Over-the-counter drug · UNAPPROVED DRUG OTHER
JBA Collagen-Electrolyte Mocktail NDC 13411-848
Ascorbic acid 100 mg/12g + 11 more ingredients · Powder · Oral · Advanced Pharmaceutical Services, Inc. Dba Affordable Quality Pharmaceuticals
NDC codes
FDA NDC Directory| Package NDC | 11-digit (billing) | Package | Copy |
|---|---|---|---|
| 13411-848-05 | 13411084805 | 5 PACKET in 1 BOX (13411-848-05) / 12 g in 1 PACKETMarketed from Mar 22, 2024 | |
| 13411-848-15 | 13411084815 | 15 PACKET in 1 BOX (13411-848-15) / 12 g in 1 PACKETMarketed from Mar 22, 2024 | |
| 13411-848-30 | 13411084830 | 30 PACKET in 1 BOX (13411-848-30) / 12 g in 1 PACKETMarketed from Mar 22, 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)
- JBA Collagen-Electrolyte Mocktail
- Generic name (nonproprietary)
- vitamin c,thiamin,riboflavin,niacin,vitamin b6,folate,biotin,pantothenic acid,magnesium,zinc,sodium,potassium,bovine collagen peptides
- Active ingredients
- Ascorbic acid — 100 mg/12gThiamine — 1.2 mg/12gRiboflavin — 1.6 mg/12gNiacin — 18 mg/12gPyridoxine — 2.5 mg/12gFolic acid — 200 ug/12gBiotin — 80 ug/12gPantothenic acid — 6 mg/12gMagnesium — 50 mg/12gZinc — 10 mg/12gSodium — 250 mg/12gPotassium — 190 mg/12g
- Dosage form
- Powder
- Route
- Oral
- Product type
- Over-the-counter drug
- Marketing category
- Unapproved drug (other)
- Marketing start
- Listing expires
- Other FDA classes
- Analogs/Derivatives (Chemical/Ingredient)Ascorbic Acid (Chemical structure)Nicotinic Acids (Chemical structure)Vitamin B 6 (Chemical/Ingredient)
- Identifiers
- Product ID 13411-848_31a60acb-b2dc-c568-e063-6294a90a2bd0SPL ID 31a60acb-b2dc-c568-e063-6294a90a2bd0SPL set ID e0199be5-0c51-411a-a184-225c1e6e602fUNII PQ6CK8PD0R, X66NSO3N35, TLM2976OFR, 2679MF687A, KV2JZ1BI6Z, 935E97BOY8, 6SO6U10H04, 19F5HK2737, I38ZP9992A, J41CSQ7QDS, 9NEZ333N27, RWP5GA015D
- Pharmacologic class
- Nicotinic Acid; 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 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
N413411084805followed by a unit qualifier and the quantityPackage 13411-0848-05. 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 .