NDC codes

FDA NDC Directory
Product NDC (as listed)75826-169Labeler and product segments. Claims need a package NDC.
Product NDC at billing width75826-0169Add 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
75826-169-1075826016910100 TABLET, CHEWABLE in 1 BOTTLE, PLASTIC (75826-169-10)Marketed from Feb 1, 2024

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)
Multivitamin with Fluoride
Generic name (nonproprietary)
sodium fluoride
Active ingredients
Sodium fluoride.25 mg/1Vitamin a750 ug/1Ascorbic acid24 mg/1Sodium ascorbate36 mg/1Cholecalciferol10 ug/1.alpha.-tocopherol acetate, Dl-6.75 mg/1Thiamine mononitrate1.05 mg/1Riboflavin1.2 mg/1Niacinamide13.5 mg/1Pyridoxine hydrochloride1.05 mg/1Folic acid500 ug/1Cyanocobalamin4.5 ug/1
Dosage form
Tablet, Chewable
Route
Oral
Product type
Prescription drug
Marketing category
Unapproved drug (other)
Marketing start
Marketing end
Other FDA classes
Analogs/Derivatives (Chemical/Ingredient)Ascorbic Acid (Chemical structure)Ascorbic Acid (Chemical structure)Vitamin A (Chemical structure)Vitamin B 12 (Chemical structure)Vitamin B 6 (Chemical/Ingredient)Vitamin D (Chemical structure)
Identifiers
Product ID 75826-169_3d5c9b5b-6c7f-73c9-e063-6294a90a42b8SPL ID 3d5c9b5b-6c7f-73c9-e063-6294a90a42b8SPL set ID a10ff759-eba7-414b-bb98-f17fbb6e6b57UNII 1C6V77QF41, 81G40H8B0T, PQ6CK8PD0R, WR1WPI7EW8, TLM2976OFR, 8ZYQ1474W7, S033EH8359, 25X51I8RD4, 68Y4CF58BV, 8K0I04919X, P6YC3EG204, 935E97BOY8UPC 0375826169102, 0375826170108, 0375826171105
Pharmacologic class
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

N475826016910 followed by a unit qualifier and the quantity

Package 75826-0169-10. 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 Supplementation of the diet with fluoride and ten essential vitamins. Multivitamin with 1.0 mg Fluoride Chewable Tablets provide fluoride in tablet form for children 6-16 years of age in areas where the water fluoride level is less than 0.3 ppm. Multivitamin with 0.5 mg Fluoride Chewable Tablet s provide fluoride in tablet form for children 4-6 years of age where the water fluoride level is less than 0.3 ppm, and for children 6 years of age and above where the drinking water contains 0.3 through 0.6 ppm of fluoride. Multivitamin with 0.25 mg Fluoride Chewable Tablets provide fluoride in tablet form for children 4-6 years of age where the drinking water contains 0.3 thro

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

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