HAIR (CANIS LUPUS FAMILIARIS HAIR) CANIS LUPUS FAMILIARIS HAIR 1 g  in 10 mL
Inactive Ingredients
Ingredient Name Strength
Sodium Chloride 0.25 g  in 100 mL
Sodium Bicarbonate 0.125   in 100 mL
Glycerin 53 mL  in 100 mL
Phenol 0.4 g  in 100 mL
Water  
Product Characteristics
Color      Score     
Shape Size
Flavor Imprint Code
Contains     
Packaging
# NDC Package Description Multilevel Packaging
1 49643-006-05 5 mL In 1 VIAL, MULTI-DOSE None
2 49643-006-10 10 mL In 1 VIAL, MULTI-DOSE None
3 49643-006-30 30 mL In 1 VIAL, MULTI-DOSE None
4 49643-006-50 50 mL In 1 VIAL, MULTI-DOSE None

Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
BLA BLA102212 03/12/1974

EASTERN COTTONWOOD POLLEN 
populus deltoides  injection
Product Information
Product Type NON-STANDARDIZED ALLERGENIC NDC Product Code (Source) 49643-395
Route of Administration INTRADERMAL, CUTANEOUS, SUBCUTANEOUS DEA Schedule     
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
POPULUS DELTOIDES POLLEN (POPULUS DELTOIDES POLLEN) POPULUS DELTOIDES POLLEN 1 g  in 20 mL
Inactive Ingredients
Ingredient Name Strength
Sodium Chloride 0.25 g  in 100 mL
Sodium Bicarbonate 0.125   in 100 mL
Glycerin 53 mL  in 100 mL
Phenol 0.4 g  in 100 mL
Water  
Product Characteristics
Color      Score     
Shape Size
Flavor Imprint Code
Contains     
Packaging
# NDC Package Description Multilevel Packaging
1 49643-395-05 5 mL In 1 VIAL, MULTI-DOSE None
2 49643-395-10 10 mL In 1 VIAL, MULTI-DOSE None
3 49643-395-30 30 mL In 1 VIAL, MULTI-DOSE None
4 49643-395-50 50 mL In 1 VIAL, MULTI-DOSE None

Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
BLA BLA102212 03/12/1974

EASTERN SYCAMORE POLLEN 
platanus occidentalis  injection
Product Information
Product Type NON-STANDARDIZED ALLERGENIC NDC Product Code (Source) 49643-391
Route of Administration INTRADERMAL, CUTANEOUS, SUBCUTANEOUS DEA Schedule     
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
PLATANUS OCCIDENTALIS POLLEN (PLATANUS OCCIDENTALIS POLLEN) PLATANUS OCCIDENTALIS POLLEN 1 g  in 20 mL
Inactive Ingredients
Ingredient Name Strength
Sodium Chloride 0.25 g  in 100 mL
Sodium Bicarbonate 0.125   in 100 mL
Glycerin 53 mL  in 100 mL
Phenol 0.4 g  in 100 mL
Water  
Product Characteristics
Color      Score     
Shape Size
Flavor Imprint Code
Contains     
Packaging
# NDC Package Description Multilevel Packaging
1 49643-391-05 5 mL In 1 VIAL, MULTI-DOSE None
2 49643-391-10 10 mL In 1 VIAL, MULTI-DOSE None
3 49643-391-30 30 mL In 1 VIAL, MULTI-DOSE None
4 49643-391-50 50 mL In 1 VIAL, MULTI-DOSE None

Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
BLA BLA102212 03/12/1974

EASTERN WHITE PINE POLLEN 
pinus strobus  injection
Product Information
Product Type NON-STANDARDIZED ALLERGENIC NDC Product Code (Source) 49643-388
Route of Administration INTRADERMAL, CUTANEOUS, SUBCUTANEOUS DEA Schedule     
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
PINUS STROBUS POLLEN (PINUS STROBUS POLLEN) PINUS STROBUS POLLEN 1 g  in 20 mL
Inactive Ingredients
Ingredient Name Strength
Sodium Chloride 0.25 g  in 100 mL
Sodium Bicarbonate 0.125   in 100 mL
Glycerin 53 mL  in 100 mL
Phenol 0.4 g  in 100 mL
Water  
Product Characteristics
Color      Score     
Shape Size
Flavor Imprint Code
Contains     
Packaging
# NDC Package Description Multilevel Packaging
1 49643-388-05 5 mL In 1 VIAL, MULTI-DOSE None
2 49643-388-10 10 mL In 1 VIAL, MULTI-DOSE None
3 49643-388-30 30 mL In 1 VIAL, MULTI-DOSE None
4 49643-388-50 50 mL In 1 VIAL, MULTI-DOSE None

Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
BLA BLA102212 03/12/1974

ENGLISH PLANTAIN POLLEN 
plantago lanceolata  injection
Product Information
Product Type NON-STANDARDIZED ALLERGENIC NDC Product Code (Source) 49643-389
Route of Administration INTRADERMAL, CUTANEOUS, SUBCUTANEOUS DEA Schedule     
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
PLANTAGO LANCEOLATA POLLEN (PLANTAGO LANCEOLATA POLLEN) PLANTAGO LANCEOLATA POLLEN 1 g  in 20 mL
Inactive Ingredients
Ingredient Name Strength
Sodium Chloride 0.25 g  in 100 mL
Sodium Bicarbonate 0.125   in 100 mL
Glycerin 53 mL  in 100 mL
Phenol 0.4 g  in 100 mL
Water  
Product Characteristics
Color      Score     
Shape Size
Flavor Imprint Code
Contains     
Packaging
# NDC Package Description Multilevel Packaging
1 49643-389-05 5 mL In 1 VIAL, MULTI-DOSE None
2 49643-389-10 10 mL In 1 VIAL, MULTI-DOSE None
3 49643-389-30 30 mL In 1 VIAL, MULTI-DOSE None
4 49643-389-50 50 mL In 1 VIAL, MULTI-DOSE None

Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
BLA BLA102212 03/12/1974

ENGLISH WALNUT POLLEN 
juglans regia  injection
Product Information
Product Type NON-STANDARDIZED ALLERGENIC NDC Product Code (Source) 49643-367
Route of Administration INTRADERMAL, CUTANEOUS, SUBCUTANEOUS DEA Schedule     
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
JUGLANS REGIA POLLEN (JUGLANS REGIA POLLEN) JUGLANS REGIA POLLEN 1 g  in 20 mL
Inactive Ingredients
Ingredient Name Strength
Sodium Chloride 0.25 g  in 100 mL
Sodium Bicarbonate 0.125   in 100 mL
Glycerin 53 mL  in 100 mL
Phenol 0.4 g  in 100 mL
Water  
Product Characteristics
Color      Score     
Shape Size
Flavor Imprint Code
Contains     
Packaging
# NDC Package Description Multilevel Packaging
1 49643-367-05 5 mL In 1 VIAL, MULTI-DOSE None
2 49643-367-10 10 mL In 1 VIAL, MULTI-DOSE None
3 49643-367-30 30 mL In 1 VIAL, MULTI-DOSE None
4 49643-367-50 50 mL In 1 VIAL, MULTI-DOSE None

Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
BLA BLA102212 03/12/1974

EPICOCCUM 
epicoccum nigrum  injection
Product Information
Product Type NON-STANDARDIZED ALLERGENIC NDC Product Code (Source) 49643-110
Route of Administration INTRADERMAL, CUTANEOUS, SUBCUTANEOUS DEA Schedule     
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
EPICOCCUM NIGRUM (EPICOCCUM NIGRUM) EPICOCCUM NIGRUM 1 g  in 10 mL
Inactive Ingredients
Ingredient Name Strength
Sodium Chloride 0.25 g  in 100 mL
Sodium Bicarbonate 0.125   in 100 mL
Glycerin 53 mL  in 100 mL
Phenol 0.4 g  in 100 mL
Water  
Product Characteristics
Color      Score     
Shape Size
Flavor Imprint Code
Contains     
Packaging
# NDC Package Description Multilevel Packaging
1 49643-110-05 5 mL In 1 VIAL, MULTI-DOSE None
2 49643-110-10 10 mL In 1 VIAL, MULTI-DOSE None
3 49643-110-30 30 mL In 1 VIAL, MULTI-DOSE None
4 49643-110-50 50 mL In 1 VIAL, MULTI-DOSE None

Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
BLA BLA102212 03/12/1974

EUCALYPTUS POLLEN 
eucalyptus globulus  injection
Product Information
Product Type NON-STANDARDIZED ALLERGENIC NDC Product Code (Source) 49643-347
Route of Administration INTRADERMAL, CUTANEOUS, SUBCUTANEOUS DEA Schedule     
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
EUCALYPTUS GLOBULUS POLLEN (EUCALYPTUS GLOBULUS POLLEN) EUCALYPTUS GLOBULUS POLLEN 1 g  in 20 mL
Inactive Ingredients
Ingredient Name Strength
Sodium Chloride 0.25 g  in 100 mL
Sodium Bicarbonate 0.125   in 100 mL
Glycerin 53 mL  in 100 mL
Phenol 0.4 g  in 100 mL
Water  
Product Characteristics
Color      Score     
Shape Size
Flavor Imprint Code
Contains     
Packaging
# NDC Package Description Multilevel Packaging
1 49643-347-05 5 mL In 1 VIAL, MULTI-DOSE None
2 49643-347-10 10 mL In 1 VIAL, MULTI-DOSE None
3 49643-347-30 30 mL In 1 VIAL, MULTI-DOSE None
4 49643-347-50 50 mL In 1 VIAL, MULTI-DOSE None

Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
BLA BLA102212 03/12/1974

EUROPEAN OLIVE POLLEN 
olea europea  injection
Product Information
Product Type NON-STANDARDIZED ALLERGENIC NDC Product Code (Source) 49643-383
Route of Administration INTRADERMAL, CUTANEOUS, SUBCUTANEOUS DEA Schedule     
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
OLEA EUROPAEA POLLEN (OLEA EUROPAEA POLLEN) OLEA EUROPAEA POLLEN 1 g  in 20 mL
Inactive Ingredients
Ingredient Name Strength
Sodium Chloride 0.25 g  in 100 mL
Sodium Bicarbonate 0.125   in 100 mL
Glycerin 53 mL  in 100 mL
Phenol 0.4 g  in 100 mL
Water  
Product Characteristics
Color      Score     
Shape Size
Flavor Imprint Code
Contains     
Packaging
# NDC Package Description Multilevel Packaging
1 49643-383-05 5 mL In 1 VIAL, MULTI-DOSE None
2 49643-383-10 10 mL In 1 VIAL, MULTI-DOSE None
3 49643-383-30 30 mL In 1 VIAL, MULTI-DOSE None
4 49643-383-50 50 mL In 1 VIAL, MULTI-DOSE None

Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
BLA BLA102212 03/12/1974

FALSE RAGWEED POLLEN 
ambrosia acanthicarpa  injection
Product Information
Product Type NON-STANDARDIZED ALLERGENIC NDC Product Code (Source) 49643-351
Route of Administration INTRADERMAL, CUTANEOUS, SUBCUTANEOUS DEA Schedule     
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
AMBROSIA ACANTHICARPA POLLEN (AMBROSIA ACANTHICARPA POLLEN) AMBROSIA ACANTHICARPA POLLEN 1 g  in 20 mL
Inactive Ingredients
Ingredient Name Strength
Sodium Chloride 0.25 g  in 100 mL
Sodium Bicarbonate 0.125   in 100 mL
Glycerin 53 mL  in 100 mL
Phenol 0.4 g  in 100 mL
Water  
Product Characteristics
Color      Score     
Shape Size
Flavor Imprint Code
Contains     
Packaging
# NDC Package Description Multilevel Packaging
1 49643-351-05 5 mL In 1 VIAL, MULTI-DOSE None
2 49643-351-10 10 mL In 1 VIAL, MULTI-DOSE None
3 49643-351-30 30 mL In 1 VIAL, MULTI-DOSE None
4 49643-351-50 50 mL In 1 VIAL, MULTI-DOSE None

Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
BLA BLA102212 03/12/1974

FLAXSEED 
flaxseed  injection
Product Information
Product Type NON-STANDARDIZED ALLERGENIC NDC Product Code (Source) 49643-010
Route of Administration INTRADERMAL, CUTANEOUS, SUBCUTANEOUS DEA Schedule     
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
FLAX SEED (FLAX SEED) FLAX SEED 1 g  in 20 mL
Inactive Ingredients
Ingredient Name Strength
Sodium Chloride 0.25 g  in 100 mL
Sodium Bicarbonate 0.125   in 100 mL
Glycerin 53 mL  in 100 mL
Phenol 0.4 g  in 100 mL
Water  
Product Characteristics
Color      Score     
Shape Size
Flavor Imprint Code
Contains     
Packaging
# NDC Package Description Multilevel Packaging
1 49643-010-05 5 mL In 1 VIAL, MULTI-DOSE None
2 49643-010-10 10 mL In 1 VIAL, MULTI-DOSE None
3 49643-010-30 30 mL In 1 VIAL, MULTI-DOSE None
4 49643-010-50 50 mL In 1 VIAL, MULTI-DOSE None

Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
BLA BLA102212 03/12/1974

FREMONT COTTONWOOD POLLEN 
populus fremontii  injection
Product Information
Product Type NON-STANDARDIZED ALLERGENIC NDC Product Code (Source) 49643-396
Route of Administration INTRADERMAL, CUTANEOUS, SUBCUTANEOUS DEA Schedule     
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
POPULUS FREMONTII POLLEN (POPULUS FREMONTII POLLEN) POPULUS FREMONTII POLLEN 1 g  in 20 mL
Inactive Ingredients
Ingredient Name Strength
Sodium Chloride 0.25 g  in 100 mL
Sodium Bicarbonate 0.125   in 100 mL
Glycerin 53 mL  in 100 mL
Phenol 0.4 g  in 100 mL
Water  
Product Characteristics
Color      Score     
Shape Size
Flavor Imprint Code
Contains     
Packaging
# NDC Package Description Multilevel Packaging
1 49643-396-05 5 mL In 1 VIAL, MULTI-DOSE None
2 49643-396-10 10 mL In 1 VIAL, MULTI-DOSE None
3 49643-396-30 30 mL In 1 VIAL, MULTI-DOSE None
4 49643-396-50 50 mL In 1 VIAL, MULTI-DOSE None

Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
BLA BLA102212 03/12/1974

FUSARIUM 
fusarium solani  injection
Product Information
Product Type NON-STANDARDIZED ALLERGENIC NDC Product Code (Source) 49643-111
Route of Administration INTRADERMAL, CUTANEOUS, SUBCUTANEOUS DEA Schedule     
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
HAEMATONECTRIA HAEMATOCOCCA (HAEMATONECTRIA HAEMATOCOCCA) HAEMATONECTRIA HAEMATOCOCCA 1 g  in 10 mL
Inactive Ingredients
Ingredient Name Strength
Sodium Chloride 0.25 g  in 100 mL
Sodium Bicarbonate 0.125   in 100 mL
Glycerin 53 mL  in 100 mL
Phenol 0.4 g  in 100 mL
Water  
Product Characteristics
Color      Score     
Shape Size
Flavor Imprint Code
Contains     
Packaging
# NDC Package Description Multilevel Packaging
1 49643-111-05 5 mL In 1 VIAL, MULTI-DOSE None
2 49643-111-10 10 mL In 1 VIAL, MULTI-DOSE None
3 49643-111-30 30 mL In 1 VIAL, MULTI-DOSE None
4 49643-111-50 50 mL In 1 VIAL, MULTI-DOSE None

Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
BLA BLA102212 03/12/1974

GAMBELS OAK POLLEN 
quercus gambelii  injection
Product Information
Product Type NON-STANDARDIZED ALLERGENIC NDC Product Code (Source) 49643-404
Route of Administration INTRADERMAL, CUTANEOUS, SUBCUTANEOUS DEA Schedule     
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
QUERCUS GAMBELII POLLEN (QUERCUS GAMBELII POLLEN) QUERCUS GAMBELII POLLEN 1 g  in 20 mL
Inactive Ingredients
Ingredient Name Strength
Sodium Chloride 0.25 g  in 100 mL
Sodium Bicarbonate 0.125   in 100 mL
Glycerin 53 mL  in 100 mL
Phenol 0.4 g  in 100 mL
Water  
Product Characteristics
Color      Score     
Shape Size
Flavor Imprint Code
Contains     
Packaging
# NDC Package Description Multilevel Packaging
1 49643-404-05 5 mL In 1 VIAL, MULTI-DOSE None
2 49643-404-10 10 mL In 1 VIAL, MULTI-DOSE None
3 49643-404-30 30 mL In 1 VIAL, MULTI-DOSE None
4 49643-404-50 50 mL In 1 VIAL, MULTI-DOSE None

Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
BLA BLA102212 03/12/1974

GIANT RAGWEED POLLEN 
ambrosia trifida  injection
Product Information
Product Type NON-STANDARDIZED ALLERGENIC NDC Product Code (Source) 49643-317
Route of Administration INTRADERMAL, CUTANEOUS, SUBCUTANEOUS DEA Schedule     
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
AMBROSIA TRIFIDA POLLEN (AMBROSIA TRIFIDA POLLEN) AMBROSIA TRIFIDA POLLEN 1 g  in 20 mL
Inactive Ingredients
Ingredient Name Strength
Sodium Chloride 0.25 g  in 100 mL
Sodium Bicarbonate 0.125   in 100 mL
Glycerin 53 mL  in 100 mL
Phenol 0.4 g  in 100 mL
Water  
Product Characteristics
Color      Score     
Shape Size
Flavor Imprint Code
Contains     
Packaging
# NDC Package Description Multilevel Packaging
1 49643-317-05 5 mL In 1 VIAL, MULTI-DOSE None
2 49643-317-10 10 mL In 1 VIAL, MULTI-DOSE None
3 49643-317-30 30 mL In 1 VIAL, MULTI-DOSE None
4 49643-317-50 50 mL In 1 VIAL, MULTI-DOSE None

Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
BLA BLA102212 03/12/1974

GLYCEROL-SALINE CONTROL 
glycerol-saline diluent  injection
Product Information
Product Type NON-STANDARDIZED ALLERGENIC NDC Product Code (Source) 49643-818
Route of Administration INTRADERMAL, CUTANEOUS, SUBCUTANEOUS DEA Schedule     
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
GLYCERIN (GLYCERIN) GLYCERIN 53 g  in 100 mL
Inactive Ingredients
Ingredient Name Strength
Sodium Chloride 0.25 g  in 100 mL
Sodium Bicarbonate 0.125   in 100 mL
Glycerin 53 mL  in 100 mL
Phenol 0.4 g  in 100 mL
Water  
Product Characteristics
Color      Score     
Shape Size
Flavor Imprint Code
Contains     
Packaging
# NDC Package Description Multilevel Packaging
1 49643-818-05 5 mL In 1 VIAL, MULTI-DOSE None
2 49643-818-10 10 mL In 1 VIAL, MULTI-DOSE None
3 49643-818-30 30 mL In 1 VIAL, MULTI-DOSE None
4 49643-818-50 50 mL In 1 VIAL, MULTI-DOSE None

Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
BLA BLA102212 03/12/1974

GOAT EPITHELIA 
goat epithelia  injection
Product Information
Product Type NON-STANDARDIZED ALLERGENIC NDC Product Code (Source) 49643-011
Route of Administration INTRADERMAL, CUTANEOUS, SUBCUTANEOUS DEA Schedule     
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
CAPRA HIRCUS SKIN (CAPRA HIRCUS SKIN) CAPRA HIRCUS SKIN 1 g  in 20 mL
Inactive Ingredients
Ingredient Name Strength
Sodium Chloride 0.25 g  in 100 mL
Sodium Bicarbonate 0.125   in 100 mL
Glycerin 53 mL  in 100 mL
Phenol 0.4 g  in 100 mL
Water  
Product Characteristics
Color      Score     
Shape Size
Flavor Imprint Code
Contains     
Packaging
# NDC Package Description Multilevel Packaging
1 49643-011-05 5 mL In 1 VIAL, MULTI-DOSE None
2 49643-011-10 10 mL In 1 VIAL, MULTI-DOSE None
3 49643-011-30 30 mL In 1 VIAL, MULTI-DOSE None
4 49643-011-50 50 mL In 1 VIAL, MULTI-DOSE None

Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
BLA BLA102212 03/12/1974

GRAMA GRASS POLLEN 
bouteloua spp.  injection
Product Information
Product Type NON-STANDARDIZED ALLERGENIC NDC Product Code (Source) 49643-326
Route of Administration INTRADERMAL, CUTANEOUS, SUBCUTANEOUS DEA Schedule     
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
BOUTELOUA GRACILIS POLLEN (BOUTELOUA GRACILIS POLLEN) BOUTELOUA GRACILIS POLLEN 1 g  in 20 mL
Inactive Ingredients
Ingredient Name Strength
Sodium Chloride 0.25 g  in 100 mL
Sodium Bicarbonate 0.125   in 100 mL
Glycerin 53 mL  in 100 mL
Phenol 0.4 g  in 100 mL
Water  
Product Characteristics
Color      Score     
Shape Size
Flavor Imprint Code
Contains     
Packaging
# NDC Package Description Multilevel Packaging
1 49643-326-05 5 mL In 1 VIAL, MULTI-DOSE None
2 49643-326-10 10 mL In 1 VIAL, MULTI-DOSE None
3 49643-326-30 30 mL In 1 VIAL, MULTI-DOSE None
4 49643-326-50 50 mL In 1 VIAL, MULTI-DOSE None

Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
BLA BLA102212 03/12/1974

GRAY (WHITE) BIRCH POLLEN 
betula populifolia  injection
Product Information
Product Type NON-STANDARDIZED ALLERGENIC NDC Product Code (Source) 49643-325
Route of Administration INTRADERMAL, CUTANEOUS, SUBCUTANEOUS DEA Schedule     
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
BETULA POPULIFOLIA POLLEN (BETULA POPULIFOLIA POLLEN) BETULA POPULIFOLIA POLLEN 1 g  in 20 mL
Inactive Ingredients
Ingredient Name Strength
Sodium Chloride 0.25 g  in 100 mL
Sodium Bicarbonate 0.125   in 100 mL
Glycerin 53 mL  in 100 mL
Phenol 0.4 g  in 100 mL
Water  
Product Characteristics
Color      Score     
Shape Size
Flavor Imprint Code
Contains     
Packaging
# NDC Package Description Multilevel Packaging
1 49643-325-05 5 mL In 1 VIAL, MULTI-DOSE None
2 49643-325-10 10 mL In 1 VIAL, MULTI-DOSE None
3 49643-325-30 30 mL In 1 VIAL, MULTI-DOSE None
4 49643-325-50 50 mL In 1 VIAL, MULTI-DOSE None

Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
BLA BLA102212 03/12/1974

GREASEWOOD POLLEN 
sarcobatus vermiculatus  injection
Product Information
Product Type NON-STANDARDIZED ALLERGENIC NDC Product Code (Source) 49643-411
Route of Administration INTRADERMAL, CUTANEOUS, SUBCUTANEOUS DEA Schedule     
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
SARCOBATUS VERMICULATUS POLLEN (SARCOBATUS VERMICULATUS POLLEN) SARCOBATUS VERMICULATUS POLLEN 1 g  in 20 mL
Inactive Ingredients
Ingredient Name Strength
Sodium Chloride 0.25 g  in 100 mL
Sodium Bicarbonate 0.125   in 100 mL
Glycerin 53 mL  in 100 mL
Phenol 0.4 g  in 100 mL
Water  
Product Characteristics
Color      Score     
Shape Size
Flavor Imprint Code
Contains     
Packaging
# NDC Package Description Multilevel Packaging
1 49643-411-05 5 mL In 1 VIAL, MULTI-DOSE None
2 49643-411-10 10 mL In 1 VIAL, MULTI-DOSE None
3 49643-411-30 30 mL In 1 VIAL, MULTI-DOSE None
4 49643-411-50 50 mL In 1 VIAL, MULTI-DOSE None

Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
BLA BLA102212 03/12/1974

GREEN ASH POLLEN 
fraxinus pennsylvanica  injection
Product Information
Product Type NON-STANDARDIZED ALLERGENIC NDC Product Code (Source) 49643-358
Route of Administration INTRADERMAL, CUTANEOUS, SUBCUTANEOUS DEA Schedule     
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
FRAXINUS PENNSYLVANICA POLLEN (FRAXINUS PENNSYLVANICA POLLEN) FRAXINUS PENNSYLVANICA POLLEN 1 g  in 20 mL
Inactive Ingredients
Ingredient Name Strength
Sodium Chloride 0.25 g  in 100 mL
Sodium Bicarbonate 0.125   in 100 mL
Glycerin 53 mL  in 100 mL
Phenol 0.4 g  in 100 mL
Water  
Product Characteristics
Color      Score     
Shape Size
Flavor Imprint Code
Contains     
Packaging
# NDC Package Description Multilevel Packaging
1 49643-358-05 5 mL In 1 VIAL, MULTI-DOSE None
2 49643-358-10 10 mL In 1 VIAL, MULTI-DOSE None
3 49643-358-30 30 mL In 1 VIAL, MULTI-DOSE None
4 49643-358-50 50 mL In 1 VIAL, MULTI-DOSE None

Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
BLA BLA102212 03/12/1974

GUINEA PIG EPITHELIA 
guinea pig epithelia  injection
Product Information
Product Type NON-STANDARDIZED ALLERGENIC NDC Product Code (Source) 49643-012
Route of Administration INTRADERMAL, CUTANEOUS, SUBCUTANEOUS DEA Schedule     
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
CAVIA PORCELLUS SKIN (CAVIA PORCELLUS SKIN) CAVIA PORCELLUS SKIN 1 g  in 20 mL
Inactive Ingredients
Ingredient Name Strength
Sodium Chloride 0.25 g  in 100 mL
Sodium Bicarbonate 0.125   in 100 mL
Glycerin 53 mL  in 100 mL
Phenol 0.4 g  in 100 mL
Water  
Product Characteristics
Color      Score     
Shape Size
Flavor Imprint Code
Contains     
Packaging
# NDC Package Description Multilevel Packaging
1 49643-012-05 5 mL In 1 VIAL, MULTI-DOSE None
2 49643-012-10 10 mL In 1 VIAL, MULTI-DOSE None
3 49643-012-30 30 mL In 1 VIAL, MULTI-DOSE None
4 49643-012-50 50 mL In 1 VIAL, MULTI-DOSE None

Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
BLA BLA102212 03/12/1974

HACKBERRY POLLEN 
celtis occidentalis  injection
Product Information
Product Type NON-STANDARDIZED ALLERGENIC NDC Product Code (Source) 49643-336
Route of Administration INTRADERMAL, CUTANEOUS, SUBCUTANEOUS DEA Schedule     
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
CELTIS OCCIDENTALIS POLLEN (CELTIS OCCIDENTALIS POLLEN) CELTIS OCCIDENTALIS POLLEN 1 g  in 20 mL
Inactive Ingredients
Ingredient Name Strength
Sodium Chloride 0.25 g  in 100 mL
Sodium Bicarbonate 0.125   in 100 mL
Glycerin 53 mL  in 100 mL
Phenol 0.4 g  in 100 mL
Water  
Product Characteristics
Color      Score     
Shape Size
Flavor Imprint Code
Contains     
Packaging
# NDC Package Description Multilevel Packaging
1 49643-336-05 5 mL In 1 VIAL, MULTI-DOSE None
2 49643-336-10 10 mL In 1 VIAL, MULTI-DOSE None
3 49643-336-30 30 mL In 1 VIAL, MULTI-DOSE None
4 49643-336-50 50 mL In 1 VIAL, MULTI-DOSE None

Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
BLA BLA102212 03/12/1974

HAMSTER EPITHELIA 
hamster epithelia  injection
Product Information
Product Type NON-STANDARDIZED ALLERGENIC NDC Product Code (Source) 49643-013
Route of Administration INTRADERMAL, CUTANEOUS, SUBCUTANEOUS DEA Schedule     
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
MESOCRICETUS AURATUS SKIN (MESOCRICETUS AURATUS SKIN) MESOCRICETUS AURATUS SKIN 1 g  in 20 mL
Inactive Ingredients
Ingredient Name Strength
Sodium Chloride 0.25 g  in 100 mL
Sodium Bicarbonate 0.125   in 100 mL
Glycerin 53 mL  in 100 mL
Phenol 0.4 g  in 100 mL
Water  
Product Characteristics
Color      Score     
Shape Size
Flavor Imprint Code
Contains     
Packaging
# NDC Package Description Multilevel Packaging
1 49643-013-05 5 mL In 1 VIAL, MULTI-DOSE None
2 49643-013-10 10 mL In 1 VIAL, MULTI-DOSE None
3 49643-013-30 30 mL In 1 VIAL, MULTI-DOSE None
4 49643-013-50 50 mL In 1 VIAL, MULTI-DOSE None

Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
BLA BLA102212 03/12/1974

HARD MAPLE POLLEN 
acer saccharum  injection
Product Information
Product Type NON-STANDARDIZED ALLERGENIC NDC Product Code (Source) 49643-452
Route of Administration INTRADERMAL, CUTANEOUS, SUBCUTANEOUS DEA Schedule     
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
ACER SACCHARUM POLLEN (ACER SACCHARUM POLLEN) ACER SACCHARUM POLLEN 1 g  in 20 mL
Inactive Ingredients
Ingredient Name Strength
Sodium Chloride 0.25 g  in 100 mL
Sodium Bicarbonate 0.125   in 100 mL
Glycerin 53 mL  in 100 mL
Phenol 0.4 g  in 100 mL
Water  
Product Characteristics
Color      Score     
Shape Size
Flavor Imprint Code
Contains     
Packaging
# NDC Package Description Multilevel Packaging
1 49643-452-05 5 mL In 1 VIAL, MULTI-DOSE None
2 49643-452-10 10 mL In 1 VIAL, MULTI-DOSE None
3 49643-452-30 30 mL In 1 VIAL, MULTI-DOSE None
4 49643-452-50 50 mL In 1 VIAL, MULTI-DOSE None

Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
BLA BLA102212 03/12/1974

HAZELNUT POLLEN 
corylus americana  injection
Product Information
Product Type NON-STANDARDIZED ALLERGENIC NDC Product Code (Source) 49643-340
Route of Administration INTRADERMAL, CUTANEOUS, SUBCUTANEOUS DEA Schedule     
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
CORYLUS AMERICANA POLLEN (CORYLUS AMERICANA POLLEN) CORYLUS AMERICANA POLLEN 1 g  in 20 mL
Inactive Ingredients
Ingredient Name Strength
Sodium Chloride 0.25 g  in 100 mL
Sodium Bicarbonate 0.125   in 100 mL
Glycerin 53 mL  in 100 mL
Phenol 0.4 g  in 100 mL
Water  
Product Characteristics
Color      Score     
Shape Size
Flavor Imprint Code
Contains     
Packaging
# NDC Package Description Multilevel Packaging
1 49643-340-05 5 mL In 1 VIAL, MULTI-DOSE None
2 49643-340-10 10 mL In 1 VIAL, MULTI-DOSE None
3 49643-340-30 30 mL In 1 VIAL, MULTI-DOSE None
4 49643-340-50 50 mL In 1 VIAL, MULTI-DOSE None

Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
BLA BLA102212 03/12/1974

HELMINTHOSPORIUM SATIVUM 
helminthosporium sativum  injection
Product Information
Product Type NON-STANDARDIZED ALLERGENIC NDC Product Code (Source) 49643-112
Route of Administration INTRADERMAL, CUTANEOUS, SUBCUTANEOUS DEA Schedule     
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
COCHLIOBOLUS SATIVUS (COCHLIOBOLUS SATIVUS) COCHLIOBOLUS SATIVUS 1 g  in 10 mL
Inactive Ingredients
Ingredient Name Strength
Sodium Chloride 0.25 g  in 100 mL
Sodium Bicarbonate 0.125   in 100 mL
Glycerin 53 mL  in 100 mL
Phenol 0.4 g  in 100 mL
Water  
Product Characteristics
Color      Score     
Shape Size
Flavor Imprint Code
Contains     
Packaging
# NDC Package Description Multilevel Packaging
1 49643-112-05 5 mL In 1 VIAL, MULTI-DOSE None
2 49643-112-10 10 mL In 1 VIAL, MULTI-DOSE None
3 49643-112-30 30 mL In 1 VIAL, MULTI-DOSE None
4 49643-112-50 50 mL In 1 VIAL, MULTI-DOSE None

Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
BLA BLA102212 03/12/1974

HOG EPITHELIA 
hog epithelia  injection
Product Information
Product Type NON-STANDARDIZED ALLERGENIC NDC Product Code (Source) 49643-014
Route of Administration INTRADERMAL, CUTANEOUS, SUBCUTANEOUS DEA Schedule     
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
SUS SCROFA SKIN (SUS SCROFA SKIN) SUS SCROFA SKIN 1 g  in 20 mL
Inactive Ingredients
Ingredient Name Strength
Sodium Chloride 0.25 g  in 100 mL
Sodium Bicarbonate 0.125   in 100 mL
Glycerin 53 mL  in 100 mL
Phenol 0.4 g  in 100 mL
Water  
Product Characteristics
Color      Score     
Shape Size
Flavor Imprint Code
Contains     
Packaging
# NDC Package Description Multilevel Packaging
1 49643-014-05 5 mL In 1 VIAL, MULTI-DOSE None
2 49643-014-10 10 mL In 1 VIAL, MULTI-DOSE None
3 49643-014-30 30 mL In 1 VIAL, MULTI-DOSE None
4 49643-014-50 50 mL In 1 VIAL, MULTI-DOSE None

Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
BLA BLA102212 03/12/1974

HORSE EPITHELIA 
horse epithelia  injection
Product Information
Product Type NON-STANDARDIZED ALLERGENIC NDC Product Code (Source) 49643-015
Route of Administration INTRADERMAL, CUTANEOUS, SUBCUTANEOUS DEA Schedule     
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
EQUUS CABALLUS SKIN (EQUUS CABALLUS SKIN) EQUUS CABALLUS SKIN 1 g  in 10 mL
Inactive Ingredients
Ingredient Name Strength
Sodium Chloride 0.25 g  in 100 mL
Sodium Bicarbonate 0.125   in 100 mL
Glycerin 53 mL  in 100 mL
Phenol 0.4 g  in 100 mL
Water  
Product Characteristics
Color      Score     
Shape Size
Flavor Imprint Code
Contains     
Packaging
# NDC Package Description Multilevel Packaging
1 49643-015-05 5 mL In 1 VIAL, MULTI-DOSE None
2 49643-015-10 10 mL In 1 VIAL, MULTI-DOSE None
3 49643-015-30 30 mL In 1 VIAL, MULTI-DOSE None
4 49643-015-50 50 mL In 1 VIAL, MULTI-DOSE None

Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
BLA BLA102212 03/12/1974

HOUSE DUST 
house dust  injection
Product Information
Product Type NON-STANDARDIZED ALLERGENIC NDC Product Code (Source) 49643-008
Route of Administration INTRADERMAL, CUTANEOUS, SUBCUTANEOUS DEA Schedule     
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
HOUSE DUST (HOUSE DUST) HOUSE DUST 1 g  in 50 mL
Inactive Ingredients
Ingredient Name Strength
Sodium Chloride 0.25 g  in 100 mL
Sodium Bicarbonate 0.125   in 100 mL
Glycerin 53 mL  in 100 mL
Phenol 0.4 g  in 100 mL
Water  
Product Characteristics
Color      Score     
Shape Size
Flavor Imprint Code
Contains     
Packaging
# NDC Package Description Multilevel Packaging
1 49643-008-05 5 mL In 1 VIAL, MULTI-DOSE None
2 49643-008-10 10 mL In 1 VIAL, MULTI-DOSE None
3 49643-008-30 30 mL In 1 VIAL, MULTI-DOSE None
4 49643-008-50 50 mL In 1 VIAL, MULTI-DOSE None

Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
BLA BLA102212 03/12/1974

IODINE BUSH POLLEN 
allenrolfea occidentalis  injection
Product Information
Product Type NON-STANDARDIZED ALLERGENIC NDC Product Code (Source) 49643-311
Route of Administration INTRADERMAL, CUTANEOUS, SUBCUTANEOUS DEA Schedule     
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
ALLENROLFEA OCCIDENTALIS POLLEN (ALLENROLFEA OCCIDENTALIS POLLEN) ALLENROLFEA OCCIDENTALIS POLLEN 1 g  in 20 mL
Inactive Ingredients
Ingredient Name Strength
Sodium Chloride 0.25 g  in 100 mL
Sodium Bicarbonate 0.125   in 100 mL
Glycerin 53 mL  in 100 mL
Phenol 0.4 g  in 100 mL
Water  
Product Characteristics
Color      Score     
Shape Size
Flavor Imprint Code
Contains     
Packaging
# NDC Package Description Multilevel Packaging
1 49643-311-05 5 mL In 1 VIAL, MULTI-DOSE None
2 49643-311-10 10 mL In 1 VIAL, MULTI-DOSE None
3 49643-311-30 30 mL In 1 VIAL, MULTI-DOSE None
4 49643-311-50 50 mL In 1 VIAL, MULTI-DOSE None

Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
BLA BLA102212 03/12/1974

JOHNSON GRASS POLLEN 
sorghum halepense  injection
Product Information
Product Type NON-STANDARDIZED ALLERGENIC NDC Product Code (Source) 49643-413
Route of Administration INTRADERMAL, CUTANEOUS, SUBCUTANEOUS DEA Schedule     
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
SORGHUM HALEPENSE POLLEN (SORGHUM HALEPENSE POLLEN) SORGHUM HALEPENSE POLLEN 1 g  in 20 mL
Inactive Ingredients
Ingredient Name Strength
Sodium Chloride 0.25 g  in 100 mL
Sodium Bicarbonate 0.125   in 100 mL
Glycerin 53 mL  in 100 mL
Phenol 0.4 g  in 100 mL
Water  
Product Characteristics
Color      Score     
Shape Size
Flavor Imprint Code
Contains     
Packaging
# NDC Package Description Multilevel Packaging
1 49643-413-05 5 mL In 1 VIAL, MULTI-DOSE None
2 49643-413-10 10 mL In 1 VIAL, MULTI-DOSE None
3 49643-413-30 30 mL In 1 VIAL, MULTI-DOSE None
4 49643-413-50 50 mL In 1 VIAL, MULTI-DOSE None

Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
BLA BLA102212 03/12/1974

JUTE 
jute  injection
Product Information
Product Type NON-STANDARDIZED ALLERGENIC NDC Product Code (Source) 49643-016
Route of Administration INTRADERMAL, CUTANEOUS, SUBCUTANEOUS DEA Schedule     
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
CORCORUS CAPSULARIS FIBER (CORCORUS CAPSULARIS FIBER) CORCORUS CAPSULARIS FIBER 1 g  in 10 mL
Inactive Ingredients
Ingredient Name Strength
Sodium Chloride 0.25 g  in 100 mL
Sodium Bicarbonate 0.125   in 100 mL
Glycerin 53 mL  in 100 mL
Phenol 0.4 g  in 100 mL
Water  
Product Characteristics
Color      Score     
Shape Size
Flavor Imprint Code
Contains     
Packaging
# NDC Package Description Multilevel Packaging
1 49643-016-05 5 mL In 1 VIAL, MULTI-DOSE None
2 49643-016-10 10 mL In 1 VIAL, MULTI-DOSE None
3 49643-016-30 30 mL In 1 VIAL, MULTI-DOSE None
4 49643-016-50 50 mL In 1 VIAL, MULTI-DOSE None

Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
BLA BLA102212 03/12/1974

KAPOK 
kapok  injection
Product Information
Product Type NON-STANDARDIZED ALLERGENIC NDC Product Code (Source) 49643-017
Route of Administration INTRADERMAL, CUTANEOUS, SUBCUTANEOUS DEA Schedule     
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
CEIBA PENTANDRA FIBER (CEIBA PENTANDRA FIBER) CEIBA PENTANDRA FIBER 1 g  in 10 mL
Inactive Ingredients
Ingredient Name Strength
Sodium Chloride 0.25 g  in 100 mL
Sodium Bicarbonate 0.125   in 100 mL
Glycerin 53 mL  in 100 mL
Phenol 0.4 g  in 100 mL
Water  
Product Characteristics
Color      Score     
Shape Size
Flavor Imprint Code
Contains     
Packaging
# NDC Package Description Multilevel Packaging
1 49643-017-05 5 mL In 1 VIAL, MULTI-DOSE None
2 49643-017-10 10 mL In 1 VIAL, MULTI-DOSE None
3 49643-017-30 30 mL In 1 VIAL, MULTI-DOSE None
4 49643-017-50 50 mL In 1 VIAL, MULTI-DOSE None

Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
BLA BLA102212 03/12/1974

KARAYA GUM 
karaya gum  injection
Product Information
Product Type NON-STANDARDIZED ALLERGENIC NDC Product Code (Source) 49643-018
Route of Administration INTRADERMAL, CUTANEOUS, SUBCUTANEOUS DEA Schedule     
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
KARAYA GUM (KARAYA GUM) KARAYA GUM 1 g  in 100 mL
Inactive Ingredients
Ingredient Name Strength
Sodium Chloride 0.25 g  in 100 mL
Sodium Bicarbonate 0.125   in 100 mL
Glycerin 53 mL  in 100 mL
Phenol 0.4 g  in 100 mL
Water  
Product Characteristics
Color      Score     
Shape Size
Flavor Imprint Code
Contains     
Packaging
# NDC Package Description Multilevel Packaging
1 49643-018-05 5 mL In 1 VIAL, MULTI-DOSE None
2 49643-018-10 10 mL In 1 VIAL, MULTI-DOSE None
3 49643-018-30 30 mL In 1 VIAL, MULTI-DOSE None
4 49643-018-50 50 mL In 1 VIAL, MULTI-DOSE None

Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
BLA BLA102212 03/12/1974

KOELERS GRASS POLLEN 
koeleria cristata  injection
Product Information
Product Type NON-STANDARDIZED ALLERGENIC NDC Product Code (Source) 49643-375
Route of Administration INTRADERMAL, CUTANEOUS, SUBCUTANEOUS DEA Schedule     
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
KOELERIA MACRANTHA POLLEN (KOELERIA MACRANTHA POLLEN) KOELERIA MACRANTHA POLLEN 1 g  in 20 mL
Inactive Ingredients
Ingredient Name Strength
Sodium Chloride 0.25 g  in 100 mL
Sodium Bicarbonate 0.125   in 100 mL
Glycerin 53 mL  in 100 mL
Phenol 0.4 g  in 100 mL
Water  
Product Characteristics
Color      Score     
Shape Size
Flavor Imprint Code
Contains     
Packaging
# NDC Package Description Multilevel Packaging
1 49643-375-05 5 mL In 1 VIAL, MULTI-DOSE None
2 49643-375-10 10 mL In 1 VIAL, MULTI-DOSE None
3 49643-375-30 30 mL In 1 VIAL, MULTI-DOSE None
4 49643-375-50 50 mL In 1 VIAL, MULTI-DOSE None

Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
BLA BLA102212 03/12/1974

LAMBS QUARTERS POLLEN 
chenopodium album  injection
Product Information
Product Type NON-STANDARDIZED ALLERGENIC NDC Product Code (Source) 49643-339
Route of Administration INTRADERMAL, CUTANEOUS, SUBCUTANEOUS DEA Schedule     
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
CHENOPODIUM ALBUM POLLEN (CHENOPODIUM ALBUM POLLEN) CHENOPODIUM ALBUM POLLEN 1 g  in 20 mL
Inactive Ingredients
Ingredient Name Strength
Sodium Chloride 0.25 g  in 100 mL
Sodium Bicarbonate 0.125   in 100 mL
Glycerin 53 mL  in 100 mL
Phenol 0.4 g  in 100 mL
Water  
Product Characteristics
Color      Score     
Shape Size
Flavor Imprint Code
Contains     
Packaging
# NDC Package Description Multilevel Packaging
1 49643-339-05 5 mL In 1 VIAL, MULTI-DOSE None
2 49643-339-10 10 mL In 1 VIAL, MULTI-DOSE None
3 49643-339-30 30 mL In 1 VIAL, MULTI-DOSE None
4 49643-339-50 50 mL In 1 VIAL, MULTI-DOSE None

Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
BLA BLA102212 03/12/1974

LENS SCALE POLLEN 
atriplex lentiformis  injection
Product Information
Product Type NON-STANDARDIZED ALLERGENIC NDC Product Code (Source) 49643-440
Route of Administration INTRADERMAL, CUTANEOUS, SUBCUTANEOUS DEA Schedule     
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
ATRIPLEX LENTIFORMIS POLLEN (ATRIPLEX LENTIFORMIS POLLEN) ATRIPLEX LENTIFORMIS POLLEN 1 g  in 20 mL
Inactive Ingredients
Ingredient Name Strength
Sodium Chloride 0.25 g  in 100 mL
Sodium Bicarbonate 0.125   in 100 mL
Glycerin 53 mL  in 100 mL
Phenol 0.4 g  in 100 mL
Water  
Product Characteristics
Color      Score     
Shape Size
Flavor Imprint Code
Contains     
Packaging
# NDC Package Description Multilevel Packaging
1 49643-440-05 5 mL In 1 VIAL, MULTI-DOSE None
2 49643-440-10 10 mL In 1 VIAL, MULTI-DOSE None
3 49643-440-30 30 mL In 1 VIAL, MULTI-DOSE None
4 49643-440-50 50 mL In 1 VIAL, MULTI-DOSE None

Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
BLA BLA102212 03/12/1974

LINDEN POLLEN 
tilia cordata  injection
Product Information
Product Type NON-STANDARDIZED ALLERGENIC NDC Product Code (Source) 49643-460
Route of Administration INTRADERMAL, CUTANEOUS, SUBCUTANEOUS DEA Schedule     
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
TILIA CORDATA POLLEN (TILIA CORDATA POLLEN) TILIA CORDATA POLLEN 1 g  in 20 mL
Inactive Ingredients
Ingredient Name Strength
Sodium Chloride 0.25 g  in 100 mL
Sodium Bicarbonate 0.125   in 100 mL
Glycerin 53 mL  in 100 mL
Phenol 0.4 g  in 100 mL
Water  
Product Characteristics
Color      Score     
Shape Size
Flavor Imprint Code
Contains     
Packaging
# NDC Package Description Multilevel Packaging
1 49643-460-05 5 mL In 1 VIAL, MULTI-DOSE None
2 49643-460-10 10 mL In 1 VIAL, MULTI-DOSE None
3 49643-460-30 30 mL In 1 VIAL, MULTI-DOSE None
4 49643-460-50 50 mL In 1 VIAL, MULTI-DOSE None

Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
BLA BLA102212 03/12/1974

LOMBARD POPLAR POLLEN 
populus nigra  injection
Product Information
Product Type NON-STANDARDIZED ALLERGENIC NDC Product Code (Source) 49643-397
Route of Administration INTRADERMAL, CUTANEOUS, SUBCUTANEOUS DEA Schedule     
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
POPULUS NIGRA POLLEN (POPULUS NIGRA POLLEN) POPULUS NIGRA POLLEN 1 g  in 20 mL
Inactive Ingredients
Ingredient Name Strength
Sodium Chloride 0.25 g  in 100 mL
Sodium Bicarbonate 0.125   in 100 mL
Glycerin 53 mL  in 100 mL
Phenol 0.4 g  in 100 mL
Water  
Product Characteristics
Color      Score     
Shape Size
Flavor Imprint Code
Contains     
Packaging
# NDC Package Description Multilevel Packaging
1 49643-397-05 5 mL In 1 VIAL, MULTI-DOSE None
2 49643-397-10 10 mL In 1 VIAL, MULTI-DOSE None
3 49643-397-30 30 mL In 1 VIAL, MULTI-DOSE None
4 49643-397-50 50 mL In 1 VIAL, MULTI-DOSE None

Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
BLA BLA102212 03/12/1974

MELALEUCA POLLEN 
melaleuca leucadendron  injection
Product Information
Product Type NON-STANDARDIZED ALLERGENIC NDC Product Code (Source) 49643-380
Route of Administration INTRADERMAL, CUTANEOUS, SUBCUTANEOUS DEA Schedule     
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
MELALEUCA QUINQUENERVIA POLLEN (MELALEUCA QUINQUENERVIA POLLEN) MELALEUCA QUINQUENERVIA POLLEN 1 g  in 20 mL
Inactive Ingredients
Ingredient Name Strength
Sodium Chloride 0.25 g  in 100 mL
Sodium Bicarbonate 0.125   in 100 mL
Glycerin 53 mL  in 100 mL
Phenol 0.4 g  in 100 mL
Water  
Product Characteristics
Color      Score     
Shape Size
Flavor Imprint Code
Contains     
Packaging
# NDC Package Description Multilevel Packaging
1 49643-380-05 5 mL In 1 VIAL, MULTI-DOSE None
2 49643-380-10 10 mL In 1 VIAL, MULTI-DOSE None
3 49643-380-30 30 mL In 1 VIAL, MULTI-DOSE None
4 49643-380-50 50 mL In 1 VIAL, MULTI-DOSE None

Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
BLA BLA102212 03/12/1974

MESQUITE POLLEN 
prosopis juliflora  injection
Product Information
Product Type NON-STANDARDIZED ALLERGENIC NDC Product Code (Source) 49643-400
Route of Administration INTRADERMAL, CUTANEOUS, SUBCUTANEOUS DEA Schedule     
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
PROSOPIS JULIFLORA POLLEN (PROSOPIS JULIFLORA POLLEN) PROSOPIS JULIFLORA POLLEN 1 g  in 20 mL
Inactive Ingredients
Ingredient Name Strength
Sodium Chloride 0.25 g  in 100 mL
Sodium Bicarbonate 0.125   in 100 mL
Glycerin 53 mL  in 100 mL
Phenol 0.4 g  in 100 mL
Water  
Product Characteristics
Color      Score     
Shape Size
Flavor Imprint Code
Contains     
Packaging
# NDC Package Description Multilevel Packaging
1 49643-400-05 5 mL In 1 VIAL, MULTI-DOSE None
2 49643-400-10 10 mL In 1 VIAL, MULTI-DOSE None
3 49643-400-30 30 mL In 1 VIAL, MULTI-DOSE None
4 49643-400-50 50 mL In 1 VIAL, MULTI-DOSE None

Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
BLA BLA102212 03/12/1974

MONILIA 
monilia sitophila  injection
Product Information
Product Type NON-STANDARDIZED ALLERGENIC NDC Product Code (Source) 49643-113
Route of Administration INTRADERMAL, CUTANEOUS, SUBCUTANEOUS DEA Schedule     
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
CHRYSONILIA SITOPHILA (CHRYSONILIA SITOPHILA) CHRYSONILIA SITOPHILA 1 g  in 10 mL
Inactive Ingredients
Ingredient Name Strength
Sodium Chloride 0.25 g  in 100 mL
Sodium Bicarbonate 0.125   in 100 mL
Glycerin 53 mL  in 100 mL
Phenol 0.4 g  in 100 mL
Water  
Product Characteristics
Color      Score     
Shape Size
Flavor Imprint Code
Contains     
Packaging
# NDC Package Description Multilevel Packaging
1 49643-113-05 5 mL In 1 VIAL, MULTI-DOSE None
2 49643-113-10 10 mL In 1 VIAL, MULTI-DOSE None
3 49643-113-30 30 mL In 1 VIAL, MULTI-DOSE None
4 49643-113-50 50 mL In 1 VIAL, MULTI-DOSE None

Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
BLA BLA102212 03/12/1974

MOUNTAIN CEDAR POLLEN 
juniperus sabinoides  injection
Product Information
Product Type NON-STANDARDIZED ALLERGENIC NDC Product Code (Source) 49643-371
Route of Administration INTRADERMAL, CUTANEOUS, SUBCUTANEOUS DEA Schedule     
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
JUNIPERUS ASHEI POLLEN (JUNIPERUS ASHEI POLLEN) JUNIPERUS ASHEI POLLEN 1 g  in 20 mL
Inactive Ingredients
Ingredient Name Strength
Sodium Chloride 0.25 g  in 100 mL
Sodium Bicarbonate 0.125   in 100 mL
Glycerin 53 mL  in 100 mL
Phenol 0.4 g  in 100 mL
Water  
Product Characteristics
Color      Score     
Shape Size
Flavor Imprint Code
Contains     
Packaging
# NDC Package Description Multilevel Packaging
1 49643-371-05 5 mL In 1 VIAL, MULTI-DOSE None
2 49643-371-10 10 mL In 1 VIAL, MULTI-DOSE None
3 49643-371-30 30 mL In 1 VIAL, MULTI-DOSE None
4 49643-371-50 50 mL In 1 VIAL, MULTI-DOSE None

Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
BLA BLA102212 03/12/1974

MOUSE EPITHELIA 
mouse epithelia  injection
Product Information
Product Type NON-STANDARDIZED ALLERGENIC NDC Product Code (Source) 49643-019
Route of Administration INTRADERMAL, CUTANEOUS, SUBCUTANEOUS DEA Schedule     
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
MUS MUSCULUS SKIN (MUS MUSCULUS SKIN) MUS MUSCULUS SKIN 1 g  in 10 mL
Inactive Ingredients
Ingredient Name Strength
Sodium Chloride 0.25 g  in 100 mL
Sodium Bicarbonate 0.125   in 100 mL
Glycerin 53 mL  in 100 mL
Phenol 0.4 g  in 100 mL
Water  
Product Characteristics
Color      Score     
Shape Size
Flavor Imprint Code
Contains     
Packaging
# NDC Package Description Multilevel Packaging
1 49643-019-05 5 mL In 1 VIAL, MULTI-DOSE None
2 49643-019-10 10 mL In 1 VIAL, MULTI-DOSE None
3 49643-019-30 30 mL In 1 VIAL, MULTI-DOSE None
4 49643-019-50 50 mL In 1 VIAL, MULTI-DOSE None

Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
BLA BLA102212 03/12/1974

MUCOR 
mucor racemosus  injection
Product Information
Product Type NON-STANDARDIZED ALLERGENIC NDC Product Code (Source) 49643-114
Route of Administration INTRADERMAL, CUTANEOUS, SUBCUTANEOUS DEA Schedule     
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
MUCOR RACEMOSUS (MUCOR RACEMOSUS) MUCOR RACEMOSUS 1 g  in 10 mL
Inactive Ingredients
Ingredient Name Strength
Sodium Chloride 0.25 g  in 100 mL
Sodium Bicarbonate 0.125   in 100 mL
Glycerin 53 mL  in 100 mL
Phenol 0.4 g  in 100 mL
Water  
Product Characteristics
Color      Score     
Shape Size
Flavor Imprint Code
Contains     
Packaging
# NDC Package Description Multilevel Packaging
1 49643-114-05 5 mL In 1 VIAL, MULTI-DOSE None
2 49643-114-10 10 mL In 1 VIAL, MULTI-DOSE None
3 49643-114-30 30 mL In 1 VIAL, MULTI-DOSE None
4 49643-114-50 50 mL In 1 VIAL, MULTI-DOSE None

Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
BLA BLA102212 03/12/1974

MUGWORT SAGE POLLEN 
artemisia vulgaris  injection
Product Information
Product Type NON-STANDARDIZED ALLERGENIC NDC Product Code (Source) 49643-321
Route of Administration INTRADERMAL, CUTANEOUS, SUBCUTANEOUS DEA Schedule     
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
ARTEMISIA VULGARIS POLLEN (ARTEMISIA VULGARIS POLLEN) ARTEMISIA VULGARIS POLLEN 1 g  in 20 mL
Inactive Ingredients
Ingredient Name Strength
Sodium Chloride 0.25 g  in 100 mL
Sodium Bicarbonate 0.125   in 100 mL
Glycerin 53 mL  in 100 mL
Phenol 0.4 g  in 100 mL
Water  
Product Characteristics
Color      Score     
Shape Size
Flavor Imprint Code
Contains     
Packaging
# NDC Package Description Multilevel Packaging
1 49643-321-05 5 mL In 1 VIAL, MULTI-DOSE None
2 49643-321-10 10 mL In 1 VIAL, MULTI-DOSE None
3 49643-321-30 30 mL In 1 VIAL, MULTI-DOSE None
4 49643-321-50 50 mL In 1 VIAL, MULTI-DOSE None

Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
BLA BLA102212 03/12/1974

MUSTARD POLLEN 
brassica campestris  injection
Product Information
Product Type NON-STANDARDIZED ALLERGENIC NDC Product Code (Source) 49643-327
Route of Administration INTRADERMAL, CUTANEOUS, SUBCUTANEOUS DEA Schedule     
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
BRASSICA RAPA POLLEN (BRASSICA RAPA POLLEN) BRASSICA RAPA POLLEN 1 g  in 20 mL
Inactive Ingredients
Ingredient Name Strength
Sodium Chloride 0.25 g  in 100 mL
Sodium Bicarbonate 0.125   in 100 mL
Glycerin 53 mL  in 100 mL
Phenol 0.4 g  in 100 mL
Water  
Product Characteristics
Color      Score     
Shape Size
Flavor Imprint Code
Contains     
Packaging
# NDC Package Description Multilevel Packaging
1 49643-327-05 5 mL In 1 VIAL, MULTI-DOSE None
2 49643-327-10 10 mL In 1 VIAL, MULTI-DOSE None
3 49643-327-30 30 mL In 1 VIAL, MULTI-DOSE None
4 49643-327-50 50 mL In 1 VIAL, MULTI-DOSE None

Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
BLA BLA102212 03/12/1974

NETTLE POLLEN 
urtica dioica  injection
Product Information
Product Type NON-STANDARDIZED ALLERGENIC NDC Product Code (Source) 49643-423
Route of Administration INTRADERMAL, CUTANEOUS, SUBCUTANEOUS DEA Schedule     
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
URTICA DIOICA POLLEN (URTICA DIOICA POLLEN) URTICA DIOICA POLLEN 1 g  in 20 mL
Inactive Ingredients
Ingredient Name Strength
Sodium Chloride 0.25 g  in 100 mL
Sodium Bicarbonate 0.125   in 100 mL
Glycerin 53 mL  in 100 mL
Phenol 0.4 g  in 100 mL
Water  
Product Characteristics
Color      Score     
Shape Size
Flavor Imprint Code
Contains     
Packaging
# NDC Package Description Multilevel Packaging
1 49643-423-05 5 mL In 1 VIAL, MULTI-DOSE None
2 49643-423-10 10 mL In 1 VIAL, MULTI-DOSE None
3 49643-423-30 30 mL In 1 VIAL, MULTI-DOSE None
4 49643-423-50 50 mL In 1 VIAL, MULTI-DOSE None

Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
BLA BLA102212 03/12/1974

ORRIS ROOT 
orris root  injection
Product Information
Product Type NON-STANDARDIZED ALLERGENIC NDC Product Code (Source) 49643-020
Route of Administration INTRADERMAL, CUTANEOUS, SUBCUTANEOUS DEA Schedule     
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
IRIS GERMANICA VAR. FLORENTINA RHIZOME (IRIS GERMANICA VAR. FLORENTINA RHIZOME) IRIS GERMANICA VAR. FLORENTINA RHIZOME 1 g  in 10 mL
Inactive Ingredients
Ingredient Name Strength
Sodium Chloride 0.25 g  in 100 mL
Sodium Bicarbonate 0.125   in 100 mL
Glycerin 53 mL  in 100 mL
Phenol 0.4 g  in 100 mL
Water  
Product Characteristics
Color      Score     
Shape Size
Flavor Imprint Code
Contains     
Packaging
# NDC Package Description Multilevel Packaging
1 49643-020-05 5 mL In 1 VIAL, MULTI-DOSE None
2 49643-020-10 10 mL In 1 VIAL, MULTI-DOSE None
3 49643-020-30 30 mL In 1 VIAL, MULTI-DOSE None
4 49643-020-50 50 mL In 1 VIAL, MULTI-DOSE None

Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
BLA BLA102212 03/12/1974

PALO VERDE POLLEN 
cercidium torreyana  injection
Product Information
Product Type NON-STANDARDIZED ALLERGENIC NDC Product Code (Source) 49643-338
Route of Administration INTRADERMAL, CUTANEOUS, SUBCUTANEOUS DEA Schedule     
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
CERCIDIUM FLORIDUM SSP. FLORIDUM POLLEN (CERCIDIUM FLORIDUM SSP. FLORIDUM POLLEN) CERCIDIUM FLORIDUM SSP. FLORIDUM POLLEN 1 g  in 20 mL
Inactive Ingredients
Ingredient Name Strength
Sodium Chloride 0.25 g  in 100 mL
Sodium Bicarbonate 0.125   in 100 mL
Glycerin 53 mL  in 100 mL
Phenol 0.4 g  in 100 mL
Water  
Product Characteristics
Color      Score     
Shape Size
Flavor Imprint Code
Contains     
Packaging
# NDC Package Description Multilevel Packaging
1 49643-338-05 5 mL In 1 VIAL, MULTI-DOSE None
2 49643-338-10 10 mL In 1 VIAL, MULTI-DOSE None
3 49643-338-30 30 mL In 1 VIAL, MULTI-DOSE None
4 49643-338-50 50 mL In 1 VIAL, MULTI-DOSE None

Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
BLA BLA102212 03/12/1974

PECAN POLLEN 
carya illinoinensis  injection
Product Information
Product Type NON-STANDARDIZED ALLERGENIC NDC Product Code (Source) 49643-444
Route of Administration INTRADERMAL, CUTANEOUS, SUBCUTANEOUS DEA Schedule     
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
CARYA ILLINOINENSIS POLLEN (CARYA ILLINOINENSIS POLLEN) CARYA ILLINOINENSIS POLLEN 1 g  in 20 mL
Inactive Ingredients
Ingredient Name Strength
Sodium Chloride 0.25 g  in 100 mL
Sodium Bicarbonate 0.125   in 100 mL
Glycerin 53 mL  in 100 mL
Phenol 0.4 g  in 100 mL
Water  
Product Characteristics
Color      Score     
Shape Size
Flavor Imprint Code
Contains     
Packaging
# NDC Package Description Multilevel Packaging
1 49643-444-05 5 mL In 1 VIAL, MULTI-DOSE None
2 49643-444-10 10 mL In 1 VIAL, MULTI-DOSE None
3 49643-444-30 30 mL In 1 VIAL, MULTI-DOSE None
4 49643-444-50 50 mL In 1 VIAL, MULTI-DOSE None

Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
BLA BLA102212 03/12/1974

PENICILLIUM 
penicillium chrysogenum  injection
Product Information
Product Type NON-STANDARDIZED ALLERGENIC NDC Product Code (Source) 49643-115
Route of Administration INTRADERMAL, CUTANEOUS, SUBCUTANEOUS DEA Schedule     
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
PENICILLIUM CHRYSOGENUM VAR. CHRYSOGENUM (PENICILLIUM CHRYSOGENUM VAR. CHRYSOGENUM) PENICILLIUM CHRYSOGENUM VAR. CHRYSOGENUM 1 g  in 10 mL
Inactive Ingredients
Ingredient Name Strength
Sodium Chloride 0.25 g  in 100 mL
Sodium Bicarbonate 0.125   in 100 mL
Glycerin 53 mL  in 100 mL
Phenol 0.4 g  in 100 mL
Water  
Product Characteristics
Color      Score     
Shape Size
Flavor Imprint Code
Contains     
Packaging
# NDC Package Description Multilevel Packaging
1 49643-115-05 5 mL In 1 VIAL, MULTI-DOSE None
2 49643-115-10 10 mL In 1 VIAL, MULTI-DOSE None
3 49643-115-30 30 mL In 1 VIAL, MULTI-DOSE None
4 49643-115-50 50 mL In 1 VIAL, MULTI-DOSE None

Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
BLA BLA102212 03/12/1974

PEPPER TREE POLLEN 
schinus molle  injection
Product Information
Product Type NON-STANDARDIZED ALLERGENIC NDC Product Code (Source) 49643-412
Route of Administration INTRADERMAL, CUTANEOUS, SUBCUTANEOUS DEA Schedule     
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
SCHINUS MOLLE POLLEN (SCHINUS MOLLE POLLEN) SCHINUS MOLLE POLLEN 1 g  in 20 mL
Inactive Ingredients
Ingredient Name Strength
Sodium Chloride 0.25 g  in 100 mL
Sodium Bicarbonate 0.125   in 100 mL
Glycerin 53 mL  in 100 mL
Phenol 0.4 g  in 100 mL
Water  
Product Characteristics
Color      Score     
Shape Size
Flavor Imprint Code
Contains     
Packaging
# NDC Package Description Multilevel Packaging
1 49643-412-05 5 mL In 1 VIAL, MULTI-DOSE None
2 49643-412-10 10 mL In 1 VIAL, MULTI-DOSE None
3 49643-412-30 30 mL In 1 VIAL, MULTI-DOSE None
4 49643-412-50 50 mL In 1 VIAL, MULTI-DOSE None

Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
BLA BLA102212 03/12/1974

PHOMA 
phoma betae  injection
Product Information
Product Type NON-STANDARDIZED ALLERGENIC NDC Product Code (Source) 49643-116
Route of Administration INTRADERMAL, CUTANEOUS, SUBCUTANEOUS DEA Schedule     
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
PLEOSPORA BETAE (PLEOSPORA BETAE) PLEOSPORA BETAE 1 g  in 10 mL
Inactive Ingredients
Ingredient Name Strength
Sodium Chloride 0.25 g  in 100 mL
Sodium Bicarbonate 0.125   in 100 mL
Glycerin 53 mL  in 100 mL
Phenol 0.4 g  in 100 mL
Water  
Product Characteristics
Color      Score     
Shape Size
Flavor Imprint Code
Contains     
Packaging
# NDC Package Description Multilevel Packaging
1 49643-116-05 5 mL In 1 VIAL, MULTI-DOSE None
2 49643-116-10 10 mL In 1 VIAL, MULTI-DOSE None
3 49643-116-30 30 mL In 1 VIAL, MULTI-DOSE None
4 49643-116-50 50 mL In 1 VIAL, MULTI-DOSE None

Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
BLA BLA102212 03/12/1974

POVERTY WEED POLLEN 
iva axillaris  injection
Product Information
Product Type NON-STANDARDIZED ALLERGENIC NDC Product Code (Source) 49643-363
Route of Administration INTRADERMAL, CUTANEOUS, SUBCUTANEOUS DEA Schedule     
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
IVA AXILLARIS POLLEN (IVA AXILLARIS POLLEN) IVA AXILLARIS POLLEN 1 g  in 20 mL
Inactive Ingredients
Ingredient Name Strength
Sodium Chloride 0.25 g  in 100 mL
Sodium Bicarbonate 0.125   in 100 mL
Glycerin 53 mL  in 100 mL
Phenol 0.4 g  in 100 mL
Water  
Product Characteristics
Color      Score     
Shape Size
Flavor Imprint Code
Contains     
Packaging
# NDC Package Description Multilevel Packaging
1 49643-363-05 5 mL In 1 VIAL, MULTI-DOSE None
2 49643-363-10 10 mL In 1 VIAL, MULTI-DOSE None
3 49643-363-30 30 mL In 1 VIAL, MULTI-DOSE None
4 49643-363-50 50 mL In 1 VIAL, MULTI-DOSE None

Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
BLA BLA102212 03/12/1974

PRIVET POLLEN 
ligustrum vulgare  injection
Product Information
Product Type NON-STANDARDIZED ALLERGENIC NDC Product Code (Source) 49643-376
Route of Administration INTRADERMAL, CUTANEOUS, SUBCUTANEOUS DEA Schedule     
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
LIGUSTRUM VULGARE POLLEN (LIGUSTRUM VULGARE POLLEN) LIGUSTRUM VULGARE POLLEN 1 g  in 20 mL
Inactive Ingredients
Ingredient Name Strength
Sodium Chloride 0.25 g  in 100 mL
Sodium Bicarbonate 0.125   in 100 mL
Glycerin 53 mL  in 100 mL
Phenol 0.4 g  in 100 mL
Water  
Product Characteristics
Color      Score     
Shape Size
Flavor Imprint Code
Contains     
Packaging
# NDC Package Description Multilevel Packaging
1 49643-376-05 5 mL In 1 VIAL, MULTI-DOSE None
2 49643-376-10 10 mL In 1 VIAL, MULTI-DOSE None
3 49643-376-30 30 mL In 1 VIAL, MULTI-DOSE None
4 49643-376-50 50 mL In 1 VIAL, MULTI-DOSE None

Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
BLA BLA102212 03/12/1974

PULLULARIA 
pullularia pullulans  injection
Product Information
Product Type NON-STANDARDIZED ALLERGENIC NDC Product Code (Source) 49643-117
Route of Administration INTRADERMAL, CUTANEOUS, SUBCUTANEOUS DEA Schedule     
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
AUREOBASIDIUM PULLULANS VAR. PULLUTANS (AUREOBASIDIUM PULLULANS VAR. PULLUTANS) AUREOBASIDIUM PULLULANS VAR. PULLUTANS 1 g  in 100 mL
Inactive Ingredients
Ingredient Name Strength
Sodium Chloride 0.25 g  in 100 mL
Sodium Bicarbonate 0.125   in 100 mL
Glycerin 53 mL  in 100 mL
Phenol 0.4 g  in 100 mL
Water  
Product Characteristics
Color      Score     
Shape Size
Flavor Imprint Code
Contains     
Packaging
# NDC Package Description Multilevel Packaging
1 49643-117-05 5 mL In 1 VIAL, MULTI-DOSE None
2 49643-117-10 10 mL In 1 VIAL, MULTI-DOSE None
3 49643-117-30 30 mL In 1 VIAL, MULTI-DOSE None
4 49643-117-50 50 mL In 1 VIAL, MULTI-DOSE None

Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
BLA BLA102212 03/12/1974

PUSSY WILLOW POLLEN 
salix discolor  injection
Product Information
Product Type NON-STANDARDIZED ALLERGENIC NDC Product Code (Source) 49643-407
Route of Administration INTRADERMAL, CUTANEOUS, SUBCUTANEOUS DEA Schedule     
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
SALIX DISCOLOR POLLEN (SALIX DISCOLOR POLLEN) SALIX DISCOLOR POLLEN 1 g  in 20 mL
Inactive Ingredients
Ingredient Name Strength
Sodium Chloride 0.25 g  in 100 mL
Sodium Bicarbonate 0.125   in 100 mL
Glycerin 53 mL  in 100 mL
Phenol 0.4 g  in 100 mL
Water  
Product Characteristics
Color      Score     
Shape Size
Flavor Imprint Code
Contains     
Packaging
# NDC Package Description Multilevel Packaging
1 49643-407-05 5 mL In 1 VIAL, MULTI-DOSE None
2 49643-407-10 10 mL In 1 VIAL, MULTI-DOSE None
3 49643-407-30 30 mL In 1 VIAL, MULTI-DOSE None
4 49643-407-50 50 mL In 1 VIAL, MULTI-DOSE None

Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
BLA BLA102212 03/12/1974

QUACKGRASS POLLEN 
agropyron repens  injection
Product Information
Product Type NON-STANDARDIZED ALLERGENIC NDC Product Code (Source) 49643-307
Route of Administration INTRADERMAL, CUTANEOUS, SUBCUTANEOUS DEA Schedule     
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
ELYMUS REPENS POLLEN (ELYMUS REPENS POLLEN) ELYMUS REPENS POLLEN 1 g  in 20 mL
Inactive Ingredients
Ingredient Name Strength
Sodium Chloride 0.25 g  in 100 mL
Sodium Bicarbonate 0.125   in 100 mL
Glycerin 53 mL  in 100 mL
Phenol 0.4 g  in 100 mL
Water  
Product Characteristics
Color      Score     
Shape Size
Flavor Imprint Code
Contains     
Packaging
# NDC Package Description Multilevel Packaging
1 49643-307-05 5 mL In 1 VIAL, MULTI-DOSE None
2 49643-307-10 10 mL In 1 VIAL, MULTI-DOSE None
3 49643-307-30 30 mL In 1 VIAL, MULTI-DOSE None
4 49643-307-50 50 mL In 1 VIAL, MULTI-DOSE None

Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
BLA BLA102212 03/12/1974

RABBITBUSH POLLEN 
ambrosia deltoides  injection
Product Information
Product Type NON-STANDARDIZED ALLERGENIC NDC Product Code (Source) 49643-354
Route of Administration INTRADERMAL, CUTANEOUS, SUBCUTANEOUS DEA Schedule     
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
AMBROSIA DELTOIDEA POLLEN (AMBROSIA DELTOIDEA POLLEN) AMBROSIA DELTOIDEA POLLEN 1 g  in 20 mL
Inactive Ingredients
Ingredient Name Strength
Sodium Chloride 0.25 g  in 100 mL
Sodium Bicarbonate 0.125   in 100 mL
Glycerin 53 mL  in 100 mL
Phenol 0.4 g  in 100 mL
Water  
Product Characteristics
Color      Score     
Shape Size
Flavor Imprint Code
Contains     
Packaging
# NDC Package Description Multilevel Packaging
1 49643-354-05 5 mL In 1 VIAL, MULTI-DOSE None
2 49643-354-10 10 mL In 1 VIAL, MULTI-DOSE None
3 49643-354-30 30 mL In 1 VIAL, MULTI-DOSE None
4 49643-354-50 50 mL In 1 VIAL, MULTI-DOSE None

Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
BLA BLA102212 03/12/1974

RED ALDER POLLEN 
alnus rubra  injection
Product Information
Product Type NON-STANDARDIZED ALLERGENIC NDC Product Code (Source) 49643-435
Route of Administration INTRADERMAL, CUTANEOUS, SUBCUTANEOUS DEA Schedule     
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
ALNUS RUBRA POLLEN (ALNUS RUBRA POLLEN) ALNUS RUBRA POLLEN 1 g  in 20 mL
Inactive Ingredients
Ingredient Name Strength
Sodium Chloride 0.25 g  in 100 mL
Sodium Bicarbonate 0.125   in 100 mL
Glycerin 53 mL  in 100 mL
Phenol 0.4 g  in 100 mL
Water  
Product Characteristics
Color      Score     
Shape Size
Flavor Imprint Code
Contains     
Packaging
# NDC Package Description Multilevel Packaging
1 49643-435-05 5 mL In 1 VIAL, MULTI-DOSE None
2 49643-435-10 10 mL In 1 VIAL, MULTI-DOSE None
3 49643-435-30 30 mL In 1 VIAL, MULTI-DOSE None
4 49643-435-50 50 mL In 1 VIAL, MULTI-DOSE None

Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
BLA BLA102212 03/12/1974

RED CEDAR POLLEN 
juniperus virginiana  injection
Product Information
Product Type NON-STANDARDIZED ALLERGENIC NDC Product Code (Source) 49643-373
Route of Administration INTRADERMAL, CUTANEOUS, SUBCUTANEOUS DEA Schedule     
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
JUNIPERUS VIRGINIANA POLLEN (JUNIPERUS VIRGINIANA POLLEN) JUNIPERUS VIRGINIANA POLLEN 1 g  in 20 mL
Inactive Ingredients
Ingredient Name Strength
Sodium Chloride 0.25 g  in 100 mL
Sodium Bicarbonate 0.125   in 100 mL
Glycerin 53 mL  in 100 mL
Phenol 0.4 g  in 100 mL
Water  
Product Characteristics
Color      Score     
Shape Size
Flavor Imprint Code
Contains     
Packaging
# NDC Package Description Multilevel Packaging
1 49643-373-05 5 mL In 1 VIAL, MULTI-DOSE None
2 49643-373-10 10 mL In 1 VIAL, MULTI-DOSE None
3 49643-373-30 30 mL In 1 VIAL, MULTI-DOSE None
4 49643-373-50 50 mL In 1 VIAL, MULTI-DOSE None

Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
BLA BLA102212 03/12/1974

RED MAPLE POLLEN 
acer rubrum  injection
Product Information
Product Type NON-STANDARDIZED ALLERGENIC NDC Product Code (Source) 49643-434
Route of Administration INTRADERMAL, CUTANEOUS, SUBCUTANEOUS DEA Schedule     
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
ACER RUBRUM POLLEN (ACER RUBRUM POLLEN) ACER RUBRUM POLLEN 1 g  in 20 mL
Inactive Ingredients
Ingredient Name Strength
Sodium Chloride 0.25 g  in 100 mL
Sodium Bicarbonate 0.125   in 100 mL
Glycerin 53 mL  in 100 mL
Phenol 0.4 g  in 100 mL
Water  
Product Characteristics
Color      Score     
Shape Size
Flavor Imprint Code
Contains     
Packaging
# NDC Package Description Multilevel Packaging
1 49643-434-05 5 mL In 1 VIAL, MULTI-DOSE None
2 49643-434-10 10 mL In 1 VIAL, MULTI-DOSE None
3 49643-434-30 30 mL In 1 VIAL, MULTI-DOSE None
4 49643-434-50 50 mL In 1 VIAL, MULTI-DOSE None

Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
BLA BLA102212 03/12/1974

RED MULBERRY POLLEN 
morus rubra  injection
Product Information
Product Type NON-STANDARDIZED ALLERGENIC NDC Product Code (Source) 49643-447
Route of Administration INTRADERMAL, CUTANEOUS, SUBCUTANEOUS DEA Schedule     
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
MORUS RUBRA POLLEN (MORUS RUBRA POLLEN) MORUS RUBRA POLLEN 1 g  in 20 mL
Inactive Ingredients
Ingredient Name Strength
Sodium Chloride 0.25 g  in 100 mL
Sodium Bicarbonate 0.125   in 100 mL
Glycerin 53 mL  in 100 mL
Phenol 0.4 g  in 100 mL
Water  
Product Characteristics
Color      Score     
Shape Size
Flavor Imprint Code
Contains     
Packaging
# NDC Package Description Multilevel Packaging
1 49643-447-05 5 mL In 1 VIAL, MULTI-DOSE None
2 49643-447-10 10 mL In 1 VIAL, MULTI-DOSE None
3 49643-447-30 30 mL In 1 VIAL, MULTI-DOSE None
4 49643-447-50 50 mL In 1 VIAL, MULTI-DOSE None

Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
BLA BLA102212 03/12/1974

RED OAK POLLEN 
quercus rubra  injection
Product Information
Product Type NON-STANDARDIZED ALLERGENIC NDC Product Code (Source) 49643-450
Route of Administration INTRADERMAL, CUTANEOUS, SUBCUTANEOUS DEA Schedule     
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
QUERCUS RUBRA POLLEN (QUERCUS RUBRA POLLEN) QUERCUS RUBRA POLLEN 1 g  in 20 mL
Inactive Ingredients
Ingredient Name Strength
Sodium Chloride 0.25 g  in 100 mL
Sodium Bicarbonate 0.125   in 100 mL
Glycerin 53 mL  in 100 mL
Phenol 0.4 g  in 100 mL
Water  
Product Characteristics
Color      Score     
Shape Size
Flavor Imprint Code
Contains     
Packaging
# NDC Package Description Multilevel Packaging
1 49643-450-05 5 mL In 1 VIAL, MULTI-DOSE None
2 49643-450-10 10 mL In 1 VIAL, MULTI-DOSE None
3 49643-450-30 30 mL In 1 VIAL, MULTI-DOSE None
4 49643-450-50 50 mL In 1 VIAL, MULTI-DOSE None

Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
BLA BLA102212 03/12/1974

REDROOT PIGWEED POLLEN 
amaranthus retroflexus  injection
Product Information
Product Type NON-STANDARDIZED ALLERGENIC NDC Product Code (Source) 49643-314
Route of Administration INTRADERMAL, CUTANEOUS, SUBCUTANEOUS DEA Schedule     
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
AMARANTHUS RETROFLEXUS POLLEN (AMARANTHUS RETROFLEXUS POLLEN) AMARANTHUS RETROFLEXUS POLLEN 1 g  in 20 mL
Inactive Ingredients
Ingredient Name Strength
Sodium Chloride 0.25 g  in 100 mL
Sodium Bicarbonate 0.125   in 100 mL
Glycerin 53 mL  in 100 mL
Phenol 0.4 g  in 100 mL
Water  
Product Characteristics
Color      Score     
Shape Size
Flavor Imprint Code
Contains     
Packaging
# NDC Package Description Multilevel Packaging
1 49643-314-05 5 mL In 1 VIAL, MULTI-DOSE None
2 49643-314-10 10 mL In 1 VIAL, MULTI-DOSE None
3 49643-314-30 30 mL In 1 VIAL, MULTI-DOSE None
4 49643-314-50 50 mL In 1 VIAL, MULTI-DOSE None

Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
BLA BLA102212 03/12/1974

RHIZOPUS 
rhizopus oryzae  injection
Product Information
Product Type NON-STANDARDIZED ALLERGENIC NDC Product Code (Source) 49643-118
Route of Administration INTRADERMAL, CUTANEOUS, SUBCUTANEOUS DEA Schedule     
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
RHIZOPUS ARRHIZUS VAR. ARRHIZUS (RHIZOPUS ARRHIZUS VAR. ARRHIZUS) RHIZOPUS ARRHIZUS VAR. ARRHIZUS 1 g  in 10 mL
Inactive Ingredients
Ingredient Name Strength
Sodium Chloride 0.25 g  in 100 mL
Sodium Bicarbonate 0.125   in 100 mL
Glycerin 53 mL  in 100 mL
Phenol 0.4 g  in 100 mL
Water  
Product Characteristics
Color      Score     
Shape Size
Flavor Imprint Code
Contains     
Packaging
# NDC Package Description Multilevel Packaging
1 49643-118-05 5 mL In 1 VIAL, MULTI-DOSE None
2 49643-118-10 10 mL In 1 VIAL, MULTI-DOSE None
3 49643-118-30 30 mL In 1 VIAL, MULTI-DOSE None
4 49643-118-50 50 mL In 1 VIAL, MULTI-DOSE None

Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
BLA BLA102212 03/12/1974

RIVER/RED BIRCH POLLEN 
betula nigra  injection
Product Information
Product Type NON-STANDARDIZED ALLERGENIC NDC Product Code (Source) 49643-443
Route of Administration INTRADERMAL, CUTANEOUS, SUBCUTANEOUS DEA Schedule     
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
BETULA NIGRA POLLEN (BETULA NIGRA POLLEN) BETULA NIGRA POLLEN 1 g  in 20 mL
Inactive Ingredients
Ingredient Name Strength
Sodium Chloride 0.25 g  in 100 mL
Sodium Bicarbonate 0.125   in 100 mL
Glycerin 53 mL  in 100 mL
Phenol 0.4 g  in 100 mL
Water  
Product Characteristics
Color      Score     
Shape Size
Flavor Imprint Code
Contains     
Packaging
# NDC Package Description Multilevel Packaging
1 49643-443-05 5 mL In 1 VIAL, MULTI-DOSE None
2 49643-443-10 10 mL In 1 VIAL, MULTI-DOSE None
3 49643-443-30 30 mL In 1 VIAL, MULTI-DOSE None
4 49643-443-50 50 mL In 1 VIAL, MULTI-DOSE None

Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
BLA BLA102212 03/12/1974

ROCKY MTN. JUNIPER POLLEN 
juniperus scopulorum  injection
Product Information
Product Type NON-STANDARDIZED ALLERGENIC NDC Product Code (Source) 49643-372
Route of Administration INTRADERMAL, CUTANEOUS, SUBCUTANEOUS DEA Schedule     
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
JUNIPERUS SCOPULORUM POLLEN (JUNIPERUS SCOPULORUM POLLEN) JUNIPERUS SCOPULORUM POLLEN 1 g  in 20 mL
Inactive Ingredients
Ingredient Name Strength
Sodium Chloride 0.25 g  in 100 mL
Sodium Bicarbonate 0.125   in 100 mL
Glycerin 53 mL  in 100 mL
Phenol 0.4 g  in 100 mL
Water  
Product Characteristics
Color      Score     
Shape Size
Flavor Imprint Code
Contains     
Packaging
# NDC Package Description Multilevel Packaging
1 49643-372-05 5 mL In 1 VIAL, MULTI-DOSE None
2 49643-372-10 10 mL In 1 VIAL, MULTI-DOSE None
3 49643-372-30 30 mL In 1 VIAL, MULTI-DOSE None
4 49643-372-50 50 mL In 1 VIAL, MULTI-DOSE None

Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
BLA BLA102212 03/12/1974

ROUGH MARSHELDER POLLEN 
iva ciliata  injection
Product Information
Product Type NON-STANDARDIZED ALLERGENIC NDC Product Code (Source) 49643-364
Route of Administration INTRADERMAL, CUTANEOUS, SUBCUTANEOUS DEA Schedule     
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
IVA ANNUA VAR. ANNUA POLLEN (IVA ANNUA VAR. ANNUA POLLEN) IVA ANNUA VAR. ANNUA POLLEN 1 g  in 20 mL
Inactive Ingredients
Ingredient Name Strength
Sodium Chloride 0.25 g  in 100 mL
Sodium Bicarbonate 0.125   in 100 mL
Glycerin 53 mL  in 100 mL
Phenol 0.4 g  in 100 mL
Water  
Product Characteristics
Color      Score     
Shape Size
Flavor Imprint Code
Contains     
Packaging
# NDC Package Description Multilevel Packaging
1 49643-364-05 5 mL In 1 VIAL, MULTI-DOSE None
2 49643-364-10 10 mL In 1 VIAL, MULTI-DOSE None
3 49643-364-30 30 mL In 1 VIAL, MULTI-DOSE None
4 49643-364-50 50 mL In 1 VIAL, MULTI-DOSE None

Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
BLA BLA102212 03/12/1974

RUSSIAN OLIVE POLLEN 
elaeagnus angustifolia  injection
Product Information
Product Type NON-STANDARDIZED ALLERGENIC NDC Product Code (Source) 49643-346
Route of Administration INTRADERMAL, CUTANEOUS, SUBCUTANEOUS DEA Schedule     
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
ELAEAGNUS ANGUSTIFOLIA POLLEN (ELAEAGNUS ANGUSTIFOLIA POLLEN) ELAEAGNUS ANGUSTIFOLIA POLLEN 1 g  in 20 mL
Inactive Ingredients
Ingredient Name Strength
Sodium Chloride 0.25 g  in 100 mL
Sodium Bicarbonate 0.125   in 100 mL
Glycerin 53 mL  in 100 mL
Phenol 0.4 g  in 100 mL
Water  
Product Characteristics
Color      Score     
Shape Size
Flavor Imprint Code
Contains     
Packaging
# NDC Package Description Multilevel Packaging
1 49643-346-05 5 mL In 1 VIAL, MULTI-DOSE None
2 49643-346-10 10 mL In 1 VIAL, MULTI-DOSE None
3 49643-346-30 30 mL In 1 VIAL, MULTI-DOSE None
4 49643-346-50 50 mL In 1 VIAL, MULTI-DOSE None

Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
BLA BLA102212 03/12/1974

RUSSIAN THISTLE POLLEN 
salsola kali  injection
Product Information
Product Type NON-STANDARDIZED ALLERGENIC NDC Product Code (Source) 49643-410
Route of Administration INTRADERMAL, CUTANEOUS, SUBCUTANEOUS DEA Schedule     
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
SALSOLA KALI POLLEN (SALSOLA KALI POLLEN) SALSOLA KALI POLLEN 1 g  in 20 mL
Inactive Ingredients
Ingredient Name Strength
Sodium Chloride 0.25 g  in 100 mL
Sodium Bicarbonate 0.125   in 100 mL
Glycerin 53 mL  in 100 mL
Phenol 0.4 g  in 100 mL
Water  
Product Characteristics
Color      Score     
Shape Size
Flavor Imprint Code
Contains     
Packaging
# NDC Package Description Multilevel Packaging
1 49643-410-05 5 mL In 1 VIAL, MULTI-DOSE None
2 49643-410-10 10 mL In 1 VIAL, MULTI-DOSE None
3 49643-410-30 30 mL In 1 VIAL, MULTI-DOSE None
4 49643-410-50 50 mL In 1 VIAL, MULTI-DOSE None

Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
BLA BLA102212 03/12/1974

RUST, WHEAT 
puccinia striiformis  injection
Product Information
Product Type NON-STANDARDIZED ALLERGENIC NDC Product Code (Source) 49643-120
Route of Administration INTRADERMAL, CUTANEOUS, SUBCUTANEOUS DEA Schedule     
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
PUCCINIA STRIIFORMIS VAR. STRIIFORMIS (PUCCINIA STRIIFORMIS VAR. STRIIFORMIS) PUCCINIA STRIIFORMIS VAR. STRIIFORMIS 1 g  in 20 mL
Inactive Ingredients
Ingredient Name Strength
Sodium Chloride 0.25 g  in 100 mL
Sodium Bicarbonate 0.125   in 100 mL
Glycerin 53 mL  in 100 mL
Phenol 0.4 g  in 100 mL
Water  
Product Characteristics
Color      Score     
Shape Size
Flavor Imprint Code
Contains     
Packaging
# NDC Package Description Multilevel Packaging
1 49643-120-05 5 mL In 1 VIAL, MULTI-DOSE None
2 49643-120-10 10 mL In 1 VIAL, MULTI-DOSE None
3 49643-120-30 30 mL In 1 VIAL, MULTI-DOSE None
4 49643-120-50 50 mL In 1 VIAL, MULTI-DOSE None

Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
BLA BLA102212 03/12/1974

SALT CEDAR POLLEN 
tamarix gallica  injection
Product Information
Product Type NON-STANDARDIZED ALLERGENIC NDC Product Code (Source) 49643-415
Route of Administration INTRADERMAL, CUTANEOUS, SUBCUTANEOUS DEA Schedule     
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
TAMARIX GALLICA POLLEN (TAMARIX GALLICA POLLEN) TAMARIX GALLICA POLLEN 1 g  in 20 mL
Inactive Ingredients
Ingredient Name Strength
Sodium Chloride 0.25 g  in 100 mL
Sodium Bicarbonate 0.125   in 100 mL
Glycerin 53 mL  in 100 mL
Phenol 0.4 g  in 100 mL
Water  
Product Characteristics
Color      Score     
Shape Size
Flavor Imprint Code
Contains     
Packaging
# NDC Package Description Multilevel Packaging
1 49643-415-05 5 mL In 1 VIAL, MULTI-DOSE None
2 49643-415-10 10 mL In 1 VIAL, MULTI-DOSE None
3 49643-415-30 30 mL In 1 VIAL, MULTI-DOSE None
4 49643-415-50 50 mL In 1 VIAL, MULTI-DOSE None

Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
BLA BLA102212 03/12/1974

SALT GRASS POLLEN 
distichlis spicata  injection
Product Information
Product Type NON-STANDARDIZED ALLERGENIC NDC Product Code (Source) 49643-345
Route of Administration INTRADERMAL, CUTANEOUS, SUBCUTANEOUS DEA Schedule     
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
DISTICHLIS SPICATA POLLEN (DISTICHLIS SPICATA POLLEN) DISTICHLIS SPICATA POLLEN 1 g  in 20 mL
Inactive Ingredients
Ingredient Name Strength
Sodium Chloride 0.25 g  in 100 mL
Sodium Bicarbonate 0.125   in 100 mL
Glycerin 53 mL  in 100 mL
Phenol 0.4 g  in 100 mL
Water  
Product Characteristics
Color      Score     
Shape Size
Flavor Imprint Code
Contains     
Packaging
# NDC Package Description Multilevel Packaging
1 49643-345-05 5 mL In 1 VIAL, MULTI-DOSE None
2 49643-345-10 10 mL In 1 VIAL, MULTI-DOSE None
3 49643-345-30 30 mL In 1 VIAL, MULTI-DOSE None
4 49643-345-50 50 mL In 1 VIAL, MULTI-DOSE None

Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
BLA BLA102212 03/12/1974

SANDBUR RAGWEED POLLEN 
ambrosia bipinnatifida  injection
Product Information
Product Type NON-STANDARDIZED ALLERGENIC NDC Product Code (Source) 49643-353
Route of Administration INTRADERMAL, CUTANEOUS, SUBCUTANEOUS DEA Schedule     
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
AMBROSIA CHAMISSONIS POLLEN (AMBROSIA CHAMISSONIS POLLEN) AMBROSIA CHAMISSONIS POLLEN 1 g  in 20 mL
Inactive Ingredients
Ingredient Name Strength
Sodium Chloride 0.25 g  in 100 mL
Sodium Bicarbonate 0.125   in 100 mL
Glycerin 53 mL  in 100 mL
Phenol 0.4 g  in 100 mL
Water  
Product Characteristics
Color      Score     
Shape Size
Flavor Imprint Code
Contains     
Packaging
# NDC Package Description Multilevel Packaging
1 49643-353-05 5 mL In 1 VIAL, MULTI-DOSE None
2 49643-353-10 10 mL In 1 VIAL, MULTI-DOSE None
3 49643-353-30 30 mL In 1 VIAL, MULTI-DOSE None
4 49643-353-50 50 mL In 1 VIAL, MULTI-DOSE None

Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
BLA BLA102212 03/12/1974

SHAD SCALE POLLEN 
atriplex confertifolia  injection
Product Information
Product Type NON-STANDARDIZED ALLERGENIC NDC Product Code (Source) 49643-439
Route of Administration INTRADERMAL, CUTANEOUS, SUBCUTANEOUS DEA Schedule     
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
ATRIPLEX CONFERTIFOLIA POLLEN (ATRIPLEX CONFERTIFOLIA POLLEN) ATRIPLEX CONFERTIFOLIA POLLEN 1 g  in 20 mL
Inactive Ingredients
Ingredient Name Strength
Sodium Chloride 0.25 g  in 100 mL
Sodium Bicarbonate 0.125   in 100 mL
Glycerin 53 mL  in 100 mL
Phenol 0.4 g  in 100 mL
Water  
Product Characteristics
Color      Score     
Shape Size
Flavor Imprint Code
Contains     
Packaging
# NDC Package Description Multilevel Packaging
1 49643-439-05 5 mL In 1 VIAL, MULTI-DOSE None
2 49643-439-10 10 mL In 1 VIAL, MULTI-DOSE None
3 49643-439-30 30 mL In 1 VIAL, MULTI-DOSE None
4 49643-439-50 50 mL In 1 VIAL, MULTI-DOSE None

Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
BLA BLA102212 03/12/1974

SHAGBARK HICKORY POLLEN 
carya ovata  injection
Product Information
Product Type NON-STANDARDIZED ALLERGENIC NDC Product Code (Source) 49643-332
Route of Administration INTRADERMAL, CUTANEOUS, SUBCUTANEOUS DEA Schedule     
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
CARYA OVATA POLLEN (CARYA OVATA POLLEN) CARYA OVATA POLLEN 1 g  in 20 mL
Inactive Ingredients
Ingredient Name Strength
Sodium Chloride 0.25 g  in 100 mL
Sodium Bicarbonate 0.125   in 100 mL
Glycerin 53 mL  in 100 mL
Phenol 0.4 g  in 100 mL
Water  
Product Characteristics
Color      Score     
Shape Size
Flavor Imprint Code
Contains     
Packaging
# NDC Package Description Multilevel Packaging
1 49643-332-05 5 mL In 1 VIAL, MULTI-DOSE None
2 49643-332-10 10 mL In 1 VIAL, MULTI-DOSE None
3 49643-332-30 30 mL In 1 VIAL, MULTI-DOSE None
4 49643-332-50 50 mL In 1 VIAL, MULTI-DOSE None

Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
BLA BLA102212 03/12/1974

SHEEP SORREL POLLEN 
rumex acetosella  injection
Product Information
Product Type NON-STANDARDIZED ALLERGENIC NDC Product Code (Source) 49643-405
Route of Administration INTRADERMAL, CUTANEOUS, SUBCUTANEOUS DEA Schedule     
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
RUMEX ACETOSELLA POLLEN (RUMEX ACETOSELLA POLLEN) RUMEX ACETOSELLA POLLEN 1 g  in 20 mL
Inactive Ingredients
Ingredient Name Strength
Sodium Chloride 0.25 g  in 100 mL
Sodium Bicarbonate 0.125   in 100 mL
Glycerin 53 mL  in 100 mL
Phenol 0.4 g  in 100 mL
Water  
Product Characteristics
Color      Score     
Shape Size
Flavor Imprint Code
Contains     
Packaging
# NDC Package Description Multilevel Packaging
1 49643-405-05 5 mL In 1 VIAL, MULTI-DOSE None
2 49643-405-10 10 mL In 1 VIAL, MULTI-DOSE None
3 49643-405-30 30 mL In 1 VIAL, MULTI-DOSE None
4 49643-405-50 50 mL In 1 VIAL, MULTI-DOSE None

Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
BLA BLA102212 03/12/1974

SHORTLEAF PINE POLLEN 
pinus echinata  injection
Product Information
Product Type NON-STANDARDIZED ALLERGENIC NDC Product Code (Source) 49643-448
Route of Administration INTRADERMAL, CUTANEOUS, SUBCUTANEOUS DEA Schedule     
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
PINUS ECHINATA POLLEN (PINUS ECHINATA POLLEN) PINUS ECHINATA POLLEN 1 g  in 20 mL
Inactive Ingredients
Ingredient Name Strength
Sodium Chloride 0.25 g  in 100 mL
Sodium Bicarbonate 0.125   in 100 mL
Glycerin 53 mL  in 100 mL
Phenol 0.4 g  in 100 mL
Water  
Product Characteristics
Color      Score     
Shape Size
Flavor Imprint Code
Contains     
Packaging
# NDC Package Description Multilevel Packaging
1 49643-448-05 5 mL In 1 VIAL, MULTI-DOSE None
2 49643-448-10 10 mL In 1 VIAL, MULTI-DOSE None
3 49643-448-30 30 mL In 1 VIAL, MULTI-DOSE None
4 49643-448-50 50 mL In 1 VIAL, MULTI-DOSE None

Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
BLA BLA102212 03/12/1974

SILVER MAPLE POLLEN 
acer saccharinum  injection
Product Information
Product Type NON-STANDARDIZED ALLERGENIC NDC Product Code (Source) 49643-304
Route of Administration INTRADERMAL, CUTANEOUS, SUBCUTANEOUS DEA Schedule     
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
ACER SACCHARINUM POLLEN (ACER SACCHARINUM POLLEN) ACER SACCHARINUM POLLEN 1 g  in 20 mL
Inactive Ingredients
Ingredient Name Strength
Sodium Chloride 0.25 g  in 100 mL
Sodium Bicarbonate 0.125   in 100 mL
Glycerin 53 mL  in 100 mL
Phenol 0.4 g  in 100 mL
Water  
Product Characteristics
Color      Score     
Shape Size
Flavor Imprint Code
Contains     
Packaging
# NDC Package Description Multilevel Packaging
1 49643-304-05 5 mL In 1 VIAL, MULTI-DOSE None
2 49643-304-10 10 mL In 1 VIAL, MULTI-DOSE None
3 49643-304-30 30 mL In 1 VIAL, MULTI-DOSE None
4 49643-304-50 50 mL In 1 VIAL, MULTI-DOSE None

Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
BLA BLA102212 03/12/1974

SILVER RAGWEED POLLEN 
dicoria canescens  injection
Product Information
Product Type NON-STANDARDIZED ALLERGENIC NDC Product Code (Source) 49643-344
Route of Administration INTRADERMAL, CUTANEOUS, SUBCUTANEOUS DEA Schedule     
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
DICORIA CANESCENS POLLEN (DICORIA CANESCENS POLLEN) DICORIA CANESCENS POLLEN 1 g  in 20 mL
Inactive Ingredients
Ingredient Name Strength
Sodium Chloride 0.25 g  in 100 mL
Sodium Bicarbonate 0.125   in 100 mL
Glycerin 53 mL  in 100 mL
Phenol 0.4 g  in 100 mL
Water  
Product Characteristics
Color      Score     
Shape Size
Flavor Imprint Code
Contains     
Packaging
# NDC Package Description Multilevel Packaging
1 49643-344-05 5 mL In 1 VIAL, MULTI-DOSE None
2 49643-344-10 10 mL In 1 VIAL, MULTI-DOSE None
3 49643-344-30 30 mL In 1 VIAL, MULTI-DOSE None
4 49643-344-50 50 mL In 1 VIAL, MULTI-DOSE None

Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
BLA BLA102212 03/12/1974

SISAL 
sisal  injection
Product Information
Product Type NON-STANDARDIZED ALLERGENIC NDC Product Code (Source) 49643-021
Route of Administration INTRADERMAL, CUTANEOUS, SUBCUTANEOUS DEA Schedule     
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
AGAVE SISALANA FIBER (AGAVE SISALANA FIBER) AGAVE SISALANA FIBER 1 g  in 10 mL
Inactive Ingredients
Ingredient Name Strength
Sodium Chloride 0.25 g  in 100 mL
Sodium Bicarbonate 0.125   in 100 mL
Glycerin 53 mL  in 100 mL
Phenol 0.4 g  in 100 mL
Water  
Product Characteristics
Color      Score     
Shape Size
Flavor Imprint Code
Contains     
Packaging
# NDC Package Description Multilevel Packaging
1 49643-021-05 5 mL In 1 VIAL, MULTI-DOSE None
2 49643-021-10 10 mL In 1 VIAL, MULTI-DOSE None
3 49643-021-30 30 mL In 1 VIAL, MULTI-DOSE None
4 49643-021-50 50 mL In 1 VIAL, MULTI-DOSE None

Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
BLA BLA102212 03/12/1974

SLENDER RAGWEED POLLEN 
ambrosia tenuifolia  injection
Product Information
Product Type NON-STANDARDIZED ALLERGENIC NDC Product Code (Source) 49643-356
Route of Administration INTRADERMAL, CUTANEOUS, SUBCUTANEOUS DEA Schedule     
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
AMBROSIA TENUIFOLIA POLLEN (AMBROSIA TENUIFOLIA POLLEN) AMBROSIA TENUIFOLIA POLLEN 1 g  in 20 mL
Inactive Ingredients
Ingredient Name Strength
Sodium Chloride 0.25 g  in 100 mL
Sodium Bicarbonate 0.125   in 100 mL
Glycerin 53 mL  in 100 mL
Phenol 0.4 g  in 100 mL
Water  
Product Characteristics
Color      Score     
Shape Size
Flavor Imprint Code
Contains     
Packaging
# NDC Package Description Multilevel Packaging
1 49643-356-05 5 mL In 1 VIAL, MULTI-DOSE None
2 49643-356-10 10 mL In 1 VIAL, MULTI-DOSE None
3 49643-356-30 30 mL In 1 VIAL, MULTI-DOSE None
4 49643-356-50 50 mL In 1 VIAL, MULTI-DOSE None

Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
BLA BLA102212 03/12/1974

SMOOTH BROME POLLEN 
bromus inermis  injection
Product Information
Product Type NON-STANDARDIZED ALLERGENIC NDC Product Code (Source) 49643-328
Route of Administration INTRADERMAL, CUTANEOUS, SUBCUTANEOUS DEA Schedule     
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
BROMUS INERMIS POLLEN (BROMUS INERMIS POLLEN) BROMUS INERMIS POLLEN 1 g  in 20 mL
Inactive Ingredients
Ingredient Name Strength
Sodium Chloride 0.25 g  in 100 mL
Sodium Bicarbonate 0.125   in 100 mL
Glycerin 53 mL  in 100 mL
Phenol 0.4 g  in 100 mL
Water  
Product Characteristics
Color      Score     
Shape Size
Flavor Imprint Code
Contains     
Packaging
# NDC Package Description Multilevel Packaging
1 49643-328-05 5 mL In 1 VIAL, MULTI-DOSE None
2 49643-328-10 10 mL In 1 VIAL, MULTI-DOSE None
3 49643-328-30 30 mL In 1 VIAL, MULTI-DOSE None
4 49643-328-50 50 mL In 1 VIAL, MULTI-DOSE None

Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
BLA BLA102212 03/12/1974

SMUT, CORN 
ustilago maydis  injection
Product Information
Product Type NON-STANDARDIZED ALLERGENIC NDC Product Code (Source) 49643-122
Route of Administration INTRADERMAL, CUTANEOUS, SUBCUTANEOUS DEA Schedule     
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
USTILAGO MAYDIS (USTILAGO MAYDIS) USTILAGO MAYDIS 1 g  in 20 mL
Inactive Ingredients
Ingredient Name Strength
Sodium Chloride 0.25 g  in 100 mL
Sodium Bicarbonate 0.125   in 100 mL
Glycerin 53 mL  in 100 mL
Phenol 0.4 g  in 100 mL
Water  
Product Characteristics
Color      Score     
Shape Size
Flavor Imprint Code
Contains     
Packaging
# NDC Package Description Multilevel Packaging
1 49643-122-05 5 mL In 1 VIAL, MULTI-DOSE None
2 49643-122-10 10 mL In 1 VIAL, MULTI-DOSE None
3 49643-122-30 30 mL In 1 VIAL, MULTI-DOSE None
4 49643-122-50 50 mL In 1 VIAL, MULTI-DOSE None

Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
BLA BLA102212 03/12/1974

SMUT, JOHNSON GRASS 
sphacelotheca cruenta  injection
Product Information
Product Type NON-STANDARDIZED ALLERGENIC NDC Product Code (Source) 49643-123
Route of Administration INTRADERMAL, CUTANEOUS, SUBCUTANEOUS DEA Schedule     
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
SPORISORIUM CRUENTUM (SPORISORIUM CRUENTUM) SPORISORIUM CRUENTUM 1 g  in 20 mL
Inactive Ingredients
Ingredient Name Strength
Sodium Chloride 0.25 g  in 100 mL
Sodium Bicarbonate 0.125   in 100 mL
Glycerin 53 mL  in 100 mL
Phenol 0.4 g  in 100 mL
Water  
Product Characteristics
Color      Score     
Shape Size
Flavor Imprint Code
Contains     
Packaging
# NDC Package Description Multilevel Packaging
1 49643-123-05 5 mL In 1 VIAL, MULTI-DOSE None
2 49643-123-10 10 mL In 1 VIAL, MULTI-DOSE None
3 49643-123-30 30 mL In 1 VIAL, MULTI-DOSE None
4 49643-123-50 50 mL In 1 VIAL, MULTI-DOSE None

Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
BLA BLA102212 03/12/1974

SMUT, WHEAT 
tilletia caries (tritici)  injection
Product Information
Product Type NON-STANDARDIZED ALLERGENIC NDC Product Code (Source) 49643-124
Route of Administration INTRADERMAL, CUTANEOUS, SUBCUTANEOUS DEA Schedule     
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
TILLECIA CARIES (TILLECIA CARIES) TILLECIA CARIES 1 g  in 20 mL
Inactive Ingredients
Ingredient Name Strength
Sodium Chloride 0.25 g  in 100 mL
Sodium Bicarbonate 0.125   in 100 mL
Glycerin 53 mL  in 100 mL
Phenol 0.4 g  in 100 mL
Water  
Product Characteristics
Color      Score     
Shape Size
Flavor Imprint Code
Contains     
Packaging
# NDC Package Description Multilevel Packaging
1 49643-124-05 5 mL In 1 VIAL, MULTI-DOSE None
2 49643-124-10 10 mL In 1 VIAL, MULTI-DOSE None
3 49643-124-30 30 mL In 1 VIAL, MULTI-DOSE None
4 49643-124-50 50 mL In 1 VIAL, MULTI-DOSE None

Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
BLA BLA102212 03/12/1974

SPRING BIRCH POLLEN 
betula fontinalis  injection
Product Information
Product Type NON-STANDARDIZED ALLERGENIC NDC Product Code (Source) 49643-441
Route of Administration INTRADERMAL, CUTANEOUS, SUBCUTANEOUS DEA Schedule     
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
BETULA OCCIDENTALIS POLLEN (BETULA OCCIDENTALIS POLLEN) BETULA OCCIDENTALIS POLLEN 1 g  in 20 mL
Inactive Ingredients
Ingredient Name Strength
Sodium Chloride 0.25 g  in 100 mL
Sodium Bicarbonate 0.125   in 100 mL
Glycerin 53 mL  in 100 mL
Phenol 0.4 g  in 100 mL
Water  
Product Characteristics
Color      Score     
Shape Size
Flavor Imprint Code
Contains     
Packaging
# NDC Package Description Multilevel Packaging
1 49643-441-05 5 mL In 1 VIAL, MULTI-DOSE None
2 49643-441-10 10 mL In 1 VIAL, MULTI-DOSE None
3 49643-441-30 30 mL In 1 VIAL, MULTI-DOSE None
4 49643-441-50 50 mL In 1 VIAL, MULTI-DOSE None

Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
BLA BLA102212 03/12/1974

STEMPHYLIUM 
stemphylium botryosum  injection
Product Information
Product Type NON-STANDARDIZED ALLERGENIC NDC Product Code (Source) 49643-126
Route of Administration INTRADERMAL, CUTANEOUS, SUBCUTANEOUS DEA Schedule     
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
PLEOSPORA TARDA (PLEOSPORA TARDA) PLEOSPORA TARDA 1 g  in 10 mL
Inactive Ingredients
Ingredient Name Strength
Sodium Chloride 0.25 g  in 100 mL
Sodium Bicarbonate 0.125   in 100 mL
Glycerin 53 mL  in 100 mL
Phenol 0.4 g  in 100 mL
Water  
Product Characteristics
Color      Score     
Shape Size
Flavor Imprint Code
Contains     
Packaging
# NDC Package Description Multilevel Packaging
1 49643-126-05 5 mL In 1 VIAL, MULTI-DOSE None
2 49643-126-10 10 mL In 1 VIAL, MULTI-DOSE None
3 49643-126-30 30 mL In 1 VIAL, MULTI-DOSE None
4 49643-126-50 50 mL In 1 VIAL, MULTI-DOSE None

Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
BLA BLA102212 03/12/1974

SUGAR BEET POLLEN 
beta vulgaris  injection
Product Information
Product Type NON-STANDARDIZED ALLERGENIC NDC Product Code (Source) 49643-324
Route of Administration INTRADERMAL, CUTANEOUS, SUBCUTANEOUS DEA Schedule     
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
BETA VULGARIS POLLEN (BETA VULGARIS POLLEN) BETA VULGARIS POLLEN 1 g  in 20 mL
Inactive Ingredients
Ingredient Name Strength
Sodium Chloride 0.25 g  in 100 mL
Sodium Bicarbonate 0.125   in 100 mL
Glycerin 53 mL  in 100 mL
Phenol 0.4 g  in 100 mL
Water  
Product Characteristics
Color      Score     
Shape Size
Flavor Imprint Code
Contains     
Packaging
# NDC Package Description Multilevel Packaging
1 49643-324-05 5 mL In 1 VIAL, MULTI-DOSE None
2 49643-324-10 10 mL In 1 VIAL, MULTI-DOSE None
3 49643-324-30 30 mL In 1 VIAL, MULTI-DOSE None
4 49643-324-50 50 mL In 1 VIAL, MULTI-DOSE None

Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
BLA BLA102212 03/12/1974

SUNFLOWER POLLEN 
helianthus annua  injection
Product Information
Product Type NON-STANDARDIZED ALLERGENIC NDC Product Code (Source) 49643-360
Route of Administration INTRADERMAL, CUTANEOUS, SUBCUTANEOUS DEA Schedule     
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
HELIANTHUS ANNUUS POLLEN (HELIANTHUS ANNUUS POLLEN) HELIANTHUS ANNUUS POLLEN 1 g  in 20 mL
Inactive Ingredients
Ingredient Name Strength
Sodium Chloride 0.25 g  in 100 mL
Sodium Bicarbonate 0.125   in 100 mL
Glycerin 53 mL  in 100 mL
Phenol 0.4 g  in 100 mL
Water  
Product Characteristics
Color      Score     
Shape Size
Flavor Imprint Code
Contains     
Packaging
# NDC Package Description Multilevel Packaging
1 49643-360-05 5 mL In 1 VIAL, MULTI-DOSE None
2 49643-360-10 10 mL In 1 VIAL, MULTI-DOSE None
3 49643-360-30 30 mL In 1 VIAL, MULTI-DOSE None
4 49643-360-50 50 mL In 1 VIAL, MULTI-DOSE None

Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
BLA BLA102212 03/12/1974

SWEET GUM POLLEN 
liquidamber styraciflua  injection
Product Information
Product Type NON-STANDARDIZED ALLERGENIC NDC Product Code (Source) 49643-377
Route of Administration INTRADERMAL, CUTANEOUS, SUBCUTANEOUS DEA Schedule     
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
LIQUIDAMBAR STYRACIFLUA POLLEN (LIQUIDAMBAR STYRACIFLUA POLLEN) LIQUIDAMBAR STYRACIFLUA POLLEN 1 g  in 20 mL
Inactive Ingredients
Ingredient Name Strength
Sodium Chloride 0.25 g  in 100 mL
Sodium Bicarbonate 0.125   in 100 mL
Glycerin 53 mL  in 100 mL
Phenol 0.4 g  in 100 mL
Water  
Product Characteristics
Color      Score     
Shape Size
Flavor Imprint Code
Contains     
Packaging
# NDC Package Description Multilevel Packaging
1 49643-377-05 5 mL In 1 VIAL, MULTI-DOSE None
2 49643-377-10 10 mL In 1 VIAL, MULTI-DOSE None
3 49643-377-30 30 mL In 1 VIAL, MULTI-DOSE None
4 49643-377-50 50 mL In 1 VIAL, MULTI-DOSE None

Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
BLA BLA102212 03/12/1974

TAG ALDER POLLEN 
alnus rugosa  injection
Product Information
Product Type NON-STANDARDIZED ALLERGENIC NDC Product Code (Source) 49643-436
Route of Administration INTRADERMAL, CUTANEOUS, SUBCUTANEOUS DEA Schedule     
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
ALNUS INCANA SSP. RUGOSA POLLEN (ALNUS INCANA SSP. RUGOSA POLLEN) ALNUS INCANA SSP. RUGOSA POLLEN 1 g  in 20 mL
Inactive Ingredients
Ingredient Name Strength
Sodium Chloride 0.25 g  in 100 mL
Sodium Bicarbonate 0.125   in 100 mL
Glycerin 53 mL  in 100 mL
Phenol 0.4 g  in 100 mL
Water  
Product Characteristics
Color      Score     
Shape Size
Flavor Imprint Code
Contains     
Packaging
# NDC Package Description Multilevel Packaging
1 49643-436-05 5 mL In 1 VIAL, MULTI-DOSE None
2 49643-436-10 10 mL In 1 VIAL, MULTI-DOSE None
3 49643-436-30 30 mL In 1 VIAL, MULTI-DOSE None
4 49643-436-50 50 mL In 1 VIAL, MULTI-DOSE None

Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
BLA BLA102212 03/12/1974

TOBACCO LEAF 
tobacco leaf  injection
Product Information
Product Type NON-STANDARDIZED ALLERGENIC NDC Product Code (Source) 49643-022
Route of Administration INTRADERMAL, CUTANEOUS, SUBCUTANEOUS DEA Schedule     
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
TOBACCO LEAF (TOBACCO LEAF) TOBACCO LEAF 1 g  in 10 mL
Inactive Ingredients
Ingredient Name Strength
Sodium Chloride 0.25 g  in 100 mL
Sodium Bicarbonate 0.125   in 100 mL
Glycerin 53 mL  in 100 mL
Phenol 0.4 g  in 100 mL
Water  
Product Characteristics
Color      Score     
Shape Size
Flavor Imprint Code
Contains     
Packaging
# NDC Package Description Multilevel Packaging
1 49643-022-05 5 mL In 1 VIAL, MULTI-DOSE None
2 49643-022-10 10 mL In 1 VIAL, MULTI-DOSE None
3 49643-022-30 30 mL In 1 VIAL, MULTI-DOSE None
4 49643-022-50 50 mL In 1 VIAL, MULTI-DOSE None

Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
BLA BLA102212 03/12/1974

TREE OF HEAVEN POLLEN 
ailanthus altissima  injection
Product Information
Product Type NON-STANDARDIZED ALLERGENIC NDC Product Code (Source) 49643-310
Route of Administration INTRADERMAL, CUTANEOUS, SUBCUTANEOUS DEA Schedule     
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
AILANTHUS ALTISSIMA POLLEN (AILANTHUS ALTISSIMA POLLEN) AILANTHUS ALTISSIMA POLLEN 1 g  in 20 mL
Inactive Ingredients
Ingredient Name Strength
Sodium Chloride 0.25 g  in 100 mL
Sodium Bicarbonate 0.125   in 100 mL
Glycerin 53 mL  in 100 mL
Phenol 0.4 g  in 100 mL
Water  
Product Characteristics
Color      Score     
Shape Size
Flavor Imprint Code
Contains     
Packaging
# NDC Package Description Multilevel Packaging
1 49643-310-05 5 mL In 1 VIAL, MULTI-DOSE None
2 49643-310-10 10 mL In 1 VIAL, MULTI-DOSE None
3 49643-310-30 30 mL In 1 VIAL, MULTI-DOSE None
4 49643-310-50 50 mL In 1 VIAL, MULTI-DOSE None

Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
BLA BLA102212 03/12/1974

UTAH JUNIPER POLLEN 
juniperus osteosperma  injection
Product Information
Product Type NON-STANDARDIZED ALLERGENIC NDC Product Code (Source) 49643-370
Route of Administration INTRADERMAL, CUTANEOUS, SUBCUTANEOUS DEA Schedule     
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
JUNIPERUS OSTEOSPERMA POLLEN (JUNIPERUS OSTEOSPERMA POLLEN) JUNIPERUS OSTEOSPERMA POLLEN 1 g  in 20 mL
Inactive Ingredients
Ingredient Name Strength
Sodium Chloride 0.25 g  in 100 mL
Sodium Bicarbonate 0.125   in 100 mL
Glycerin 53 mL  in 100 mL
Phenol 0.4 g  in 100 mL
Water  
Product Characteristics
Color      Score     
Shape Size
Flavor Imprint Code
Contains     
Packaging
# NDC Package Description Multilevel Packaging
1 49643-370-05 5 mL In 1 VIAL, MULTI-DOSE None
2 49643-370-10 10 mL In 1 VIAL, MULTI-DOSE None
3 49643-370-30 30 mL In 1 VIAL, MULTI-DOSE None
4 49643-370-50 50 mL In 1 VIAL, MULTI-DOSE None

Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
BLA BLA102212 03/12/1974

VELVET GRASS POLLEN 
holcus lanatus  injection
Product Information
Product Type NON-STANDARDIZED ALLERGENIC NDC Product Code (Source) 49643-361
Route of Administration INTRADERMAL, CUTANEOUS, SUBCUTANEOUS DEA Schedule     
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
HOLCUS LANATUS POLLEN (HOLCUS LANATUS POLLEN) HOLCUS LANATUS POLLEN 1 g  in 20 mL
Inactive Ingredients
Ingredient Name Strength
Sodium Chloride 0.25 g  in 100 mL
Sodium Bicarbonate 0.125   in 100 mL
Glycerin 53 mL  in 100 mL
Phenol 0.4 g  in 100 mL
Water  
Product Characteristics
Color      Score     
Shape Size
Flavor Imprint Code
Contains     
Packaging
# NDC Package Description Multilevel Packaging
1 49643-361-05 5 mL In 1 VIAL, MULTI-DOSE None
2 49643-361-10 10 mL In 1 VIAL, MULTI-DOSE None
3 49643-361-30 30 mL In 1 VIAL, MULTI-DOSE None
4 49643-361-50 50 mL In 1 VIAL, MULTI-DOSE None

Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
BLA BLA102212 03/12/1974

WESTERN JUNIPER POLLEN 
juniperus occidentalis  injection
Product Information
Product Type NON-STANDARDIZED ALLERGENIC NDC Product Code (Source) 49643-369
Route of Administration INTRADERMAL, CUTANEOUS, SUBCUTANEOUS DEA Schedule     
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
JUNIPERUS OCCIDENTALIS POLLEN (JUNIPERUS OCCIDENTALIS POLLEN) JUNIPERUS OCCIDENTALIS POLLEN 1 g  in 20 mL
Inactive Ingredients
Ingredient Name Strength
Sodium Chloride 0.25 g  in 100 mL
Sodium Bicarbonate 0.125   in 100 mL
Glycerin 53 mL  in 100 mL
Phenol 0.4 g  in 100 mL
Water  
Product Characteristics
Color      Score     
Shape Size
Flavor Imprint Code
Contains     
Packaging
# NDC Package Description Multilevel Packaging
1 49643-369-05 5 mL In 1 VIAL, MULTI-DOSE None
2 49643-369-10 10 mL In 1 VIAL, MULTI-DOSE None
3 49643-369-30 30 mL In 1 VIAL, MULTI-DOSE None
4 49643-369-50 50 mL In 1 VIAL, MULTI-DOSE None

Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
BLA BLA102212 03/12/1974

WESTERN RAGWEED POLLEN 
ambrosia psilostachia  injection
Product Information
Product Type NON-STANDARDIZED ALLERGENIC NDC Product Code (Source) 49643-316
Route of Administration INTRADERMAL, CUTANEOUS, SUBCUTANEOUS DEA Schedule     
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
AMBROSIA PSILOSTACHYA POLLEN (AMBROSIA PSILOSTACHYA POLLEN) AMBROSIA PSILOSTACHYA POLLEN 1 g  in 20 mL
Inactive Ingredients
Ingredient Name Strength
Sodium Chloride 0.25 g  in 100 mL
Sodium Bicarbonate 0.125   in 100 mL
Glycerin 53 mL  in 100 mL
Phenol 0.4 g  in 100 mL
Water  
Product Characteristics
Color      Score     
Shape Size
Flavor Imprint Code
Contains     
Packaging
# NDC Package Description Multilevel Packaging
1 49643-316-05 5 mL In 1 VIAL, MULTI-DOSE None
2 49643-316-10 10 mL In 1 VIAL, MULTI-DOSE None
3 49643-316-30 30 mL In 1 VIAL, MULTI-DOSE None
4 49643-316-50 50 mL In 1 VIAL, MULTI-DOSE None

Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
BLA BLA102212 03/12/1974

WESTERN SYCAMORE POLLEN 
platanus racemosa  injection
Product Information
Product Type NON-STANDARDIZED ALLERGENIC NDC Product Code (Source) 49643-392
Route of Administration INTRADERMAL, CUTANEOUS, SUBCUTANEOUS DEA Schedule     
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
PLATANUS RACEMOSA POLLEN (PLATANUS RACEMOSA POLLEN) PLATANUS RACEMOSA POLLEN 1 g  in 20 mL
Inactive Ingredients
Ingredient Name Strength
Sodium Chloride 0.25 g  in 100 mL
Sodium Bicarbonate 0.125   in 100 mL
Glycerin 53 mL  in 100 mL
Phenol 0.4 g  in 100 mL
Water  
Product Characteristics
Color      Score     
Shape Size
Flavor Imprint Code
Contains     
Packaging
# NDC Package Description Multilevel Packaging
1 49643-392-05 5 mL In 1 VIAL, MULTI-DOSE None
2 49643-392-10 10 mL In 1 VIAL, MULTI-DOSE None
3 49643-392-30 30 mL In 1 VIAL, MULTI-DOSE None
4 49643-392-50 50 mL In 1 VIAL, MULTI-DOSE None

Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
BLA BLA102212 03/12/1974

WESTERN WATERHEMP POLLEN 
acnida tamariscina  injection
Product Information
Product Type NON-STANDARDIZED ALLERGENIC NDC Product Code (Source) 49643-305
Route of Administration INTRADERMAL, CUTANEOUS, SUBCUTANEOUS DEA Schedule     
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
AMARANTHUS TUBERCULATUS POLLEN (AMARANTHUS TUBERCULATUS POLLEN) AMARANTHUS TUBERCULATUS POLLEN 1 g  in 20 mL
Inactive Ingredients
Ingredient Name Strength
Sodium Chloride 0.25 g  in 100 mL
Sodium Bicarbonate 0.125   in 100 mL
Glycerin 53 mL  in 100 mL
Phenol 0.4 g  in 100 mL
Water  
Product Characteristics
Color      Score     
Shape Size
Flavor Imprint Code
Contains     
Packaging
# NDC Package Description Multilevel Packaging
1 49643-305-05 5 mL In 1 VIAL, MULTI-DOSE None
2 49643-305-10 10 mL In 1 VIAL, MULTI-DOSE None
3 49643-305-30 30 mL In 1 VIAL, MULTI-DOSE None
4 49643-305-50 50 mL In 1 VIAL, MULTI-DOSE None

Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
BLA BLA102212 03/12/1974

WESTERN WHEATGRASS POLLEN 
agropyron smithii  injection
Product Information
Product Type NON-STANDARDIZED ALLERGENIC NDC Product Code (Source) 49643-308
Route of Administration INTRADERMAL, CUTANEOUS, SUBCUTANEOUS DEA Schedule     
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
PASCOPYRUM SMITHII POLLEN (PASCOPYRUM SMITHII POLLEN) PASCOPYRUM SMITHII POLLEN 1 g  in 20 mL
Inactive Ingredients
Ingredient Name Strength
Sodium Chloride 0.25 g  in 100 mL
Sodium Bicarbonate 0.125   in 100 mL
Glycerin 53 mL  in 100 mL
Phenol 0.4 g  in 100 mL
Water  
Product Characteristics
Color      Score     
Shape Size
Flavor Imprint Code
Contains     
Packaging
# NDC Package Description Multilevel Packaging
1 49643-308-05 5 mL In 1 VIAL, MULTI-DOSE None
2 49643-308-10 10 mL In 1 VIAL, MULTI-DOSE None
3 49643-308-30 30 mL In 1 VIAL, MULTI-DOSE None
4 49643-308-50 50 mL In 1 VIAL, MULTI-DOSE None

Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
BLA BLA102212 03/12/1974

WHITE ASH POLLEN 
fraxinus americana  injection
Product Information
Product Type NON-STANDARDIZED ALLERGENIC NDC Product Code (Source) 49643-357
Route of Administration INTRADERMAL, CUTANEOUS, SUBCUTANEOUS DEA Schedule     
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
FRAXINUS AMERICANA POLLEN (FRAXINUS AMERICANA POLLEN) FRAXINUS AMERICANA POLLEN 1 g  in 20 mL
Inactive Ingredients
Ingredient Name Strength
Sodium Chloride 0.25 g  in 100 mL
Sodium Bicarbonate 0.125   in 100 mL
Glycerin 53 mL  in 100 mL
Phenol 0.4 g  in 100 mL
Water  
Product Characteristics
Color      Score     
Shape Size
Flavor Imprint Code
Contains     
Packaging
# NDC Package Description Multilevel Packaging
1 49643-357-05 5 mL In 1 VIAL, MULTI-DOSE None
2 49643-357-10 10 mL In 1 VIAL, MULTI-DOSE None
3 49643-357-30 30 mL In 1 VIAL, MULTI-DOSE None
4 49643-357-50 50 mL In 1 VIAL, MULTI-DOSE None

Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
BLA BLA102212 03/12/1974

WHITE HICKORY POLLEN 
carya tomentosa  injection
Product Information
Product Type NON-STANDARDIZED ALLERGENIC NDC Product Code (Source) 49643-334
Route of Administration INTRADERMAL, CUTANEOUS, SUBCUTANEOUS DEA Schedule     
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
CARYA ALBA POLLEN (CARYA ALBA POLLEN) CARYA ALBA POLLEN 1 g  in 20 mL
Inactive Ingredients
Ingredient Name Strength
Sodium Chloride 0.25 g  in 100 mL
Sodium Bicarbonate 0.125   in 100 mL
Glycerin 53 mL  in 100 mL
Phenol 0.4 g  in 100 mL
Water  
Product Characteristics
Color      Score     
Shape Size
Flavor Imprint Code
Contains     
Packaging
# NDC Package Description Multilevel Packaging
1 49643-334-05 5 mL In 1 VIAL, MULTI-DOSE None
2 49643-334-10 10 mL In 1 VIAL, MULTI-DOSE None
3 49643-334-30 30 mL In 1 VIAL, MULTI-DOSE None
4 49643-334-50 50 mL In 1 VIAL, MULTI-DOSE None

Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
BLA BLA102212 03/12/1974

WHITE MULBERY POLLEN 
morus alba  injection
Product Information
Product Type NON-STANDARDIZED ALLERGENIC NDC Product Code (Source) 49643-382
Route of Administration INTRADERMAL, CUTANEOUS, SUBCUTANEOUS DEA Schedule     
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
MORUS ALBA POLLEN (MORUS ALBA POLLEN) MORUS ALBA POLLEN 1 g  in 20 mL
Inactive Ingredients
Ingredient Name Strength
Sodium Chloride 0.25 g  in 100 mL
Sodium Bicarbonate 0.125   in 100 mL
Glycerin 53 mL  in 100 mL
Phenol 0.4 g  in 100 mL
Water  
Product Characteristics
Color      Score     
Shape Size
Flavor Imprint Code
Contains     
Packaging
# NDC Package Description Multilevel Packaging
1 49643-382-05 5 mL In 1 VIAL, MULTI-DOSE None
2 49643-382-10 10 mL In 1 VIAL, MULTI-DOSE None
3 49643-382-30 30 mL In 1 VIAL, MULTI-DOSE None
4 49643-382-50 50 mL In 1 VIAL, MULTI-DOSE None

Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
BLA BLA102212 03/12/1974

WHITE OAK POLLEN 
quercus alba  injection
Product Information
Product Type NON-STANDARDIZED ALLERGENIC NDC Product Code (Source) 49643-402
Route of Administration INTRADERMAL, CUTANEOUS, SUBCUTANEOUS DEA Schedule     
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
QUERCUS ALBA POLLEN (QUERCUS ALBA POLLEN) QUERCUS ALBA POLLEN 1 g  in 20 mL
Inactive Ingredients
Ingredient Name Strength
Sodium Chloride 0.25 g  in 100 mL
Sodium Bicarbonate 0.125   in 100 mL
Glycerin 53 mL  in 100 mL
Phenol 0.4 g  in 100 mL
Water  
Product Characteristics
Color      Score     
Shape Size
Flavor Imprint Code
Contains     
Packaging
# NDC Package Description Multilevel Packaging
1 49643-402-05 5 mL In 1 VIAL, MULTI-DOSE None
2 49643-402-10 10 mL In 1 VIAL, MULTI-DOSE None
3 49643-402-30 30 mL In 1 VIAL, MULTI-DOSE None
4 49643-402-50 50 mL In 1 VIAL, MULTI-DOSE None

Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
BLA BLA102212 03/12/1974

WHITE POPLAR POLLEN 
populus alba  injection
Product Information
Product Type NON-STANDARDIZED ALLERGENIC NDC Product Code (Source) 49643-394
Route of Administration INTRADERMAL, CUTANEOUS, SUBCUTANEOUS DEA Schedule     
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
POPULUS ALBA POLLEN (POPULUS ALBA POLLEN) POPULUS ALBA POLLEN 1 g  in 20 mL
Inactive Ingredients
Ingredient Name Strength
Sodium Chloride 0.25 g  in 100 mL
Sodium Bicarbonate 0.125   in 100 mL
Glycerin 53 mL  in 100 mL
Phenol 0.4 g  in 100 mL
Water  
Product Characteristics
Color      Score     
Shape Size
Flavor Imprint Code
Contains     
Packaging
# NDC Package Description Multilevel Packaging
1 49643-394-05 5 mL In 1 VIAL, MULTI-DOSE None
2 49643-394-10 10 mL In 1 VIAL, MULTI-DOSE None
3 49643-394-30 30 mL In 1 VIAL, MULTI-DOSE None
4 49643-394-50 50 mL In 1 VIAL, MULTI-DOSE None

Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
BLA BLA102212 03/12/1974

WING SCALE POLLEN 
atriplex canescens  injection
Product Information
Product Type NON-STANDARDIZED ALLERGENIC NDC Product Code (Source) 49643-438
Route of Administration INTRADERMAL, CUTANEOUS, SUBCUTANEOUS DEA Schedule     
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
ATRIPLEX CANESCENS POLLEN (ATRIPLEX CANESCENS POLLEN) ATRIPLEX CANESCENS POLLEN 1 g  in 20 mL
Inactive Ingredients
Ingredient Name Strength
Sodium Chloride 0.25 g  in 100 mL
Sodium Bicarbonate 0.125   in 100 mL
Glycerin 53 mL  in 100 mL
Phenol 0.4 g  in 100 mL
Water  
Product Characteristics
Color      Score     
Shape Size
Flavor Imprint Code
Contains     
Packaging
# NDC Package Description Multilevel Packaging
1 49643-438-05 5 mL In 1 VIAL, MULTI-DOSE None
2 49643-438-10 10 mL In 1 VIAL, MULTI-DOSE None
3 49643-438-30 30 mL In 1 VIAL, MULTI-DOSE None
4 49643-438-50 50 mL In 1 VIAL, MULTI-DOSE None

Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
BLA BLA102212 03/12/1974

WINTERFAT POLLEN 
eurotia lanata  injection
Product Information
Product Type NON-STANDARDIZED ALLERGENIC NDC Product Code (Source) 49643-348
Route of Administration INTRADERMAL, CUTANEOUS, SUBCUTANEOUS DEA Schedule     
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
KRASCHENINNIKOVIA LANATA POLLEN (KRASCHENINNIKOVIA LANATA POLLEN) KRASCHENINNIKOVIA LANATA POLLEN 1 g  in 20 mL
Inactive Ingredients
Ingredient Name Strength
Sodium Chloride 0.25 g  in 100 mL
Sodium Bicarbonate 0.125   in 100 mL
Glycerin 53 mL  in 100 mL
Phenol 0.4 g  in 100 mL
Water  
Product Characteristics
Color      Score     
Shape Size
Flavor Imprint Code
Contains     
Packaging
# NDC Package Description Multilevel Packaging
1 49643-348-05 5 mL In 1 VIAL, MULTI-DOSE None
2 49643-348-10 10 mL In 1 VIAL, MULTI-DOSE None
3 49643-348-30 30 mL In 1 VIAL, MULTI-DOSE None
4 49643-348-50 50 mL In 1 VIAL, MULTI-DOSE None

Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
BLA BLA102212 03/12/1974

WORMWOOD SAGE POLLEN 
artemisia absinthium  injection
Product Information
Product Type NON-STANDARDIZED ALLERGENIC NDC Product Code (Source) 49643-319
Route of Administration INTRADERMAL, CUTANEOUS, SUBCUTANEOUS DEA Schedule     
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
ARTEMISIA ABSINTHIUM POLLEN (ARTEMISIA ABSINTHIUM POLLEN) ARTEMISIA ABSINTHIUM POLLEN 1 g  in 20 mL
Inactive Ingredients
Ingredient Name Strength
Sodium Chloride 0.25 g  in 100 mL
Sodium Bicarbonate 0.125   in 100 mL
Glycerin 53 mL  in 100 mL
Phenol 0.4 g  in 100 mL
Water  
Product Characteristics
Color      Score     
Shape Size
Flavor Imprint Code
Contains     
Packaging
# NDC Package Description Multilevel Packaging
1 49643-319-05 5 mL In 1 VIAL, MULTI-DOSE None
2 49643-319-10 10 mL In 1 VIAL, MULTI-DOSE None
3 49643-319-30 30 mL In 1 VIAL, MULTI-DOSE None
4 49643-319-50 50 mL In 1 VIAL, MULTI-DOSE None

Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
BLA BLA102212 03/12/1974

YELLOW PINE POLLEN 
pinus ponderosa  injection
Product Information
Product Type NON-STANDARDIZED ALLERGENIC NDC Product Code (Source) 49643-449
Route of Administration INTRADERMAL, CUTANEOUS, SUBCUTANEOUS DEA Schedule     
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
PINUS PONDEROSA POLLEN (PINUS PONDEROSA POLLEN) PINUS PONDEROSA POLLEN 1 g  in 20 mL
Inactive Ingredients
Ingredient Name Strength
Sodium Chloride 0.25 g  in 100 mL
Sodium Bicarbonate 0.125   in 100 mL
Glycerin 53 mL  in 100 mL
Phenol 0.4 g  in 100 mL
Water  
Product Characteristics
Color      Score     
Shape Size
Flavor Imprint Code
Contains     
Packaging
# NDC Package Description Multilevel Packaging
1 49643-449-05 5 mL In 1 VIAL, MULTI-DOSE None
2 49643-449-10 10 mL In 1 VIAL, MULTI-DOSE None
3 49643-449-30 30 mL In 1 VIAL, MULTI-DOSE None
4 49643-449-50 50 mL In 1 VIAL, MULTI-DOSE None

Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
BLA BLA102212 03/12/1974

Labeler - Allermed Laboratories, Inc. (073364531)
Establishment
Name Address ID/FEI Operations
Allermed Laboratories, Inc. 073364531 manufacture
Revised: 05/1986Allermed Laboratories, Inc.

 


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