NDC codes

FDA NDC Directory
Product NDC (as listed)52747-621Labeler and product segments. Claims need a package NDC.
Product NDC at billing width52747-0621Add 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 NDC11-digit (billing)PackageCopy
52747-621-305274706213030 CAPSULE, LIQUID FILLED in 1 BOTTLE, PLASTIC (52747-621-30)Marketed from Jun 24, 2009

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)
Concept DHA
Generic name (nonproprietary)
vitamin- mineral omega-3 supplement
Active ingredients
Ferrous fumarate — 17.5 mg/1Iron — 17.5 mg/1Ascorbic acid — 25 mg/1Folic acid — 1 mg/1Thiamine mononitrate — 2 mg/1Riboflavin — 3 mg/1Niacin — 1.8 mg/1Calcium pantothenate — 5 mg/1Pyridoxine hydrochloride — 25 mg/1Biotin — 300 ug/1Cyanocobalamin — 12.5 ug/1Cupric sulfate — 2 mg/1Magnesium sulfate, Unspecified form — 5 mg/1Zinc sulfate, Unspecified form — 10 mg/1Omega-3-acid ethyl esters — 200 mg/1
Dosage form
Capsule, Liquid filled
Route
Oral
Product type
Prescription drug
Marketing category
Unapproved drug (other)
Marketing start
Listing expires
Other FDA classes
Analogs/Derivatives (Chemical/Ingredient)Ascorbic Acid (Chemical structure)Decreased Copper Ion Absorption (Physiologic effect)Omega-3 (Chemical structure)Increased Large Intestinal Motility (Physiologic effect)Inhibition Large Intestine Fluid/Electrolyte Absorption (Physiologic effect)Inhibition Small Intestine Fluid/Electrolyte Absorption (Physiologic effect)Magnesium Ion Exchange Activity (Mechanism)Nicotinic Acids (Chemical structure)Osmotic Activity (Mechanism)Stimulation Large Intestine Fluid/Electrolyte Secretion (Physiologic effect)Vitamin B 12 (Chemical structure)Vitamin B 6 (Chemical/Ingredient)
Identifiers
Product ID 52747-621_aaee698d-9522-49c9-afd3-d0c5d52e3ccdSPL ID aaee698d-9522-49c9-afd3-d0c5d52e3ccdSPL set ID bd2051f7-b887-46f6-8d4a-b099fcd08629UNII R5L488RY0Q, E1UOL152H7, PQ6CK8PD0R, 935E97BOY8, 8K0I04919X, TLM2976OFR, 2679MF687A, 568ET80C3D, 68Y4CF58BV, 6SO6U10H04, P6YC3EG204, LRX7AJ16DT, DE08037SAB, 89DS0H96TB, D87YGH4Z0Q
Pharmacologic class
Calculi Dissolution Agent; Copper Absorption Inhibitor; Nicotinic Acid; Omega-3 Fatty Acid; Osmotic Laxative; Vitamin B12; 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

N452747062130 followed by a unit qualifier and the quantity

Package 52747-0621-30. 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 .

Indications (excerpt from the label)

INDICATIONS: Concept DHATM is a prescription prenatal vitamin-mineral preparation containing omega-3 fatty acid supplements designed to supply nutritional supplementation for women throughout pregnancy and during the postnatal period to lactating and non-lactating mothers. Concept DHATM may also be used to improve the nutritional status of women before conception.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

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