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NDC 59088-0107-59 Multivitamin with Fluoride 10; 24; 10; 4.5; 300; 13.5; 1.05; 1.2; 36; .25; 1.05; 750 mg/1; mg/1; ug/1; ug/1; ug/1; mg/1; mg/1; mg/1; mg/1; mg/1; mg/1; ug/1 Details
Multivitamin with Fluoride 10; 24; 10; 4.5; 300; 13.5; 1.05; 1.2; 36; .25; 1.05; 750 mg/1; mg/1; ug/1; ug/1; ug/1; mg/1; mg/1; mg/1; mg/1; mg/1; mg/1; ug/1
Multivitamin with Fluoride is a ORAL TABLET, CHEWABLE in the HUMAN PRESCRIPTION DRUG category. It is labeled and distributed by PureTek Corporation. The primary component is .ALPHA.-TOCOPHEROL ACETATE, DL-; ASCORBIC ACID; CHOLECALCIFEROL; CYANOCOBALAMIN; FOLIC ACID; NIACINAMIDE; PYRIDOXINE HYDROCHLORIDE; RIBOFLAVIN; SODIUM ASCORBATE; SODIUM FLUORIDE; THIAMINE MONONITRATE; VITAMIN A.
Product Information
NDC | 59088-0107 |
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Product ID | 59088-107_f394a520-91ce-3c9a-e053-2a95a90a80e3 |
Associated GPIs | 78441000000505 |
GCN Sequence Number | 066015 |
GCN Sequence Number Description | pedi multivit no.17 w-fluoride TAB CHEW 0.25 MG ORAL |
HIC3 | C6H |
HIC3 Description | PEDIATRIC VITAMIN PREPARATIONS |
GCN | 28186 |
HICL Sequence Number | 036833 |
HICL Sequence Number Description | PEDIATRIC MULTIVITAMINS NO.17 WITH SODIUM FLUORIDE |
Brand/Generic | Generic |
Proprietary Name | Multivitamin with Fluoride |
Proprietary Name Suffix | n/a |
Non-Proprietary Name | Sodium Fluoride |
Product Type | HUMAN PRESCRIPTION DRUG |
Dosage Form | TABLET, CHEWABLE |
Route | ORAL |
Active Ingredient Strength | 10; 24; 10; 4.5; 300; 13.5; 1.05; 1.2; 36; .25; 1.05; 750 |
Active Ingredient Units | mg/1; mg/1; ug/1; ug/1; ug/1; mg/1; mg/1; mg/1; mg/1; mg/1; mg/1; ug/1 |
Substance Name | .ALPHA.-TOCOPHEROL ACETATE, DL-; ASCORBIC ACID; CHOLECALCIFEROL; CYANOCOBALAMIN; FOLIC ACID; NIACINAMIDE; PYRIDOXINE HYDROCHLORIDE; RIBOFLAVIN; SODIUM ASCORBATE; SODIUM FLUORIDE; THIAMINE MONONITRATE; VITAMIN A |
Labeler Name | PureTek Corporation |
Pharmaceutical Class | Analogs/Derivatives [Chemical/Ingredient], Ascorbic Acid [CS], Ascorbic Acid [CS], Vitamin A [CS], Vitamin A [EPC], Vitamin B 12 [CS], Vitamin B 6 [Chemical/Ingredient], Vitamin B12 [EPC], Vitamin B6 Analog [EPC], Vitamin C [EPC], Vitamin C [EPC], Vitamin |
DEA Schedule | n/a |
Marketing Category | UNAPPROVED DRUG OTHER |
Application Number | n/a |
Listing Certified Through | 2024-12-31 |
Package
NDC 59088-0107-59 (59088010759)
NDC Package Code | 59088-107-59 |
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Billing NDC | 59088010759 |
Package | 100 TABLET, CHEWABLE in 1 BOTTLE, PLASTIC (59088-107-59) |
Marketing Start Date | 2011-06-01 |
NDC Exclude Flag | N |
Pricing Information | |
Price Per Unit | 0.12311 |
Pricing Unit | EA |
Effective Date | 2024-02-21 |
NDC Description | MULTIVIT-FLUOR 0.25 MG TAB CHW |
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