Prescription drug · UNAPPROVED DRUG OTHER
Floriva NDC 52796-172
cholecalciferol and sodium fluoride · Cholecalciferol 400 [iU]/mL; Sodium fluoride .25 mg/mL · Liquid · Oral · BonGeo Pharmaceuticals, Inc.
NDC codes
FDA NDC Directory| Package NDC | 11-digit (billing) | Package | Copy |
|---|---|---|---|
| 52796-172-50 | 52796017250 | 1 BOTTLE, DROPPER in 1 BOX (52796-172-50) / 50 mL in 1 BOTTLE, DROPPERMarketed from Oct 15, 2014 |
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)
- Floriva
- Generic name (nonproprietary)
- cholecalciferol and sodium fluoride
- Active ingredients
- Cholecalciferol — 400 [iU]/mLSodium fluoride — .25 mg/mL
- Dosage form
- Liquid
- Route
- Oral
- Labeler
- BonGeo Pharmaceuticals, Inc.
- Product type
- Prescription drug
- Marketing category
- Unapproved drug (other)
- Marketing start
- Listing expires
- Other FDA classes
- Vitamin D (Chemical structure)
- Identifiers
- Product ID 52796-172_b70f7032-674d-4052-84d9-35ee99f33868SPL ID b70f7032-674d-4052-84d9-35ee99f33868SPL set ID 54eeeeda-9314-4b7c-9efc-0bedfffb91b6RxCUI 1596005UNII 1C6V77QF41, 8ZYQ1474W7
- 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
N452796017250followed by a unit qualifier and the quantityPackage 52796-0172-50. 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)
How to Use Fill dropper to appropriate line and dispense with a single squeeze of the dropper bulb. The full dose will be given. It is normal for a small amount to remain in the tip of the dropper. Do not accept if tamper evident box seal is broken or missing. The manufacturer of this product requires that it be dispensed only under the order of a physician or licensed medical practitioner.
Excerpt only. Read the full label for complete information.