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NDC 58657-0170-01 M-Natal Plus 22; 120; 200; 2; 12; 27; 1; 20; 10; 3; 1.84; 4000; 400; 25 [iU]/1; mg/1; mg/1; mg/1; ug/1; mg/1; mg/1; mg/1; mg/1; mg/1; mg/1; [iU]/1; [iU]/1; mg/1 Details
M-Natal Plus 22; 120; 200; 2; 12; 27; 1; 20; 10; 3; 1.84; 4000; 400; 25 [iU]/1; mg/1; mg/1; mg/1; ug/1; mg/1; mg/1; mg/1; mg/1; mg/1; mg/1; [iU]/1; [iU]/1; mg/1
M-Natal Plus is a ORAL TABLET in the HUMAN PRESCRIPTION DRUG category. It is labeled and distributed by METHOD PHARMACEUTICALS, LLC. The primary component is .ALPHA.-TOCOPHEROL ACETATE; ASCORBIC ACID; CALCIUM; COPPER; CYANOCOBALAMIN; FERROUS FUMARATE; FOLIC ACID; NIACIN; PYRIDOXINE HYDROCHLORIDE; RIBOFLAVIN; THIAMINE; VITAMIN A; VITAMIN D; ZINC.
Product Information
| NDC | 58657-0170 |
|---|---|
| Product ID | 58657-170_0c32fde1-7dac-76c4-e063-6394a90af95f |
| Associated GPIs | 78512015000324 |
| GCN Sequence Number | 066420 |
| GCN Sequence Number Description | PNV,calcium 72/iron/folic acid TABLET 27 MG-1 MG ORAL |
| HIC3 | C6F |
| HIC3 Description | PRENATAL VITAMIN PREPARATIONS |
| GCN | 28688 |
| HICL Sequence Number | 037025 |
| HICL Sequence Number Description | PRENATAL VITS WITH CALCIUM NO.72/FERROUS FUMARATE/FOLIC ACID |
| Brand/Generic | Generic |
| Proprietary Name | M-Natal Plus |
| Proprietary Name Suffix | n/a |
| Non-Proprietary Name | Vitamin A, Vitamin C, Vitamin D, Vitamin E, Thiamine, Riboflavin, Niacin, Vitamin B6, Folic Acid, Vitamin B12, Calcium, Iron, Zinc, Copper |
| Product Type | HUMAN PRESCRIPTION DRUG |
| Dosage Form | TABLET |
| Route | ORAL |
| Active Ingredient Strength | 22; 120; 200; 2; 12; 27; 1; 20; 10; 3; 1.84; 4000; 400; 25 |
| Active Ingredient Units | [iU]/1; mg/1; mg/1; mg/1; ug/1; mg/1; mg/1; mg/1; mg/1; mg/1; mg/1; [iU]/1; [iU]/1; mg/1 |
| Substance Name | .ALPHA.-TOCOPHEROL ACETATE; ASCORBIC ACID; CALCIUM; COPPER; CYANOCOBALAMIN; FERROUS FUMARATE; FOLIC ACID; NIACIN; PYRIDOXINE HYDROCHLORIDE; RIBOFLAVIN; THIAMINE; VITAMIN A; VITAMIN D; ZINC |
| Labeler Name | METHOD PHARMACEUTICALS, LLC |
| Pharmaceutical Class | Analogs/Derivatives [Chemical/Ingredient], Ascorbic Acid [CS], Calcium [CS], Calcium [EPC], Copper [CS], Copper-containing Intrauterine Device [EPC], Decreased Embryonic Implantation [PE], Decreased Sperm Motility [PE], Inhibit Ovum Fertilization [PE], Ni |
| DEA Schedule | n/a |
| Marketing Category | UNAPPROVED DRUG OTHER |
| Application Number | n/a |
| Listing Certified Through | 2024-12-31 |
Package
NDC 58657-0170-01 (58657017001)
| NDC Package Code | 58657-170-01 |
|---|---|
| Billing NDC | 58657017001 |
| Package | 100 TABLET in 1 BOTTLE (58657-170-01) |
| Marketing Start Date | 2018-10-01 |
| NDC Exclude Flag | N |
| Pricing Information | |
| Price Per Unit | 0.11947 |
| Pricing Unit | EA |
| Effective Date | 2024-02-21 |
| NDC Description | M-NATAL PLUS TABLET |
| Pharmacy Type Indicator | C/I |
| OTC | N |
| Explanation Code | 1 |
| Classification for Rate Setting | G |
| As of Date | 2024-02-21 |
This pricing file, entitled the NADAC (National Average Drug Acquisition
Cost) files, provide
state Medicaid agencies with covered outpatient drug prices by averaging
survey invoice
prices from retail community pharmacies across the United States. These
pharmacies include
independent retail community pharmacies and chain pharmacies. The prices
are updated on a
weekly and monthly basis