NDC codes

FDA NDC Directory
Product NDC (as listed)59088-643Labeler and product segments. Claims need a package NDC.
Product NDC at billing width59088-0643Add 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
59088-643-54590880643545908806435430 CAPSULE in 1 BOTTLE, PLASTIC (59088-643-54)Marketed from Feb 15, 2023

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)
Dexatran
Generic name (nonproprietary)
multivitamin
Active ingredients
Magnesium sulfate heptahydrate — 6.9 mg/1Riboflavin — 6 mg/1Niacinamide — 30 mg/1Pyridoxine hydrochloride — 5 mg/1Folic acid — 1 mg/1Cyanocobalamin — 15 ug/1Calcium pantothenate — 10 mg/1Sodium ascorbate — 200 mg/1Thiamine mononitrate — 10 mg/1Zinc sulfate — 18.2 mg/1Manganese sulfate — 1.3 mg/1Ferrous fumarate — 18 mg/1Cupric sulfate — .8 mg/1
Dosage form
Capsule
Route
Cutaneous, 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)Decreased Copper Ion Absorption (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 B 12 (Chemical structure)Vitamin B 6 (Chemical/Ingredient)
Identifiers
Product ID 59088-643_22078fec-3885-36f9-e063-6294a90aba17SPL ID 22078fec-3885-36f9-e063-6294a90aba17SPL set ID e052d2c2-7a3f-37be-e053-2a95a90af21cUNII SK47B8698T, TLM2976OFR, 25X51I8RD4, 68Y4CF58BV, 935E97BOY8, P6YC3EG204, 568ET80C3D, S033EH8359, 8K0I04919X, 89DS0H96TB, W00LYS4T26, R5L488RY0Q, LRX7AJ16DT
Pharmacologic class
Calculi Dissolution Agent; Copper Absorption Inhibitor; Osmotic Laxative; Paramagnetic Contrast Agent; Vitamin B12; Vitamin B6 Analog; Vitamin C

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 drug-specific HCPCS code in Med-Code's directory for this product. The directory is curated and not complete — check the current CMS HCPCS file before billing.

NDC on a medical claim

N459088064354 followed by a unit qualifier and the quantity

Package 59088-0643-54. 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: Dexatran™ is indicated to provide dietary management for 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 59088-643

What is NDC 59088-643?
59088-643 is the product NDC for Dexatran (multivitamin), Magnesium sulfate heptahydrate 6.9 mg/1 + 12 more ingredients capsule, 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?
Dexatran (Multivitamin).
What is the active ingredient?
Magnesium sulfate heptahydrate, Riboflavin, Niacinamide, Pyridoxine hydrochloride, Folic acid, Cyanocobalamin, Calcium pantothenate, Sodium ascorbate, Thiamine mononitrate, Zinc sulfate, Manganese sulfate, Ferrous fumarate, Cupric 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 Dexatran?
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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