Prescription drug · UNAPPROVED DRUG OTHER
Foltrexyl (Folic acid, vitamin d3) NDC 59088-447
Folic acid 1 mg/1; Vitamin d 125 ug/1 · Tablet · Oral · PureTek Corporation
NDC codes
FDA NDC Directory| Package NDC | 11-digit (billing) | Package | Copy |
|---|---|---|---|
| 59088-447-54 | 5908804475459088044754 | 30 TABLET in 1 BOTTLE, PLASTIC (59088-447-54)Marketed from Oct 29, 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)
- Foltrexyl
- Generic name (nonproprietary)
- folic acid, vitamin d3
- Active ingredients
- Folic acid — 1 mg/1Vitamin d — 125 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
- Vitamin D (Chemical structure)
- Identifiers
- Product ID 59088-447_b2d71f92-018f-183e-e053-2995a90a5db0SPL ID b2d71f92-018f-183e-e053-2995a90a5db0SPL set ID b2d71f92-018f-183e-e053-2995a90a5db0RxCUI 1720258UNII 935E97BOY8, 9VU1KI44GPUPC 0359088447543
- Pharmacologic class
- 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
N459088044754followed by a unit qualifier and the quantityPackage 59088-0447-54. 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 DOSAGE Foltrexyl™ is indicated for dietary management of patients with unique nutritional needs requiring increased folate levels and Vitamin D supplementation. Foltrexyl™ can be taken by women of childbearing age, pregnant women, and lactating and nonlactating mothers.
Excerpt only. Read the full label for complete information.
About NDC 59088-447
- What is NDC 59088-447?
- 59088-447 is the product NDC for Foltrexyl, Folic acid 1 mg/1; Vitamin d 125 ug/1 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?
- Foltrexyl (Folic Acid, Vitamin D3).
- What is the active ingredient?
- Folic acid, Vitamin d.
- 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 Foltrexyl?
- 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.