NDC codes

FDA NDC Directory
Product NDC (as listed)63629-1137Labeler and product segments. Claims need a package NDC.
Product NDC at billing width63629-1137Add 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
63629-1137-16362911370190 TABLET, CHEWABLE in 1 BOTTLE (63629-1137-1)Marketed from Jul 20, 2018

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)
Multivitamin with Fluoride
Generic name (nonproprietary)
.alpha.-tocopherol acetate, dl-, ascorbic acid, cyanocobalamin, folic acid, niacin, pyridoxine, riboflavin, sodium fluoride, thiamine mononitrate, vitamin a and vitamin d
Active ingredients
Vitamin a — 2500 [iU]/1Ascorbic acid — 60 mg/1Vitamin d — 400 [iU]/1.alpha.-tocopherol acetate, Dl- — 15 [iU]/1Thiamine mononitrate — 1.05 mg/1Riboflavin — 1.2 mg/1Niacin — 13.5 mg/1Pyridoxine — 1.05 mg/1Folic acid — 300 ug/1Cyanocobalamin — 4.5 ug/1Sodium fluoride — .5 mg/1
Dosage form
Tablet, Chewable
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)Nicotinic Acids (Chemical structure)Vitamin A (Chemical structure)Vitamin B 12 (Chemical structure)Vitamin B 6 (Chemical/Ingredient)
Identifiers
Product ID 63629-1137_ef7fa48e-885e-4e01-99fe-705297fa1c70SPL ID ef7fa48e-885e-4e01-99fe-705297fa1c70SPL set ID 5568579f-3445-4f04-a936-33c78b33392cUNII 81G40H8B0T, PQ6CK8PD0R, 9VU1KI44GP, WR1WPI7EW8, 8K0I04919X, TLM2976OFR, 2679MF687A, KV2JZ1BI6Z, 935E97BOY8, P6YC3EG204, 8ZYQ1474W7
Pharmacologic class
Nicotinic Acid; Vitamin A; Vitamin B12; 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

N463629113701 followed by a unit qualifier and the quantity

Package 63629-1137-01. 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 .

Indications (excerpt from the label)

INDICATIONS AND USAGE Supplementation of the diet with ten essential vitamins. Supplementation of the diet with fluoride for caries prophylaxis. M ultivitamin with Fluoride 0.5 mg Chewable Tablets provide 0.5 mg fluoride in tablet form for children 4-6 years of age in areas where the drinking water fluoride level is less than 0.3 ppm, and for children 6 years of age and above where the drinking water contains 0.3 through 0.6 ppm of fluoride. Multivitamin with Fluoride 0.5 mg Chewable Tablets supply significant amounts of Vitamins A, C, D, E, thiamine, riboflavin, niacin, vitamin B6, vitamin B12, and folate to supplement the diet, and to help assure that nutritional deficiencies of these vita…

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

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