NDC codes

FDA NDC Directory
Product NDC (as listed)59088-171Labeler and product segments. Claims need a package NDC.
Product NDC at billing width59088-0171Add 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
59088-171-54590880171545908801715430 TABLET in 1 BOTTLE, PLASTIC (59088-171-54)Marketed from Jan 11, 2021

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)
Vitranol
Generic name (nonproprietary)
folic acid
Active ingredients
Pyridoxine hydrochloride — 20 mg/1Selenium — 55 ug/1Folic acid — 1000 ug/1Magnesium oxide — 200 mg/1Molybdenum — 45 ug/1Thiamine mononitrate — 3 mg/1Cyanocobalamin — 8 ug/1Vitamin a acetate — 1500 ug/1Chromium nicotinate — 35 ug/1Cholecalciferol — 20 ug/1Riboflavin — 3.4 mg/1Niacinamide — 20 mg/1.alpha.-tocopherol acetate, Dl- — 30 mg/1Zinc oxide — 25 mg/1Calcium carbonate — 200 mg/1Ascorbic acid — 120 mg/1Manganese sulfate — 2.3 mg/1
Dosage form
Tablet
Route
Oral
Labeler
PureTek CorporationNDC labeler code 59088
Product type
Prescription drug
Marketing category
Unapproved drug (other)
Marketing start
Listing expires
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 59088-171_f204b4b3-176f-8839-e053-2a95a90a7115SPL ID f204b4b3-176f-8839-e053-2a95a90a7115SPL set ID b34fee43-bea9-45b7-e053-2a95a90aad4dUNII H6241UJ22B, WR1WPI7EW8, 3A3U0GI71G, W00LYS4T26, PQ6CK8PD0R, 8K0I04919X, H0G9379FGK, 935E97BOY8, A150AY412V, 1C6V77QF41, P6YC3EG204, SOI2LOH54Z, 3LE3D9D6OY, 68Y4CF58BV, 81AH48963U, TLM2976OFR, 25X51I8RD4UPC 0359088167540, 0359088171547
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

N459088017154 followed by a unit qualifier and the quantity

Package 59088-0171-54. 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: To provide vitamin supplements to men and women. Folic acid is effective in the treatment of megaloblastic anemias due to a deficiency of folic acid (as may be seen in tropical or nontropical sprue) and in anemias of nutritional origin, pregnancy, infancy, or childhood.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 59088-171

What is NDC 59088-171?
59088-171 is the product NDC for Vitranol (folic acid), Pyridoxine hydrochloride 20 mg/1 + 16 more ingredients tablet, 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?
Vitranol (Folic Acid).
What is the active ingredient?
Pyridoxine hydrochloride, Selenium, Folic acid, Magnesium oxide, Molybdenum, Thiamine mononitrate, Cyanocobalamin, Vitamin a acetate, Chromium nicotinate, Cholecalciferol, Riboflavin, Niacinamide, .alpha.-tocopherol acetate, Dl-, Zinc oxide, Calcium carbonate, Ascorbic acid, Manganese sulfate.
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 Vitranol?
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.

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