Citranatal 90 Dha Tablet
NDC Package 0178-0821-30

View Billable Units, 11-Digit Conversion Format, and RxNorm mappings
Table of Contents
    1. Package Information
    2. Frequently Asked Questions

Package Information

Citranatal 90 Dha (vitamin c, calcium, iron, vitamin d3, vitamin e, thiamin, riboflavin, niacinamide, vitamin b6, folic acid, iodine, zinc, copper, docusate sodium) tablets is citraNatal® 90 DHA is a multivitamin/mineral prescription drug indicated for use in improving the nutritional status of women prior to conception, throughout pregnancy, and in the postnatal period for both lactating and nonlactating mothers. This formulation utilizes a tablet delivery system. Marketed by Mission Pharmacal Company, this product is identified by NDC 0178-0821.

Identification & Billing

NDC Package Code
0178-0821-30
Package Description
6 BLISTER PACK in 1 CARTON / 5 BLISTER PACK in 1 BLISTER PACK / 5 TABLET in 1 BLISTER PACK
Product Code
0178-0821
11-Digit Billing Format
00178082130
Billing Unit
EA - Billing unit of "each" is used when the product is dispensed in discreet units.
Units Per Package
6 EA

Clinical Specifications

Proprietary Name
Citranatal 90 Dha
Non-Proprietary Name
Vitamin C, Calcium, Iron, Vitamin D3, Vitamin E, Thiamin, Riboflavin, Niacinamide, Vitamin B6, Folic Acid, Iodine, Zinc, Copper, Docusate Sodium
Substance Name
.alpha.-tocopherol Acetate; Ascorbic Acid; Calcium Citrate; Cupric Oxide; Docusate Sodium; Ferrous Gluconate; Folic Acid; Iron; Niacinamide; Potassium Iodide; Pyridoxine Hydrochloride; Riboflavin; Thiamine; Thiamine Mononitrate; Vitamin D; Zinc Oxide
Dosage Form
Tablet - A solid dosage form containing medicinal substances with or without suitable diluents.
Administration Route
Oral - Administration to or by way of the mouth.
Active Ingredient(s)
Pharmacologic Class
Usage Information
CitraNatal® 90 DHA is a multivitamin/mineral prescription drug indicated for use in improving the nutritional status of women prior to conception, throughout pregnancy, and in the postnatal period for both lactating and nonlactating mothers.

Regulatory & Marketing

Labeler Name
Mission Pharmacal Company
Product Type
Human Prescription Drug
Marketing Category
UNAPPROVED DRUG OTHER - An unapproved drug product in a marketing category that is not reflected on a particular list.
Start Marketing Date
04-11-2014
Listing Expiration
12-31-2027
Exclude Flag
N
Sample Package
No

Hierarchy Structure

Code Lineage

The NDC Directory contains ONLY information on final marketed drugs submitted to FDA electronically by labelers. A labeler might be a manufacturer, re-packager or re-labeler. The product information included in the NDC directory does not indicate that FDA has verified the information provided by the product labeler. Assigned NDC numbers are not in any way an indication of FDA approval of the product.

* Please review the full disclaimer at the bottom of this page.

Frequently Asked Questions

What is the distribution configuration for this product package?

The code 0178-0821-30 identifies a specific commercial package of 6 blister pack in 1 carton / 5 blister pack in 1 blister pack / 5 tablet in 1 blister pack of Citranatal 90 Dha, a human prescription drug labeled by Mission Pharmacal Company. This tablet is formulated for oral use and contains .alpha.-tocopherol acetate; ascorbic acid; calcium citrate; cupric oxide; docusate sodium; ferrous gluconate; folic acid; iron; niacinamide; potassium iodide; pyridoxine hydrochloride; riboflavin; thiamine; thiamine mononitrate; vitamin d; zinc oxide as the active substance.

Is this product currently listed with the FDA?

Yes, this product is active and verified within the NDC Directory. It was introduced to the market by Mission Pharmacal Company on April 11, 2014. The current certification is valid through December 31, 2027.

How is this Mission Pharmacal Company product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 00178082130. Quantities are measured in per "each", products billed on a per each basis are usually products dispensed in discreet units.. There are 6 total billable units per package. The table below illustrates the segment conversion from the 10-digit labeler code to the 11-digit provider format.

11-Digit Code Conversion

Billing payers usually require a 5-4-2 segment configuration. Below is the conversion from the 10-digit package format to the 11-digit billing format:

10-Digit Format (4-4-2)
0178-0821-30
11-Digit CMS (5-4-2)
00178-0821-30

Note: The zero is added to the Labeler segment to maintain the 5-4-2 structure.