What is NDC 59088-170?

59088-170 is the product NDC for Davimet with Fluoride, Sodium fluoride .75 mg/1 + 11 more ingredients tablet, chewable, listed with the FDA by PureTek Corporation. It has 1 package NDC, shown above in 10- and 11-digit form.

What drug is associated with this NDC?

Davimet with Fluoride (Multivitamin, Fluoride).

What is the active ingredient?

Sodium fluoride, Vitamin a, Ascorbic acid, Sodium ascorbate, Cholecalciferol, .alpha.-tocopherol acetate, Dl-, Thiamine mononitrate, Riboflavin, Niacin, Pyridoxine hydrochloride, Levomefolate calcium, Methylcobalamin.

PureTek Corporation, NDC labeler code 59088. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.

What other NDCs exist for Davimet with Fluoride?

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.

Davimet with Fluoride NDC 59088-170

NDC codes

FDA NDC Directory

Product NDC (as listed)59088-170Labeler and product segments. Claims need a package NDC.

Product NDC at billing width59088-0170Add 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
59088-170-54	5908801705459088017054	30 TABLET, CHEWABLE in 1 BOTTLE, PLASTIC (59088-170-54)Marketed from Feb 28, 2024

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): Davimet with Fluoride
Generic name (nonproprietary): multivitamin, fluoride
Active ingredients: Sodium fluoride — .75 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/1Niacin — 13.5 mg/1Pyridoxine hydrochloride — 1.05 mg/1Levomefolate calcium — 1000 ug/1Methylcobalamin — 4.5 ug/1
Dosage form: Tablet, Chewable
Route: Oral
Labeler: PureTek CorporationNDC labeler code 59088
Product type: Prescription drug
Marketing category: Unapproved drug (other)
Marketing start: Feb 28, 2024
Listing expires: Dec 31, 2026
Other FDA classes: Analogs/Derivatives (Chemical/Ingredient)Ascorbic Acid (Chemical structure)Ascorbic Acid (Chemical structure)Folic Acid (Chemical structure)Nicotinic Acids (Chemical structure)Vitamin A (Chemical structure)Vitamin B 6 (Chemical/Ingredient)Vitamin D (Chemical structure)
Identifiers: Product ID 59088-170_13a61c0f-7e77-3211-e063-6394a90a4679SPL ID 13a61c0f-7e77-3211-e063-6394a90a4679SPL set ID 11389275-bccb-1293-e063-6394a90aeb4eUNII 8ZYQ1474W7, 81G40H8B0T, PQ6CK8PD0R, S033EH8359, 1C6V77QF41, WR1WPI7EW8, 8K0I04919X, TLM2976OFR, 2679MF687A, 68Y4CF58BV, A9R10K3F2F, BR1SN1JS2W
Pharmacologic class: Folate Analog; Nicotinic Acid; Vitamin A; 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

N459088017054 followed by a unit qualifier and the quantity

Package 59088-0170-54. 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 Mar 14, 2024.

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. Contraindications : This product is contraindicated in patients with a known hypersensitivity to any of the ingredients. The American Academy of Pediatrics recommends that children up to the age 16, in areas where drinking water contains less than optimal levels of fluoride, receive daily fluoride supplementation. Davimet™ with Flouride 0.75 mg Chewable Multivitamin provide 0.75 mg fluoride in tablet form for children 6-16 years of age in areas where the drinking water fluoride level is less than 0.3 ppm. Davimet™ with Flouride 0.75 mg Chewable Mul…

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 59088-170

What is NDC 59088-170?: 59088-170 is the product NDC for Davimet with Fluoride, Sodium fluoride .75 mg/1 + 11 more ingredients tablet, chewable, listed with the FDA by PureTek Corporation. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?: Davimet with Fluoride (Multivitamin, Fluoride).
What is the active ingredient?: Sodium fluoride, Vitamin a, Ascorbic acid, Sodium ascorbate, Cholecalciferol, .alpha.-tocopherol acetate, Dl-, Thiamine mononitrate, Riboflavin, Niacin, Pyridoxine hydrochloride, Levomefolate calcium, Methylcobalamin.
Who is the labeler?: PureTek Corporation, NDC labeler code 59088. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Davimet with Fluoride?: 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.

Davimet with Fluoride (Multivitamin, fluoride) NDC 59088-170