What is NDC 10542-011?

10542-011 is the product NDC for Dialyvite 5000, Ascorbic acid 100 mg/1 + 11 more ingredients tablet, coated, listed with the FDA by Hillestad Pharmaceuticals USA. It has 2 package NDCs, shown above in 10- and 11-digit form.

What drug is associated with this NDC?

Dialyvite 5000 (Ascorbic Acid, Tocopheryl Acid Succinate, Thiamine, Riboflavin, Niacinamide, Pyridoxine, Folic Acid, Cobalamin, Biotin, Pantothenic Acid, Zinc, Selenium).

What is the active ingredient?

Ascorbic acid, Thiamine mononitrate, Riboflavin, Niacinamide, Pyridoxine hydrochloride, Folic acid, Cobalamin, Biotin, Calcium pantothenate, Zinc citrate, .alpha.-tocopherol succinate, D-, Selenocysteine.

Hillestad Pharmaceuticals USA, NDC labeler code 10542. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.

What other NDCs exist for Dialyvite 5000?

None: this is the only finished product listed under this name.

Is there a related HCPCS / J-code?

Not in Med-Code's curated HCPCS directory.

Dialyvite 5000 NDC 10542-011 | National Drug Code

NDC codes

FDA NDC Directory

Product NDC (as listed)10542-011Labeler and product segments. Claims need a package NDC.

Product NDC at billing width10542-0011Add the package segment from the table below.

Package NDCs as listed with the FDA, and the 11-digit 5-4-2 form used on claims. The highlighted digit is the added leading zero.
Package NDC	11-digit (billing)	Package	Copy
10542-011-02	1054200110210542001102	7 TABLET, COATED in 1 BOTTLE, PLASTIC (10542-011-02)Marketed from May 1, 2008 · Sample package
10542-011-09	1054200110910542001109	90 TABLET, COATED in 1 BOTTLE, PLASTIC (10542-011-09)Marketed from May 1, 2008

How the 11-digit form is made: The product segment has 3 digits, so one leading zero is added to it (5-3-2 → 5-4-2). Formatting the NDC does not by itself make it billable — the product, package and quantity must match what was dispensed or administered, and payer rules apply. Conversion rules

Product information

Brand name (proprietary): Dialyvite 5000
Generic name (nonproprietary): ascorbic acid, tocopheryl acid succinate, thiamine, riboflavin, niacinamide, pyridoxine, folic acid, cobalamin, biotin, pantothenic acid, zinc, selenium
Active ingredients: Ascorbic acid — 100 mg/1Thiamine mononitrate — 1.5 mg/1Riboflavin — 1.7 mg/1Niacinamide — 20 mg/1Pyridoxine hydrochloride — 50 mg/1Folic acid — 5 mg/1Cobalamin — 2 mg/1Biotin — 300 ug/1Calcium pantothenate — 10 mg/1Zinc citrate — 25 mg/1.alpha.-tocopherol succinate, D- — 30 [iU]/1Selenocysteine — 70 ug/1
Dosage form: Tablet, Coated
Route: Oral
Labeler: Hillestad Pharmaceuticals USANDC labeler code 10542
Product type: Prescription drug
Marketing category: Unapproved drug (other)
Marketing start: May 1, 2008
Marketing end: Feb 28, 2027
Other FDA classes: Analogs/Derivatives (Chemical/Ingredient)Ascorbic Acid (Chemical structure)Decreased Copper Ion Absorption (Physiologic effect)Vitamin B 6 (Chemical/Ingredient)
Identifiers: Product ID 10542-011_a9664d9c-5fde-4ef0-ba5a-378744acfbf2SPL ID a9664d9c-5fde-4ef0-ba5a-378744acfbf2SPL set ID 97791f73-e0c5-45a6-8aed-f456a5466eafUNII PQ6CK8PD0R, 8K0I04919X, TLM2976OFR, 25X51I8RD4, 68Y4CF58BV, 935E97BOY8, 8406EY2OQA, 6SO6U10H04, 568ET80C3D, K72I3DEX9B, LU4B53JYVE, 0CH9049VISUPC 0105420110909
Pharmacologic class: Copper Absorption Inhibitor; Vitamin B6 Analog; Vitamin C

Billing references

What Med-Code can say about coding this product, and where each statement comes from. Nothing here is inferred from the name alone.

HCPCS codeNo match

No HCPCS code in Med-Code's directory. Oral products like this are usually dispensed by a pharmacy and billed by NDC.

NDC on a medical claim

N410542001102 followed by a unit qualifier and the quantity

Package 10542-0011-02. Unit qualifiers: F2 (international unit), GR (gram), ME (milligram), ML (milliliter), UN (unit (each)). The qualifier and quantity depend on what was given. About the N4 qualifier

Product label

Current FDA label (SPL), effective Jan 27, 2026.

Indications (excerpt from the label)

INDICATIONS AND USAGE Dialyvite 5000 is a prescription folic acid supplement with additional nutrients indicated for use in improving the nutritional status of renal dialysis patients.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 10542-011

What is NDC 10542-011?: 10542-011 is the product NDC for Dialyvite 5000, Ascorbic acid 100 mg/1 + 11 more ingredients tablet, coated, listed with the FDA by Hillestad Pharmaceuticals USA. It has 2 package NDCs, shown above in 10- and 11-digit form.
What drug is associated with this NDC?: Dialyvite 5000 (Ascorbic Acid, Tocopheryl Acid Succinate, Thiamine, Riboflavin, Niacinamide, Pyridoxine, Folic Acid, Cobalamin, Biotin, Pantothenic Acid, Zinc, Selenium).
What is the active ingredient?: Ascorbic acid, Thiamine mononitrate, Riboflavin, Niacinamide, Pyridoxine hydrochloride, Folic acid, Cobalamin, Biotin, Calcium pantothenate, Zinc citrate, .alpha.-tocopherol succinate, D-, Selenocysteine.
Who is the labeler?: Hillestad Pharmaceuticals USA, NDC labeler code 10542. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Dialyvite 5000?: None: this is the only finished product listed under this name.
Is there a related HCPCS / J-code?: Not in Med-Code's curated HCPCS directory. See Billing references above.