NDC codes

FDA NDC Directory
Product NDC (as listed)85477-921Labeler and product segments. Claims need a package NDC.
Product NDC at billing width85477-0921Add 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
85477-921-308547709213030 TABLET in 1 BOTTLE (85477-921-30)Marketed from Dec 12, 2025

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)
Foltira
Generic name (nonproprietary)
folate, vitamin d3
Active ingredients
Folate sodium — 1.7 mg/1Vitamin d — .125 mg/1
Dosage form
Tablet
Route
Oral
Product type
Prescription drug
Marketing category
Unapproved drug (other)
Marketing start
Listing expires
Other FDA classes
Vitamin D (Chemical structure)
Identifiers
Product ID 85477-921_46025cb4-fe1b-5da5-e063-6294a90af293SPL ID 46025cb4-fe1b-5da5-e063-6294a90af293SPL set ID 46025cb4-fe1a-5da5-e063-6294a90af293RxCUI 1720258UNII 9P9W8GGU78, 9VU1KI44GPUPC 0385477000006
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

N485477092130 followed by a unit qualifier and the quantity

Package 85477-0921-30. 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)

Foltira is for patients with unique nutritional needs requiring increased folate levels and Vitamin D supplementation due to Vitamin D deficiency.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

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