Multi-Vitamin with Fluoride NDC 58657-326

NDC codes

FDA NDC Directory

Product NDC (as listed)58657-326Labeler and product segments. Claims need a package NDC.

Product NDC at billing width58657-0326Add 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 NDC	11-digit (billing)	Package	Copy
58657-326-50	58657032650	1 BOTTLE, DROPPER in 1 BOX (58657-326-50) / 50 mL in 1 BOTTLE, DROPPERMarketed from Feb 24, 2017

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): Multi-Vitamin with Fluoride
Generic name (nonproprietary): vitamin a, ascorbic acid, cholecalciferol, alpha-tocopherol acetate, thiamine hydrochloride, riboflavin 5-phosphate sodium, cyanocobalamin, niacinamide, pyridoxine hydrochloride and sodium fluoride
Active ingredients: Riboflavin 5'-phosphate sodium — .6 mg/mLVitamin a palmitate — 1500 [iU]/mLAscorbic acid — 35 mg/mLCholecalciferol — 400 [iU]/mL.alpha.-tocopherol succinate, D- — 5 [iU]/mLThiamine hydrochloride — .5 mg/mLCyanocobalamin — 2 ug/mLNiacinamide — 8 mg/mLPyridoxine hydrochloride — .4 mg/mLSodium fluoride — .5 mg/mL
Dosage form: Liquid
Route: Oral
Labeler: Method Pharmaceuticals, LLC
Product type: Prescription drug
Marketing category: Unapproved drug (other)
Marketing start: Feb 24, 2017
Listing expires: Dec 31, 2026
Other FDA classes: Analogs/Derivatives (Chemical/Ingredient)Ascorbic Acid (Chemical structure)Photoabsorption (Mechanism)Photosensitizing Activity (Physiologic effect)Vitamin A (Chemical structure)Vitamin B 12 (Chemical structure)Vitamin B 6 (Chemical/Ingredient)Vitamin D (Chemical structure)
Identifiers: Product ID 58657-326_41b65465-739c-c961-e063-6394a90a138eSPL ID 41b65465-739c-c961-e063-6394a90a138eSPL set ID fe1e8e8a-0902-4598-bb06-fe5163c1cffbRxCUI 1234482UNII 20RD1DZH99, 1D1K0N0VVC, PQ6CK8PD0R, 1C6V77QF41, LU4B53JYVE, M572600E5P, P6YC3EG204, 25X51I8RD4, 68Y4CF58BV, 8ZYQ1474W7
Pharmacologic class: Photoenhancer; 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

N458657032650 followed by a unit qualifier and the quantity

Package 58657-0326-50. 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

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