The short version
Only one company currently supplies this market — there is no backup if it stumbles.
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apo-STRUM
CALCIUM FLUORIDE, Conium maculatum Flowering Top, LOPHOPHYTUM LEANDRII, Hedera helix Flowering Twig, MAGNESIUM CARBONATE, Cytisus scoparius Flowering Top, SELENICEREUS GRANDIFLORUS WHOLE, and GALIUM APARINE · CALCIUM FLUORIDE 8 [hp_X]/50mL; CONIUM MACULATUM FLOWERING TOP 6 [hp_X]/50mL; LOPHOPHYTUM LEANDRII 4 [hp_X]/50mL; HEDERA HELIX FLOWERING TWIG 3 [hp_X]/50mL; MAGNESIUM CARBONATE 8 [hp_X]/50mL; CYTISUS SCOPARIUS FLOWERING TOP 6 [hp_X]/50mL; SELENICEREUS GRANDIFLORUS WHOLE 4 [hp_X]/50mL; GALIUM APARINE WHOLE 584 mg/50mL · Solution/ Drops · Oral · PEKANA Naturheilmittel GmbH
NDC 59469-0323-10 · 1 BOTTLE, GLASS in 1 BOX / 50 mL in 1 BOTTLE, GLASS · UNAPPROVED HOMEOPATHIC · View full market →
Medicare Part D
Medicare Part D does not cover homeopathic products, which are not FDA-approved drugs.
How Part D pricing works →NADAC price per unit
No NADAC pricing on file for this NDC — NADAC covers drugs dispensed by retail community pharmacies.
Supply fragility
Not scored — fragility is computed for NADAC-priced NDCs.
Is this a "specialty" drug?
There's no legal definition — it meets 1 of 6 public criteria. Why that matters →
- Part D specialty tier
- Costs ≥ $950/fill
- Biologic (BLA)
- Injectable / infused
- Orphan-drug exclusivity
- REMS program · Xywav and Xyrem
Regulatory
- Application
- —
- TE code
- —
- Approval date
- —
- Patents / exclusivity
- —
Shortage history
No FDA shortage reports for this drug or its presentations.
Recalls (this NDC)
No enforcement reports list this package NDC.
Manufacturers of CALCIUM FLUORIDE, Conium maculatum Flowering Top, LOPHOPHYTUM LEANDRII, Hedera helix Flowering Twig, MAGNESIUM CARBONATE, Cytisus scoparius Flowering Top, SELENICEREUS GRANDIFLORUS WHOLE, and GALIUM APARINE (Solution/ Drops)
| Labeler | Strength | First seen | Last seen |
|---|---|---|---|
| PEKANA Naturheilmittel GmbH | CALCIUM FLUORIDE 8 [hp_X]/50mL; CONIUM MACULATUM FLOWERING TOP 6 [hp_X]/50mL; LOPHOPHYTUM LEANDRII 4 [hp_X]/50mL; HEDERA HELIX FLOWERING TWIG 3 [hp_X]/50mL; MAGNESIUM CARBONATE 8 [hp_X]/50mL; CYTISUS SCOPARIUS FLOWERING TOP 6 [hp_X]/50mL; SELENICEREUS GRANDIFLORUS WHOLE 4 [hp_X]/50mL; GALIUM APARINE WHOLE 584 mg/50mL | Aug 26, 2026 | Sep 2, 2026 |
| PEKANA Naturheilmittel GmbH | CALCIUM FLUORIDE 8 [hp_X]/50mL; CONIUM MACULATUM FLOWERING TOP 6 [hp_X]/50mL; LOPHOPHYTUM LEANDRII 6 [hp_X]/50mL; HEDERA HELIX FLOWERING TWIG 584 mg/50mL; MAGNESIUM CARBONATE 3 [hp_X]/50mL; CYTISUS SCOPARIUS FLOWERING TOP 4 [hp_X]/50mL; SELENICEREUS GRANDIFLORUS WHOLE 8 [hp_X]/50mL; GALIUM APARINE WHOLE 4 [hp_X]/50mL | Jul 22, 2026 | Aug 19, 2026 |
| PEKANA Naturheilmittel GmbH | CALCIUM FLUORIDE 8 [hp_X]/50mL; CONIUM MACULATUM FLOWERING TOP 6 [hp_X]/50mL; CYTISUS SCOPARIUS FLOWERING TOP 6 [hp_X]/50mL; GALIUM APARINE WHOLE 584 mg/50mL; HEDERA HELIX FLOWERING TWIG 3 [hp_X]/50mL; LOPHOPHYTUM LEANDRII 4 [hp_X]/50mL; MAGNESIUM CARBONATE 8 [hp_X]/50mL; SELENICEREUS GRANDIFLORUS WHOLE 4 [hp_X]/50mL | Jul 15, 2026 | Jul 15, 2026 |
Roster from daily NDC Directory diffs — first/last seen dates start July 2026.
Cite this page
DrugDashboards, "apo-STRUM — NDC 59469-0323-10," retrieved September 3, 2026, https://drugdashboards.com/drug/59469032310.
Free to cite with attribution — see how the data is put together.