NDC codes

FDA NDC Directory
Product NDC (as listed)75854-316Labeler and product segments. Claims need a package NDC.
Product NDC at billing width75854-0316Add 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
75854-316-307585403163030 TABLET, FILM COATED in 1 BOTTLE (75854-316-30)Marketed from Aug 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)
Prenate Pixie
Generic name (nonproprietary)
ascorbic acid, biotin, cholecalciferol, cyanocobalamin, levomefolate calcium, folic acid, ferrous asparto glycinate, potassium iodide, pyridoxine hydrochloride, .alpha.-tocopherol acetate, dl-, docosahexaenoic acid, and blueberry
Active ingredients
Ascorbic acid — 30 mg/1Biotin — 75 ug/1Cholecalciferol — 12.5 ug/1Cyanocobalamin — 13 ug/1Folic acid — 400 ug/1Ferrous asparto glycinate — 10 mg/1Potassium iodide — 150 ug/1Pyridoxine hydrochloride — 5 mg/1.alpha.-tocopherol acetate, Dl- — 4.5 mg/1Blueberry — 5 mg/1Docosahexaenoic acid — 200 mg/1Levomefolate calcium — 600 ug/1
Dosage form
Tablet, Film coated
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)Folic Acid (Chemical structure)Vitamin B 12 (Chemical structure)Vitamin B 6 (Chemical/Ingredient)Vitamin D (Chemical structure)
Identifiers
Product ID 75854-316_3518fe22-c02c-a014-e063-6394a90a4ef1SPL ID 3518fe22-c02c-a014-e063-6394a90a4ef1SPL set ID fe0a737e-4f28-40d8-b4a7-090edf86a823UNII PQ6CK8PD0R, 6SO6U10H04, 1C6V77QF41, P6YC3EG204, 935E97BOY8, H7426RGB3L, 1C4QK22F9J, 68Y4CF58BV, WR1WPI7EW8, 253RUG1X1A, ZAD9OKH9JC, A9R10K3F2F
Pharmacologic class
Folate Analog; 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

N475854031630 followed by a unit qualifier and the quantity

Package 75854-0316-30. 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.

Indications (excerpt from the label)

INDICATIONS: PRENATE PIXIE ® is a multivitamin/multimineral fatty acid dietary supplement indicated for use in improving the nutritional status of women throughout pregnancy and in the postnatal period for both lactating and nonlactating mothers.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

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