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NDC 58657-0323-50 Tri-Vite Drops with Fluoride 35; .25; 1500; 400 mg/mL; mg/mL; [iU]/mL; [iU]/mL Details
Tri-Vite Drops with Fluoride 35; .25; 1500; 400 mg/mL; mg/mL; [iU]/mL; [iU]/mL
Tri-Vite Drops with Fluoride is a ORAL SOLUTION in the HUMAN PRESCRIPTION DRUG category. It is labeled and distributed by Method Pharmaceuticals, LLC. The primary component is ASCORBIC ACID; SODIUM FLUORIDE; VITAMIN A; VITAMIN D.
Product Information
| NDC | 58657-0323 |
|---|---|
| Product ID | 58657-323_0c566022-bdd8-fc5c-e063-6294a90a3cba |
| Associated GPIs | 78440500002010 |
| GCN Sequence Number | 066719 |
| GCN Sequence Number Description | ped mvit A,C,D3 no.21/fluoride DROPS 0.25 MG/ML ORAL |
| HIC3 | C6H |
| HIC3 Description | PEDIATRIC VITAMIN PREPARATIONS |
| GCN | 29088 |
| HICL Sequence Number | 037191 |
| HICL Sequence Number Description | PEDIATRIC MULTIVIT WITH A,C,D3 NO.21/SODIUM FLUORIDE |
| Brand/Generic | Generic |
| Proprietary Name | Tri-Vite Drops with Fluoride |
| Proprietary Name Suffix | n/a |
| Non-Proprietary Name | ASCORBIC ACID, SODIUM FLUORIDE, VITAMIN A and VITAMIN D |
| Product Type | HUMAN PRESCRIPTION DRUG |
| Dosage Form | SOLUTION |
| Route | ORAL |
| Active Ingredient Strength | 35; .25; 1500; 400 |
| Active Ingredient Units | mg/mL; mg/mL; [iU]/mL; [iU]/mL |
| Substance Name | ASCORBIC ACID; SODIUM FLUORIDE; VITAMIN A; VITAMIN D |
| Labeler Name | Method Pharmaceuticals, LLC |
| Pharmaceutical Class | Ascorbic Acid [CS], Vitamin A [CS], Vitamin A [EPC], Vitamin C [EPC] |
| DEA Schedule | n/a |
| Marketing Category | UNAPPROVED DRUG OTHER |
| Application Number | n/a |
| Listing Certified Through | 2024-12-31 |
Package
NDC 58657-0323-50 (58657032350)
| NDC Package Code | 58657-323-50 |
|---|---|
| Billing NDC | 58657032350 |
| Package | 1 BOTTLE, DROPPER in 1 CARTON (58657-323-50) / 50 mL in 1 BOTTLE, DROPPER |
| Marketing Start Date | 2018-07-25 |
| NDC Exclude Flag | N |
| Pricing Information | |
| Price Per Unit | 0.199 |
| Pricing Unit | ML |
| Effective Date | 2023-06-21 |
| NDC Description | TRI-VITE-FLUORIDE 0.25 MG/ML |
| Pharmacy Type Indicator | C/I |
| OTC | N |
| Explanation Code | 4, 5 |
| 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