NDC codes

FDA NDC Directory
Product NDC (as listed)59088-524Labeler and product segments. Claims need a package NDC.
Product NDC at billing width59088-0524Add 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
59088-524-54590880524545908805245430 TABLET in 1 BOTTLE, PLASTIC (59088-524-54)Marketed from Jan 14, 2022

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)
Dotremin
Generic name (nonproprietary)
folic acid, vitamin d3
Active ingredients
Folic acid — 1 mg/1Vitamin d — 250 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 59088-524_d5922f8a-7f55-7e96-e053-2a95a90a70a1SPL ID d5922f8a-7f55-7e96-e053-2a95a90a70a1SPL set ID cd132db2-7ff7-a9eb-e053-2995a90a02c5RxCUI 2569082UNII 935E97BOY8, 9VU1KI44GPUPC 0359088524541
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

N459088052454 followed by a unit qualifier and the quantity

Package 59088-0524-54. 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 Dotremin™ is indicated for dietary management of patients with unique nutritional needs requiring increased folate levels and Vitamin D supplementation.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 59088-524

What is NDC 59088-524?
59088-524 is the product NDC for Dotremin, Folic acid 1 mg/1; Vitamin d 250 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?
Dotremin (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 Dotremin?
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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