NDC codes

FDA NDC Directory
Product NDC (as listed)58657-163Labeler and product segments. Claims need a package NDC.
Product NDC at billing width58657-0163Add 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
58657-163-015865701630158657016301100 TABLET, CHEWABLE in 1 BOTTLE (58657-163-01)Marketed from Jul 20, 2018
58657-163-90586570163905865701639090 TABLET, CHEWABLE in 1 BOTTLE (58657-163-90)Marketed from Jul 20, 2018

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)
Multivitamin with Fluoride
Generic name (nonproprietary)
.alpha.-tocopherol acetate, dl-, ascorbic acid, cyanocobalamin, folic acid, niacin, pyridoxine, riboflavin, sodium fluoride, thiamine mononitrate, vitamin a and vitamin d
Active ingredients
Vitamin a — 2500 [iU]/1Ascorbic acid — 60 mg/1Vitamin d — 400 [iU]/1.alpha.-tocopherol acetate, Dl- — 15 [iU]/1Thiamine mononitrate — 1.05 mg/1Riboflavin — 1.2 mg/1Niacin — 13.5 mg/1Pyridoxine — 1.05 mg/1Folic acid — 300 ug/1Cyanocobalamin — 4.5 ug/1Sodium fluoride — .25 mg/1
Dosage form
Tablet, Chewable
Route
Oral
Labeler
Method Pharmaceuticals, LLCNDC labeler code 58657
Product type
Prescription drug
Marketing category
Unapproved drug (other)
Marketing start
Listing expires
Other FDA classes
Analogs/Derivatives (Chemical/Ingredient)Ascorbic Acid (Chemical structure)Nicotinic Acids (Chemical structure)Vitamin A (Chemical structure)Vitamin B 12 (Chemical structure)Vitamin B 6 (Chemical/Ingredient)
Identifiers
Product ID 58657-163_41b5fe6c-faec-bbbb-e063-6294a90a7549SPL ID 41b5fe6c-faec-bbbb-e063-6294a90a7549SPL set ID 42ed15a5-aad6-4ab3-b95b-f9534a419f40UNII 81G40H8B0T, PQ6CK8PD0R, 9VU1KI44GP, WR1WPI7EW8, 8K0I04919X, TLM2976OFR, 2679MF687A, KV2JZ1BI6Z, 935E97BOY8, P6YC3EG204, 8ZYQ1474W7UPC 0358657163907, 0358657163013
Pharmacologic class
Nicotinic Acid; Vitamin A; 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

N458657016301 followed by a unit qualifier and the quantity

Package 58657-0163-01. 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 AND USAGE Supplementation of the diet with ten essential vitamins. Supplementation of the diet with fluoride for caries prophylaxis. Multivitamin with Fluoride 0.25 mg Chewable Tablets provide 0.25 mg fluoride in tablet form for children 4-6years of age in areas where the drinking water contains 0.3 through 0.6 ppm of fluoride. Multivitamin with Fluoride 0.25 mg Chewable Tablets supply significant amounts of Vitamins A, C, D, E, thiamine, riboflavin, niacin, vitamin B6, vitamin B12, and folate to supplement the diet, and to help assure that nutritional deficiencies of these vitamins will not develop. Thus, in a single easy-to-use preparation, children obtain ten essential vitamin…

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 58657-163

What is NDC 58657-163?
58657-163 is the product NDC for Multivitamin with Fluoride, Vitamin a 2500 [iU]/1 + 10 more ingredients tablet, chewable, listed with the FDA by Method Pharmaceuticals, LLC. It has 2 package NDCs, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Multivitamin with Fluoride (.ALPHA.-TOCOPHEROL ACETATE, DL-, ASCORBIC ACID, CYANOCOBALAMIN, FOLIC ACID, NIACIN, PYRIDOXINE, RIBOFLAVIN, SODIUM FLUORIDE, THIAMINE MONONITRATE, VITAMIN A and VITAMIN D).
What is the active ingredient?
Vitamin a, Ascorbic acid, Vitamin d, .alpha.-tocopherol acetate, Dl-, Thiamine mononitrate, Riboflavin, Niacin, Pyridoxine, Folic acid, Cyanocobalamin, Sodium fluoride.
Who is the labeler?
Method Pharmaceuticals, LLC, NDC labeler code 58657. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Multivitamin with Fluoride?
14 other product NDCs are listed under this name. See all Multivitamin with Fluoride NDCs.
Is there a related HCPCS / J-code?
Not in Med-Code's curated HCPCS directory. See Billing references above.

Other finished products listed under the same name: strengths, forms and labelers.

Other Multivitamin with Fluoride NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
Multivitamin with Fluoridesodium fluorideSodium fluoride .25 mg/1 + 11 more ingredientsTablet, ChewableOralWINDER LABORATORIES, LLC75826-16975826-0169-10
Multivitamin with Fluoridesodium fluorideSodium fluoride .5 mg/1 + 11 more ingredientsTablet, ChewableOralWINDER LABORATORIES, LLC75826-17075826-0170-10
Multivitamin with Fluoridesodium fluorideSodium fluoride 1 mg/1 + 11 more ingredientsTablet, ChewableOralWINDER LABORATORIES, LLC75826-17175826-0171-10
Multivitamin with Fluoride.alpha.-tocopherol acetate, dl-, ascorbic acid, cyanocobalamin, folic acid, niacin, pyridoxine, riboflavin, sodium fluoride, thiamine mononitrate, vitamin a and vitamin dVitamin a 2500 [iU]/1 + 10 more ingredientsTablet, ChewableOralMethod Pharmaceuticals, LLC58657-16458657-0164-0158657-0164-90
Multivitamin with Fluoride.alpha.-tocopherol acetate, dl-, ascorbic acid, cyanocobalamin, folic acid, niacin, pyridoxine, riboflavin, sodium fluoride, thiamine mononitrate, vitamin a and vitamin dVitamin a 2500 [iU]/1 + 10 more ingredientsTablet, ChewableOralMethod Pharmaceuticals, LLC58657-16558657-0165-0158657-0165-90
Multivitamin with Fluoride.alpha.-tocopherol acetate, dl-, ascorbic acid, cyanocobalamin, folic acid, niacin, pyridoxine, riboflavin, sodium fluoride, thiamine mononitrate, vitamin a and vitamin dVitamin a 2500 [iU]/1 + 10 more ingredientsTablet, ChewableOralBryant Ranch Prepack63629-113463629-1134-01
Multivitamin with Fluoride.alpha.-tocopherol acetate, dl-, ascorbic acid, cyanocobalamin, folic acid, niacin, pyridoxine, riboflavin, sodium fluoride, thiamine mononitrate, vitamin a and vitamin dVitamin a 2500 [iU]/1 + 10 more ingredientsTablet, ChewableOralBryant Ranch Prepack63629-113563629-1135-01
Multivitamin with Fluoride.alpha.-tocopherol acetate, dl-, ascorbic acid, cyanocobalamin, folic acid, niacin, pyridoxine, riboflavin, sodium fluoride, thiamine mononitrate, vitamin a and vitamin dVitamin a 2500 [iU]/1 + 10 more ingredientsTablet, ChewableOralBryant Ranch Prepack63629-113663629-1136-01
Multivitamin with Fluoride.alpha.-tocopherol acetate, dl-, ascorbic acid, cyanocobalamin, folic acid, niacin, pyridoxine, riboflavin, sodium fluoride, thiamine mononitrate, vitamin a and vitamin dVitamin a 2500 [iU]/1 + 10 more ingredientsTablet, ChewableOralBryant Ranch Prepack63629-113763629-1137-01
Multivitamin with Fluoride.alpha.-tocopherol acetate, dl-, ascorbic acid, cyanocobalamin, folic acid, niacin, pyridoxine, riboflavin, sodium fluoride, thiamine mononitrate, vitamin a and vitamin dVitamin a 2500 [iU]/1 + 10 more ingredientsTablet, ChewableOralBryant Ranch Prepack63629-113863629-1138-01

All 15 Multivitamin with Fluoride NDCs

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