NDC codes

FDA NDC Directory
Product NDC (as listed)59088-172Labeler and product segments. Claims need a package NDC.
Product NDC at billing width59088-0172Add 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
59088-172-54590880172545908801725430 TABLET in 1 BOTTLE, PLASTIC (59088-172-54)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)
Prometa
Generic name (nonproprietary)
ferrous fumarate, folic acid
Active ingredients
Magnesium oxide — 200 mg/1Manganese sulfate — 2.6 mg/1Vitamin a acetate — 1500 ug/1Ascorbic acid — 120 mg/1Cholecalciferol — 20 ug/1.alpha.-tocopherol acetate, Dl- — 30 mg/1Thiamine mononitrate — 3 mg/1Riboflavin — 3.4 mg/1Niacinamide — 20 mg/1Pyridoxine hydrochloride — 50 mg/1Folic acid — 1000 ug/1Cyanocobalamin — 10 ug/1Calcium carbonate — 200 mg/1Ferrous fumarate — 27 mg/1Zinc oxide — 25 mg/1Molybdenum — 50 ug/1Choline bitartrate — 55 mg/1Selenium — 70 ug/1Chromium nicotinate — 45 ug/1Potassium iodide — 150 ug/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)Phosphate Chelating 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 59088-172_23faa6c9-f8fb-5180-e063-6394a90aeeb9SPL ID 23faa6c9-f8fb-5180-e063-6394a90aeeb9SPL set ID b364551b-2ccc-4db3-e053-2995a90afbbfUNII 1C4QK22F9J, P6YC3EG204, 81AH48963U, WR1WPI7EW8, A150AY412V, 68Y4CF58BV, TLM2976OFR, H6241UJ22B, 3A3U0GI71G, H0G9379FGK, R5L488RY0Q, SOI2LOH54Z, 6K2W7T9V6Y, 25X51I8RD4, PQ6CK8PD0R, W00LYS4T26, 8K0I04919X, 935E97BOY8, 1C6V77QF41, 3LE3D9D6OYUPC 0359088169544
Pharmacologic class
Blood Coagulation Factor; Calculi Dissolution Agent; Copper Absorption Inhibitor; Osmotic Laxative; Paramagnetic Contrast Agent; Phosphate Binder; 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

N459088017254 followed by a unit qualifier and the quantity

Package 59088-0172-54. 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 . This label includes a boxed warning.

Indications (excerpt from the label)

Indications Indicated to provide vitamins and minerals to women throughout pregnancy and during the postnatal period for both lactating and non-lactating mothers, and throughout the childbearing years. May be beneficial in improving the nutritional status of women prior to conception.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 59088-172

What is NDC 59088-172?
59088-172 is the product NDC for Prometa, Magnesium oxide 200 mg/1 + 19 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?
Prometa (Ferrous Fumarate, Folic Acid).
What is the active ingredient?
Magnesium oxide, Manganese sulfate, Vitamin a acetate, Ascorbic acid, Cholecalciferol, .alpha.-tocopherol acetate, Dl-, Thiamine mononitrate, Riboflavin, Niacinamide, Pyridoxine hydrochloride, Folic acid, Cyanocobalamin, Calcium carbonate, Ferrous fumarate, Zinc oxide, Molybdenum, Choline bitartrate, Selenium, Chromium nicotinate, Potassium iodide.
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 Prometa?
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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