NDC codes

FDA NDC Directory
Product NDC (as listed)50090-0616Labeler and product segments. Claims need a package NDC.
Product NDC at billing width50090-0616Add 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
50090-0616-050090061600100 TABLET in 1 BOTTLE, PLASTIC (50090-0616-0)Marketed from Nov 28, 2014

How the 11-digit form is made: The package segment has 1 digit, so one leading zero is added to it (5-4-1 → 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)
Prenatal Vitamins Plus Low Iron
Generic name (nonproprietary)
prenatal with ferrous fumarate and folic acid
Active ingredients
Vitamin a acetate — 924 ug/1.beta.-carotene — 276 ug/1Ascorbic acid — 120 mg/1Cholecalciferol — 10 ug/1.alpha.-tocopherol acetate, Dl- — 10 mg/1Thiamine mononitrate — 1.84 mg/1Riboflavin — 3 mg/1Niacinamide — 20 mg/1Pyridoxine hydrochloride — 10 mg/1Folic acid — 1667 ug/1Cyanocobalamin — 12 ug/1Calcium carbonate — 200 mg/1Ferrous fumarate — 27 mg/1Zinc oxide — 25 mg/1Cupric oxide — 2 mg/1
Dosage form
Tablet
Route
Oral
Product type
Prescription drug
Marketing category
Unapproved drug (other)
Marketing start
Listing expires
Other FDA classes
Analogs/Derivatives (Chemical/Ingredient)Ascorbic Acid (Chemical structure)Calcium (Chemical structure)Divalent (Chemical structure)Increased Coagulation Factor Activity (Physiologic effect)Phosphate Chelating Activity (Mechanism)Vitamin A (Chemical structure)Vitamin B 12 (Chemical structure)Vitamin B 6 (Chemical/Ingredient)Vitamin D (Chemical structure)
Identifiers
Product ID 50090-0616_4267d8a4-92c4-4eff-982c-f097398549eeSPL ID 4267d8a4-92c4-4eff-982c-f097398549eeSPL set ID ed793721-e869-43de-9d6e-6dc9c8230e36UNII 3LE3D9D6OY, PQ6CK8PD0R, 1C6V77QF41, WR1WPI7EW8, 8K0I04919X, TLM2976OFR, 25X51I8RD4, 68Y4CF58BV, 935E97BOY8, P6YC3EG204, H0G9379FGK, R5L488RY0Q, SOI2LOH54Z, V1XJQ704R4
Pharmacologic class
Blood Coagulation Factor; Phosphate Binder; 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

N450090061600 followed by a unit qualifier and the quantity

Package 50090-0616-00. 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.

Full label on DailyMed (opens in a new tab)

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