NDC codes

FDA NDC Directory
Product NDC (as listed)0642-0076Labeler and product segments. Claims need a package NDC.
Product NDC at billing width00642-0076Add 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
0642-0076-03006420076031 KIT in 1 CARTON (0642-0076-03) * 30 TABLET, COATED in 1 BOX * 30 CAPSULE in 1 BOXMarketed from Feb 16, 2007 · Sample package
0642-0076-30006420076301 KIT in 1 CARTON (0642-0076-30) * 30 TABLET, COATED in 1 BOX * 30 CAPSULE in 1 BOXMarketed from Feb 16, 2007

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-OB Plus DHA Prenatal Supplement Plus DHASuffix: Prenatal Supplement Plus DHA
Generic name (nonproprietary)
vitamin a, ascorbic acid, vitamin d, .alpha.-tocopherol, thiamine mononitrate, riboflavin, niacin, pyridoxine hydrochloride, folic acid, cyanocobalamin, calcium, iron, magnesium, zinc, copper, and doconexent
Dosage form
Kit
Product type
Prescription drug
Marketing category
Unapproved drug (other)
Marketing start
Listing expires
Identifiers
Product ID 0642-0076_30c90d31-b4c5-a517-e063-6394a90a633cSPL ID 30c90d31-b4c5-a517-e063-6394a90a633cSPL set ID a0e273e2-0876-4830-a903-282085be7f32RxCUI 1100198

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

N400642007603 followed by a unit qualifier and the quantity

Package 00642-0076-03. 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 . This label includes a boxed warning.

Indications (excerpt from the label)

INDICATIONS AND USAGE Vitafol ® -OB+DHA 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.* Vitafol ® -OB+DHA does not contain fish, fish oils, fish proteins or fish byproducts.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

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