Vitrexyl plus Iron NDC 59088-165

NDC codes

FDA NDC Directory

Product NDC (as listed)59088-165Labeler and product segments. Claims need a package NDC.

Product NDC at billing width59088-0165Add 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
59088-165-54	59088016554	30 TABLET in 1 BOTTLE, PLASTIC (59088-165-54)Marketed from Aug 24, 2020

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): Vitrexyl plus Iron
Generic name (nonproprietary): ferrous fumarate, folic acid
Active ingredients: Chromium nicotinate — 35 ug/1Folic acid — 1000 ug/1Vitamin a acetate — 1500 ug/1Riboflavin — 3.4 mg/1Niacinamide — 20 mg/1Pyridoxine hydrochloride — 20 mg/1Cyanocobalamin — 8 ug/1Calcium carbonate — 200 mg/1Ascorbic acid — 120 mg/1Thiamine mononitrate — 3 mg/1Zinc oxide — 25 mg/1Manganese sulfate — 2.3 mg/1Ferrous fumarate — 27 mg/1Magnesium oxide — 200 mg/1Molybdenum — 45 ug/1.alpha.-tocopherol acetate, Dl- — 30 mg/1Cholecalciferol — 20 ug/1Selenium — 55 ug/1
Dosage form: Tablet
Route: Oral
Labeler: PureTek Corporation
Product type: Prescription drug
Marketing category: Unapproved drug (other)
Marketing start: Aug 24, 2020
Listing expires: Dec 31, 2026
Other FDA classes: Analogs/Derivatives (Chemical/Ingredient)Ascorbic Acid (Chemical structure)Calcium (Chemical structure)Divalent (Chemical structure)Decreased Copper Ion Absorption (Physiologic effect)Increased Coagulation Factor Activity (Physiologic effect)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)Magnetic Resonance Contrast Activity (Mechanism)Osmotic Activity (Mechanism)Stimulation Large Intestine Fluid/Electrolyte Secretion (Physiologic effect)Vitamin A (Chemical structure)Vitamin B 12 (Chemical structure)Vitamin B 6 (Chemical/Ingredient)Vitamin D (Chemical structure)
Identifiers: Product ID 59088-165_f2047f00-c3fe-3e18-e053-2a95a90af35fSPL ID f2047f00-c3fe-3e18-e053-2a95a90af35fSPL set ID ada43056-a3ce-e7de-e053-2a95a90aa046UNII A150AY412V, 935E97BOY8, 3LE3D9D6OY, TLM2976OFR, 25X51I8RD4, 68Y4CF58BV, P6YC3EG204, H0G9379FGK, PQ6CK8PD0R, 8K0I04919X, SOI2LOH54Z, W00LYS4T26, R5L488RY0Q, 3A3U0GI71G, 81AH48963U, WR1WPI7EW8, 1C6V77QF41, H6241UJ22BUPC 0359088165546
Pharmacologic class: Blood Coagulation Factor; Calculi Dissolution Agent; Copper Absorption Inhibitor; Osmotic Laxative; Paramagnetic Contrast Agent; 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

N459088016554 followed by a unit qualifier and the quantity

Package 59088-0165-54. 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

Label details couldn’t be retrieved right now. Open the label on DailyMed.