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 NDC11-digit (billing)PackageCopy
59088-170-545908801705430 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 a750 ug/1Ascorbic acid24 mg/1Sodium ascorbate36 mg/1Cholecalciferol10 ug/1.alpha.-tocopherol acetate, Dl-6.75 mg/1Thiamine mononitrate1.05 mg/1Riboflavin1.2 mg/1Niacin13.5 mg/1Pyridoxine hydrochloride1.05 mg/1Levomefolate calcium1000 ug/1Methylcobalamin4.5 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)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 .

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)

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