Quflora Pediatric Tablet, Chewable
NDC Package 15370-104-30

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

Package Information

Quflora Pediatric (vitamin a acetate, ascorbic acid, cholecalciferol, .alpha.-tocopherol, dl-, thiamine hydrochloride, riboflavin, niacinamide, pyridoxine hydrochloride, levomefolic acid, folic acid, cyanocobalamin, magnesium oxide, cupric sulfate, and sodium fluoride) tablets is quflora™ Pediatric Chewable Tablets with 0.5 mg Fluoride is a prescription dietary fluoride supplement providing twelve essential vitamins and minerals. This formulation utilizes a tablet, chewable delivery system. Marketed by Carwin Pharmaceutical Associates, Llc, this product is identified by NDC 15370-104.

Identification & Billing

NDC Package Code
15370-104-30
Package Description
30 TABLET, CHEWABLE in 1 BOTTLE
Product Code
15370-104
11-Digit Billing Format
15370010430
Billing Unit
EA - Billing unit of "each" is used when the product is dispensed in discreet units.
Units Per Package
30 EA

Clinical Specifications

Proprietary Name
Quflora Pediatric
Non-Proprietary Name
Vitamin A Acetate, Ascorbic Acid, Cholecalciferol, .alpha.-tocopherol, Dl-, Thiamine Hydrochloride, Riboflavin, Niacinamide, Pyridoxine Hydrochloride, Levomefolic Acid, Folic Acid, Cyanocobalamin, Magnesium Oxide, Cupric Sulfate, And Sodium Fluoride
Substance Name
.alpha.-tocopherol, Dl-; Ascorbic Acid; Cholecalciferol; Cupric Sulfate; Cyanocobalamin; Folic Acid; Levomefolic Acid; Magnesium Oxide; Niacinamide; Pyridoxine Hydrochloride; Riboflavin; Sodium Fluoride; Thiamine Hydrochloride; Vitamin A Acetate
Dosage Form
Tablet, Chewable - A solid dosage form containing medicinal substances with or without suitable diluents that is intended to be chewed, producing a pleasant tasting residue in the oral cavity that is easily swallowed and does not leave a bitter or unpleasant after-taste.
Administration Route
Oral - Administration to or by way of the mouth.
Active Ingredient(s)
Pharmacologic Class
Usage Information
Quflora™ Pediatric Chewable Tablets with 0.5 mg Fluoride is a prescription dietary fluoride supplement providing twelve essential vitamins and minerals.

Regulatory & Marketing

Labeler Name
Carwin Pharmaceutical Associates, Llc
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
01-06-2014
Listing Expiration
12-31-2026
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 15370-104-30 identifies a specific commercial package of 30 tablet, chewable in 1 bottle of Quflora Pediatric, a human prescription drug labeled by Carwin Pharmaceutical Associates, Llc. This tablet, chewable is formulated for oral use and contains .alpha.-tocopherol, dl-; ascorbic acid; cholecalciferol; cupric sulfate; cyanocobalamin; folic acid; levomefolic acid; magnesium oxide; niacinamide; pyridoxine hydrochloride; riboflavin; sodium fluoride; thiamine hydrochloride; vitamin a acetate 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 Carwin Pharmaceutical Associates, Llc on January 06, 2014. The current certification is valid through December 31, 2026.

How is this Carwin Pharmaceutical Associates, Llc product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 15370010430. Quantities are measured in per "each", products billed on a per each basis are usually products dispensed in discreet units.. There are 30 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 (5-3-2)
15370-104-30
11-Digit CMS (5-4-2)
15370-0104-30

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