Prescription drug · UNAPPROVED DRUG OTHER
Floriva NDC 52796-174
Vitamin a acetate 1000 [iU]/1 + 15 more ingredients · Tablet, Chewable · Oral · BonGeo Pharmaceuticals, Inc.
NDC codes
FDA NDC Directory| Package NDC | 11-digit (billing) | Package | Copy |
|---|---|---|---|
| 52796-174-01 | 52796017401 | 1 BLISTER PACK in 1 CARTON (52796-174-01) / 1 TABLET, CHEWABLE in 1 BLISTER PACKMarketed from Oct 15, 2014 | |
| 52796-174-90 | 52796017490 | 90 TABLET, CHEWABLE in 1 BOTTLE (52796-174-90)Marketed 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)
- vitamin a acetate, .beta.-carotene, ascorbic acid, cholecalciferol, .alpha.-tocopherol, thiamine, riboflavin, niacinamide, pyridoxine, levomefolate glucosamine, folic acid, cyanocobalamin, biotin, zinc gluconate, cupric oxide, and sodium fluoride
- Active ingredients
- Vitamin a acetate — 1000 [iU]/1Beta carotene — 1000 [iU]/1Ascorbic acid — 75 mg/1Cholecalciferol — 600 [iU]/1.alpha.-tocopherol — 20 [iU]/1Thiamine — 1.3 mg/1Riboflavin — 1.5 mg/1Niacinamide — 15 mg/1Pyridoxine — 1.8 mg/1Levomefolate glucosamine — 162 ug/1Folic acid — 100 ug/1Cyanocobalamin — 6 ug/1Biotin — 40 ug/1Zinc gluconate — 5 mg/1Cupric oxide — 1 mg/1Sodium fluoride — .5 mg/1
- Dosage form
- Tablet, Chewable
- Route
- Oral
- Labeler
- BonGeo Pharmaceuticals, Inc.
- Product type
- Prescription drug
- Marketing category
- Unapproved drug (other)
- Marketing start
- Listing expires
- Other FDA classes
- Analogs/Derivatives (Chemical/Ingredient)Ascorbic Acid (Chemical structure)Decreased Copper Ion Absorption (Physiologic effect)Vitamin A (Chemical structure)Vitamin B 12 (Chemical structure)Vitamin B 6 (Chemical/Ingredient)Vitamin D (Chemical structure)
- Identifiers
- Product ID 52796-174_6c1b33d4-bbb3-434e-b5ed-f3cc77c8d0d9SPL ID 6c1b33d4-bbb3-434e-b5ed-f3cc77c8d0d9SPL set ID 34b2924f-d220-4344-8cdd-e7dda54061c2UNII 3LE3D9D6OY, 01YAE03M7J, PQ6CK8PD0R, 1C6V77QF41, H4N855PNZ1, X66NSO3N35, TLM2976OFR, 25X51I8RD4, KV2JZ1BI6Z, Q65PL71Q1A, 935E97BOY8, P6YC3EG204, 6SO6U10H04, U6WSN5SQ1Z, V1XJQ704R4, 8ZYQ1474W7UPC 0352796174909
- Pharmacologic class
- Copper Absorption Inhibitor; 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
N452796017401followed by a unit qualifier and the quantityPackage 52796-0174-01. 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 .