NDC codes

FDA NDC Directory
Product NDC (as listed)59088-017Labeler and product segments. Claims need a package NDC.
Product NDC at billing width59088-0017Add 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
59088-017-545908800175430 TABLET, CHEWABLE in 1 BOTTLE, PLASTIC (59088-017-54)Marketed from Mar 19, 2025

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)
Flotrex
Generic name (nonproprietary)
multivitamins, sodium fluoride 0.25 mg
Active ingredients
Sodium fluoride — .25 mg/1Vitamin a — 750 ug/1Ascorbic acid — 24 mg/1Sodium ascorbate — 36 mg/1Cholecalciferol — 10 ug/1.alpha.-tocopherol acetate, Dl- — 6.75 mg/1Thiamine mononitrate — 1.05 mg/1Riboflavin — 1.2 mg/1Niacinamide — 13.5 mg/1Pyridoxine hydrochloride — 1.05 mg/1Folic acid — 300 ug/1Cyanocobalamin — 4.5 ug/1
Dosage form
Tablet, Chewable
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)Ascorbic Acid (Chemical structure)Vitamin A (Chemical structure)Vitamin B 12 (Chemical structure)Vitamin B 6 (Chemical/Ingredient)Vitamin D (Chemical structure)
Identifiers
Product ID 59088-017_39ed4312-2ed6-cb13-e063-6294a90aefc9SPL ID 39ed4312-2ed6-cb13-e063-6294a90aefc9SPL set ID 30186998-2121-3ef2-e063-6394a90a513eUNII 8ZYQ1474W7, 81G40H8B0T, PQ6CK8PD0R, S033EH8359, 1C6V77QF41, WR1WPI7EW8, 8K0I04919X, TLM2976OFR, 25X51I8RD4, 68Y4CF58BV, 935E97BOY8, P6YC3EG204
Pharmacologic class
Vitamin A; Vitamin B12; Vitamin B6 Analog; Vitamin C; Vitamin D

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

N459088001754 followed by a unit qualifier and the quantity

Package 59088-0017-54. 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 This prescription chewable tablet is indicated for the prevention and treatment of vitamin and fluoride deficiencies in patients at high risk for dental caries and inadequate dietary intake of essential vitamins. It is specifically formulated to support normal growth and development, promote bone and dental health, and aid in the maintenance of overall metabolic and immune function.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

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