Multi-Vitamin with Fluoride VITAMIN A, ASCORBIC ACID, CHOLECALCIFEROL, ALPHA-TOCOPHEROL ACETATE, THIAMINE HYDROCHLORIDE, RIBOFLAVIN 5-PHOSPHATE SODIUM, CYANOCOBALAMIN, NIACINAMIDE, PYRIDOXINE HYDROCHLORIDE and SODIUM 5'-PHOSPHATE SODIUM .6 mg/mL; 1500 [iU]/mL; 35 mg/mL; 400 [iU]/mL; 5 [iU]/mL; .5 mg/mL; 2 ug/mL; 8 mg/mL Liquid — NDC 58657-326-50 (Billing 58657-0326-50)
This is a package of Multi-Vitamin with Fluoride VITAMIN A, ASCORBIC ACID, CHOLECALCIFEROL, ALPHA-TOCOPHEROL ACETATE, THIAMINE HYDROCHLORIDE, RIBOFLAVIN 5-PHOSPHATE SODIUM, CYANOCOBALAMIN, NIACINAMIDE, PYRIDOXINE HYDROCHLORIDE and SODIUM 5'-PHOSPHATE SODIUM .6 mg/mL; 1500 [iU]/mL; 35 mg/mL; 400 [iU]/mL; 5 [iU]/mL; .5 mg/mL; 2 ug/mL; 8 mg/mL Liquid from Method Pharmaceuticals, LLC, marketed since Feb 2017 and currently FDA-listed; retail pharmacies pay about $0.1751 per mL (NADAC). It is this product's only package size.
NDC database record
One package, one record: these facts belong to NDC 58657-326-50 alone.
- Record
- FDA NDC Directory package listing · Human prescription drug
- Code segments
- 58657 labeler · 326 product · 50 package
- Package marketed since
- Feb 24, 2017
- Sample package
- No — commercial package
- Listing certified through
- Dec 31, 2026
- Barcode (UPC-A, from the NDC)
- 3 5865732650 0
- Medicaid fills, this package
- 10,771 prescriptions in the last four reported quarters
- FDA record last changed
- Oct 1, 2026
Identity & classification
Regulatory identifiers FDA, NLM and CMS codes for this package
Drug-database identifiers Medi-Span GPI and First Databank GCN / HICL / AHFS classification
- GSN (GCN sequence number): 072286
- GCN: 36434
- GPI-14 (Medi-Span): 78441000001820
- HICL (First Databank): 041106
- AHFS class code: 88:28.00.00
- RxCUI (RxNorm): 1234482
Where does this data come from?
- FDA openFDA NDC Directory · synced Oct 1, 2026
- FDA label on DailyMed · label index refreshed Oct 3, 2026
- RxNorm (NLM RxNav) · catalog refreshed Oct 1, 2026
- Medi-Span GPI (licensed)
- First Databank (licensed) · refreshed Oct 1, 2026
RxNorm drug class
This medicine belongs to the Vitamin B1, plain class.
Where does this data come from?
- RxClass (NLM) · catalog refreshed Oct 1, 2026
Clinical
This is an oral liquid multivitamin and mineral supplement that contains vitamins A, C, D, E, and B-complex vitamins (thiamine, riboflavin, B6, B12, and niacinamide) along with sodium fluoride. These ingredients are typically found in nutritional supplements intended to support general vitamin and mineral nutrition. The product is marketed as an unapproved drug and has not received FDA approval.
Patient education
Supplement & herbal interactions
Where does this data come from?
- MedlinePlus (NLM) · refreshed Oct 1, 2026
- FDA label on DailyMed · label index refreshed Oct 3, 2026
Ask a licensed pharmacist directly — free, answered by our team.
Pricing
A drug doesn't have one price. Each row is a different public payment system, and none is what you'd pay at the counter — that depends on your insurance. The ⓘ on each row explains what it measures.
| Price system | Per mL | Per package |
|---|---|---|
| Retail pharmacies payNADAC · weekly | $0.175 | $8.76 / 50 ml |
| Medicaid paysCMS SDUD · 12 mo | $0.2974 | $14.87 / 50 ml |
| Medicare drug plans payPart D · quarterly | No Part D plan price is available for this NDC in our data. | |
Where does this data come from?
- CMS NADAC weekly file · file of Sep 30, 2026
- CMS ASP pricing files · refreshed Sep 20, 2026
- CMS Medicaid State Drug Utilization Data · through Q1 2026
- CMS Part D plan pricing files · refreshed Sep 24, 2026
- VA National Acquisition Center price file
Packaging — all sizes for this product
| Package NDC | Description | Marketing start | Marketing end | Status |
|---|---|---|---|---|
| 58657-0326-50 You're viewing this Main listing | 1 BOTTLE, DROPPER in 1 BOX / 50 mL in 1 BOTTLE, DROPPER | 2017-02-24 | — | Active |
Therapeutic equivalents
| Product | Labeler | Pack | NADAC/unit | TE | Status | Price vs. this |
|---|---|---|---|---|---|---|
| Multi-Vitamin with Fluoride 5'-PHOSPHATE SODIUM .6 mg/mL; 1500 [iU]/mL; 35 mg/mL; 400 [iU]/mL; 5 [iU]/mL; .5 mg/mL; 2 ug/mL; 8 mg/mLthis 58657-0326-50 | Method | 1 bottle | $0.175 | — | Availability likely | — |
| Multi-Vitamin with Fluoride 1500 [iU]/mL; 35 mg/mL; 400 [iU]/mL; 5 [iU]/mL; .5 mg/mL; 5'-PHOSPHATE SODIUM .6 mg/mL; 2 ug/mL; 8 mg/mL 58657-0325-50 | Method | 1 bottle | $0.178 | — | Availability likely | +2% |
Where does this data come from?
- FDA openFDA NDC Directory · synced Oct 1, 2026
- FDA Orange Book · refreshed Oct 3, 2026
- CMS NADAC weekly file · file of Sep 30, 2026
Availability & generic status
We did not find an FDA-approved generic match for this exact strength, form and route.
Where does this data come from?
- FDA Orange Book · refreshed Oct 3, 2026
Inactive Ingredients / Excipients
Inactive ingredients, also called excipients, are components of the drug product other than the active ingredient. They may include fillers, dyes, coatings, preservatives, flavors, or other formulation ingredients.
Where does this data come from?
IACT rows and label-wide narrative are kept separate; availability and product-level specificity depend on the submitted label.- FDA label on DailyMed · label index refreshed Oct 3, 2026
- FDA openFDA NDC Directory · synced Oct 1, 2026
Inactive ingredient FAQ
Are inactive ingredients the same for every manufacturer?
Why might an inactive ingredient be missing?
Can inactive ingredients matter?
Manufacturer & labeler
More NDCs from Method Pharmaceuticals, LLC labeler code 58657
- RELGAABI Gabapentin 300 mg Capsule NDC 58657-233-01
- RELGAABI Gabapentin 400 mg Capsule NDC 58657-234-01
- Sodium Fluoride .5 mg/mL Solution/ Drops NDC 58657-322-50
- Tri-Vite Drops with Fluoride ASCORBIC ACID, SODIUM FLUORIDE, VITAMIN A and VITAMIN D 1500 [iU]/mL; 35 mg/mL; 400 [iU]/mL; .25 mg/mL Solution NDC 58657-323-50
- Tri-Vite Drops with Fluoride ASCORBIC ACID, SODIUM FLUORIDE, VITAMIN A and VITAMIN D 1500 [iU]/mL; 35 mg/mL; 400 [iU]/mL; .5 mg/mL Solution NDC 58657-324-50
- Multi-Vitamin with Fluoride VITAMIN A, ASCORBIC ACID, CHOLECALCIFEROL, ALPHA-TOCOPHEROL ACETATE, THIAMINE HYDROCHLORIDE, RIBOFLAVIN 5-PHOSPHATE SODIUM, CYANOCOBALAMIN, NIACINAMIDE, PYRIDOXINE HYDROCHLORIDE and SODIUM 1500 [iU]/mL; 35 mg/mL; 400 [iU]/mL; 5 [iU]/mL; .5 mg/mL; 5'-PHOSPHATE SODIUM .6 mg/mL; 2 ug/mL; 8 mg/mL Liquid NDC 58657-325-50
- Multi-Vitamin Drops with Fluoride and Iron VITAMIN A, ASCORBIC ACID, CHOLECALCIFEROL, ALPHA-TOCOPHEROL ACETATE, THIAMINE HYDROCHLORIDE, RIBOFLAVIN 5-PHOSPHATE SODIUM, NIACINAMIDE, PYRIDOXINE HYDROCHLORIDE, Ferrous sulfate and SODIUM 1500 [iU]/mL; 35 mg/mL; 400 [iU]/mL; 5 [iU]/mL; .5 mg/mL; 5'-PHOSPHATE SODIUM .6 mg/mL; 8 mg/mL; .4 m Liquid NDC 58657-327-50
- Estratest H.s. Esterified Estrogens, Methyltestosterone .625 mg; 1.25 mg Tablet NDC 58657-403-01
- Estratest F.s. Esterified Estrogens, Methyltestosterone 1.25 mg; 2.5 mg Tablet NDC 58657-404-01
- Esterified Estrogens and Methyltestosterone .625 mg; 1.25 mg Tablet NDC 58657-407-01
- Esterified Estrogens and Methyltestosterone 1.25 mg; 2.5 mg Tablet NDC 58657-408-01
- Estratest HS Esterified Estrogens and Methyltestosterone 1.25 mg; .625 mg Tablet NDC 58657-416-01
Where does this data come from?
- FDA openFDA NDC Directory · synced Oct 1, 2026
- Drugs@FDA
Full prescribing information FDA SPL
🎯 Indications and Usage ▾
INDICATIONS AND USAGE Supplementation of the diet with vitamins A, C and D. Multi-Vitamin Drops with Fluoride 0.5 mg also provides fluoride for caries prophylaxis. The American Academy of Pediatrics recommends that children up to age 16, in areas where drinking water contains less than optimal levels of fluoride, receive daily fluoride supplementation.
The American Academy of Pediatrics recommend that infants and young children 6 months to 3 years of age, in areas where the drinking water contains less than 0.3 ppm of fluoride, and children 3-6 years of age, in areas where the drinking water contains 0.3 through 0.6 ppm of fluoride, receive 0.5 mg of supplemental fluoride daily which is provided in a dose of 1 mL of Multi-Vitamin Drops with Fluoride 0.5 mg (See Dosage and Administration ). Multi-Vitamin Drops with Fluoride 0.5 mg supply significant amounts of vitamins A, C and D to supplement the diet, and to help assure that nutritional deficiencies of these vitamins will not develop.
Thus, in a single easy-to-use preparation, children obtain essential vitamins and fluoride.
⏱️ Dosage and Administration ▾
DOSAGE AND ADMINISTRATION: See following chart. May be dropped directly into the mouth with dropper; or mixed with cereal, fruit juice or other food. Fluoride Ion Level in Drinking Water (ppm) * A g e <0.3 ppm 0.3 - 0.6 ppm >0.6 ppm Birth - 6 months None None None 6 mos - 3 years 0.25 mg (1 mL) / day † None None 3 - 6 years 0.50 mg (2 mL) / day 0.25 mg (1 mL) / day None * 1.0 ppm = 1 mg/liter † 2.2 mg sodium fluoride contains 1 mg fluoride ion.
⚠️ Warnings ▾
WARNINGS As in the case of all medications, keep out of reach of children.
🤒 Adverse Reactions ▾
ADVERSE REACTIONS Allergic rash and other idiosyncrasies have been rarely reported.
🧬 Clinical Pharmacology ▾
CLINICAL PHARMACOLOGY It is well established that fluoridation of the water supply (1 ppm fluoride) during the period of tooth development leads to a significant decrease in the incidence of dental caries. Hydroxyapatite is the principal crystal for all calcified tissue in the human body. The fluoride ion reacts with hydroxyapatite in the tooth as it is formed to produce the more caries-resistant crystal, fluorapatite.
The reaction may be expressed by the equation: Three stages of fluoride deposition in tooth enamel can be distinguished: Small amounts (reflecting the low levels of fluoride in tissue fluids) are incorporated into the enamel crystals while they are being formed. After enamel has been laid down, fluoride deposition continues in the surface enamel. Diffusion of fluoride from the surface inward is apparently restricted.
After eruption, the surface enamel acquires fluoride from water, food, supplementary fluoride and smaller amounts from saliva. eq
📦 How Supplied / Storage and Handling ▾
HOW SUPPLIED Multi-Vitamin and Fluoride 0.5 mg drops is available in 50 mL bottles with accompanying calibrated dropper. dropper
⚠️ Precautions ▾
PRECAUTIONS The suggested dose should not be exceeded since dental fluorosis may result from continued ingestion of large amounts of fluoride. When prescribing vitamin fluoride products: Determine the fluoride content of the drinking water. Make sure the child is not receiving significant amounts of fluoride from other medications and swallowed toothpaste.
Periodically check to make sure that the child does not develop significant dental fluorosis. Multi-Vitamin Drops with Fluoride 0.5 mg should be dispensed in the original plastic container, since contact with glass leads to instability and precipitation. (The amount of sodium fluoride in the 50 mL size is well below the maximum to be dispensed at one time according to recommendations of the American Dental Association.) Important Considerations When Using Dosage Schedule: If fluoride level is unknown, drinking water should be tested for fluoride content before supplements are prescribed.
For testing of fluoride content, contact the local or state health department. All sources of fluoride should be evaluated with a thorough fluoride history. Patient exposure to multiple water sources can make proper prescribing complex.
Ingestion of higher than recommended levels of fluoride by children has been associated with an increase in mild dental fluorosis in developing, unerupted teeth. Fluoride supplements require long-term compliance on a daily basis.
📚 References ▾
REFERENCES Brudevoid F, McCann HG: Fluoride and caries control - Mechanism of action, in Nizel AE (ed): The Science of Nutrition and its Application in Clinical Dentistry. Philadelphia, WB Saunders Co, 1966, pp 331-347. American Academy of Pediatrics Committee on Nutrition: Fluoride supplementation, Pediatrics 1986; 77:758.
American Dental Association Council on Dental Therapeutics: Accepted Dental Therapeutics , ed 38, Chicago, 1979, p321. Hennon DK, Stookey GK, Muhler JC: The clinical anticariogenic effectiveness of supplementary fluoride-vitamin preparations - Results at the end of three years. J Dent Children 1966; 33 January: 3-12.
Hennon DK, Stookey GK, Muhler JC: The clinical anticariogenic effectiveness of supplementary fluoride-vitamin preparations - Results at the end of four years. J Dent Children 1967; 34 November; 439- 443. Hennon DK, Stookey GK, Muhler JC: The clinical anticariogenic effectiveness of supplementary fluoride-vitamin preparations - Results at the end of five and a half years.
Phar and Ther in Dent 1970; 1:1. Hennon DK, Stookey GK, Beiswanger BB: Fluoride-vitamin supplements: Effects on dental caries and fluorosis when used in areas with suboptimum fluoride in the water supply. J Am Dent Assoc 1977; 95-965 Distributed by: Method Pharmaceuticals, LLC Fort Worth, TX 76118 877-250-3427 Rev.
01/17 Made in the USA
📄 Package Label / Principal Display Panel ▾
PRINCIPAL DISPLAY PANEL NDC 58657-326-50 Multi- Vitamin Drops With Fluoride 0.5 mg
1.69FL. OZ. (50 mL) carton
Medicaid utilization & spend
Medicare Part D spend CMS · PART D · 2026 (Q1)
About this NDC listing & data coverage
Listed without an FDA application
This product's marketing category indicates it is marketed without an approved FDA application (no NDA, ANDA, or BLA on file). Having an NDC does not by itself establish FDA approval — the NDC Directory is a listing system, not an approval decision. Approval-linked data such as Orange Book therapeutic-equivalence ratings therefore does not apply.
What data is (and isn’t) available for this NDC — tap to expand
| NDC identity (package / product / labeler codes) | ✓ Available |
| Labeler | ✓ Available |
| Product & package description | ✓ Available |
| Marketing category & status | ✓ Available |
| Active ingredient / dosage form / route | ✓ Available |
| FDA label (SPL via DailyMed) | ✓ Available |
| Package photos | — Not published for this NDC No photo available yet for this listing. |
| Inactive ingredients (structured) | — Not published for this NDC The labeler did not submit a structured excipient list, or no SPL is available. |
| NADAC pharmacy acquisition price (CMS) | ✓ Available |
| Orange Book / therapeutic-equivalence data | — Not published for this NDC Applies only to products approved under an NDA/ANDA; many listings are out of scope. |
| HCPCS J-code billing crosswalk | — Not published for this NDC Most self-administered / retail products have no J-code — that is normal. |
| Medicaid utilization (CMS SDUD) | ✓ Available |