Vitafol One (prenatal supplement with dha) NDC 0642-0070

NDC codes

FDA NDC Directory

Product NDC (as listed)0642-0070Labeler and product segments. Claims need a package NDC.

Product NDC at billing width00642-0070Add 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 NDC	11-digit (billing)	Package	Copy
0642-0070-03	00642007003	1 BLISTER PACK in 1 BOX (0642-0070-03) / 3 CAPSULE, GELATIN COATED in 1 BLISTER PACKMarketed from Oct 1, 2018 · Sample package
0642-0070-30	00642007030	5 BLISTER PACK in 1 BOX (0642-0070-30) / 6 CAPSULE, GELATIN COATED in 1 BLISTER PACKMarketed from Jun 13, 2011

How the 11-digit form is made: The labeler segment has 4 digits, so one leading zero is added to it (4-4-2 → 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): Vitafol OneSuffix: One
Generic name (nonproprietary): prenatal supplement with dha
Active ingredients: Vitamin a — 330 ug/1Ascorbic acid — 30 mg/1Thiamine mononitrate — 1.6 mg/1Riboflavin — 1.8 mg/1Niacin — 15 mg/1Pyridoxine hydrochloride — 2.5 mg/1Cyanocobalamin — .012 mg/1Folic acid — 1700 ug/1Iodine — .15 mg/1Magnesium — 20 mg/1Zinc — 25 mg/1Copper — 2 mg/1Vitamin d — 25 ug/1Omega-3 fatty acids — 200 mg/1.alpha.-tocopherol — 9 mg/1Iron — 29 mg/1
Dosage form: Capsule, Gelatin coated
Route: Oral
Labeler: Exeltis USA, Inc.
Product type: Prescription drug
Marketing category: Unapproved drug (other)
Marketing start: Jun 13, 2011
Listing expires: Dec 31, 2026
Other FDA classes: Analogs/Derivatives (Chemical/Ingredient)Ascorbic Acid (Chemical structure)Copper (Chemical structure)Decreased Embryonic Implantation (Physiologic effect)Decreased Sperm Motility (Physiologic effect)Omega-3 (Chemical structure)Inhibit Ovum Fertilization (Physiologic effect)Nicotinic Acids (Chemical structure)Vitamin A (Chemical structure)Vitamin B 12 (Chemical structure)Vitamin B 6 (Chemical/Ingredient)Vitamin D (Chemical structure)
Identifiers: Product ID 0642-0070_30c98709-e351-f96b-e063-6394a90a9eb5SPL ID 30c98709-e351-f96b-e063-6394a90a9eb5SPL set ID 42a5cafd-a2c0-4ac2-99c9-708642f00716RxCUI 1119569, 1119573UNII 81G40H8B0T, PQ6CK8PD0R, 8K0I04919X, TLM2976OFR, 2679MF687A, 68Y4CF58BV, P6YC3EG204, 935E97BOY8, 9679TC07X4, I38ZP9992A, J41CSQ7QDS, 789U1901C5, 9VU1KI44GP, 71M78END5S, H4N855PNZ1, E1UOL152H7UPC 0306420070303
Pharmacologic class: Copper-containing Intrauterine Device; Nicotinic Acid; Omega-3 Fatty Acid; 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

N400642007003 followed by a unit qualifier and the quantity

Package 00642-0070-03. 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 Mar 20, 2025. This label includes a boxed warning.

Indications (excerpt from the label)

USAGE: Vitafol ® One is indicated to provide vitamin, mineral, and omega-3 fatty acid supplementation prior to conception, throughout pregnancy, and during the postnatal period for the lactating and non-lactating mother, including individuals with known allergies to fish.*

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)