Tristart Dha Capsule, Liquid Filled
NDC Package 15370-250-30

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

Package Information

Tristart Dha (ascorbic acid, cholecalciferol, .alpha.-tocopherol acetate, d-, thiamine hydrochloride, riboflavin, niacin, pyridoxine hydrochloride, levomefolate magnesium, folic acid, cyanocobalamin, iron pentacarbonyl, potassium iodide, magnesium oxide, doconexent, and icosapent) capsules is a medication a multivitamin, mineral, and fatty acid product used to treat or prevent vitamin deficiency before, during, and after pregnancy. This formulation utilizes a capsule, liquid filled delivery system. Marketed by Carwin Pharmaceutical Associates, Llc, this product is identified by NDC 15370-250.

Identification & Billing

NDC Package Code
15370-250-30
Package Description
30 CAPSULE, LIQUID FILLED in 1 BOTTLE, PLASTIC
Product Code
15370-250
11-Digit Billing Format
15370025030
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
Tristart Dha
Non-Proprietary Name
Ascorbic Acid, Cholecalciferol, .alpha.-tocopherol Acetate, D-, Thiamine Hydrochloride, Riboflavin, Niacin, Pyridoxine Hydrochloride, Levomefolate Magnesium, Folic Acid, Cyanocobalamin, Iron Pentacarbonyl, Potassium Iodide, Magnesium Oxide, Doconexent, And Icosapent
Substance Name
.alpha.-tocopherol Acetate, D-; Ascorbic Acid; Cholecalciferol; Cyanocobalamin; Doconexent; Folic Acid; Icosapent; Iron Pentacarbonyl; Levomefolate Magnesium; Magnesium Oxide; Niacin; Potassium Iodide; Pyridoxine Hydrochloride; Riboflavin; Thiamine Hydrochloride
Dosage Form
Capsule, Liquid Filled - A solid dosage form in which the drug is enclosed within a soluble, gelatin shell which is plasticized by the addition of a polyol, such as sorbitol or glycerin, and is therefore of a somewhat thicker consistency than that of a hard shell capsule; typically, the active ingredients are dissolved or suspended in a liquid vehicle.
Administration Route
Oral - Administration to or by way of the mouth.
Active Ingredient(s)
Pharmacologic Class
Usage Information
This medication is a multivitamin, mineral, and fatty acid product used to treat or prevent vitamin deficiency before, during, and after pregnancy. Vitamins, minerals, and fatty acids are important building blocks of the body and help keep you in good health. This combination product also contains iron and folic acid. Women of childbearing age should maintain adequate levels of folic acid either through diet or supplements to prevent infant spinal cord defects in the developing baby.

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
06-01-2015
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 15370-250-30 identifies a specific commercial package of 30 capsule, liquid filled in 1 bottle, plastic of Tristart Dha, a human prescription drug labeled by Carwin Pharmaceutical Associates, Llc. This capsule, liquid filled is formulated for oral use and contains .alpha.-tocopherol acetate, d-; ascorbic acid; cholecalciferol; cyanocobalamin; doconexent; folic acid; icosapent; iron pentacarbonyl; levomefolate magnesium; magnesium oxide; niacin; potassium iodide; pyridoxine hydrochloride; riboflavin; thiamine hydrochloride 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 June 01, 2015. The current certification is valid through December 31, 2026.

What are the primary indications for this medication?

This medication is a multivitamin, mineral, and fatty acid product used to treat or prevent vitamin deficiency before, during, and after pregnancy. Vitamins, minerals, and fatty acids are important building blocks of the body and help keep you in good health. This combination product also contains iron and folic acid. Women of childbearing age should maintain adequate levels of folic acid either through diet or supplements to prevent infant spinal cord defects in the developing baby.

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: 15370025030. 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)
15370-250-30
11-Digit CMS (5-4-2)
15370-0250-30

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