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  5. NDC Package Code: 52796-173-12 Floriva

NDC Package 52796-173-12 Floriva

Vitamin A Acetate,.beta.-carotene,Ascorbic - View Billable Units, 11-Digit Format, RxNorm

Table of Contents

    1. Package Information
    2. Other Packages
    3. Frequently Asked Questions

Package Information

Find all the important details about this NDC Package code, including the 11-Digit NDC Billing number, billing units, wholesale price, RxNorm crosswalk, active ingredients, pharmacologic clasess, etc.

NDC Package Code:
52796-173-12
Package Description:
12 BLISTER PACK in 1 CARTON / 1 TABLET, CHEWABLE in 1 BLISTER PACK
Product Code:
52796-173
Proprietary Name:
Floriva
Non-Proprietary Name:
Vitamin A Acetate, .beta.-carotene, Ascorbic Acid, Cholecalciferol, .alpha.-tocopherol, Thiamine, Riboflavin, Niacinamide, Pyridoxine, Levomefolate Glucosamine, Folic Acid, Cyanocobalamin, Biotin, Zinc Gluconate, Cupric Oxide, And Sodium Fluoride
Substance Name:
.alpha.-tocopherol; Ascorbic Acid; Beta Carotene; Biotin; Cholecalciferol; Cupric Oxide; Cyanocobalamin; Folic Acid; Levomefolate Glucosamine; Niacinamide; Pyridoxine; Riboflavin; Sodium Fluoride; Thiamine; Vitamin A Acetate; Zinc Gluconate
Usage Information:
This medication is a combination product of vitamins and fluoride. It is used in children to treat or prevent deficiency due to poor diet or low levels of fluoride in drinking water and other sources. Vitamins are important building blocks of the body and help keep you in good health. Fluoride is used to prevent dental cavities.
11-Digit NDC Billing Format:
52796017312
Product Type:
Human Prescription Drug
Labeler Name:
Bongeo Pharmaceuticals, Inc.
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(s):
  • Oral - Administration to or by way of the mouth.
    • Active Ingredient(s):
  • .ALPHA.-TOCOPHEROL 20 [iU]/1
  • ASCORBIC ACID 75 mg/1
  • BETA CAROTENE 1000 [iU]/1
  • BIOTIN 40 ug/1
  • CHOLECALCIFEROL 600 [iU]/1
  • CUPRIC OXIDE 1 mg/1
  • CYANOCOBALAMIN 6 ug/1
  • FOLIC ACID 100 ug/1
  • LEVOMEFOLATE GLUCOSAMINE 162 ug/1
  • NIACINAMIDE 15 mg/1
  • PYRIDOXINE 1.8 mg/1
  • RIBOFLAVIN 1.5 mg/1
  • SODIUM FLUORIDE .25 mg/1
  • THIAMINE 1.3 mg/1
  • VITAMIN A ACETATE 1000 [iU]/1
  • ZINC GLUCONATE 5 mg/1
    • Pharmacologic Class(es):
  • Analogs/Derivatives - [Chemical/Ingredient]
  • Ascorbic Acid - [CS]
  • Copper Absorption Inhibitor - [EPC] (Established Pharmacologic Class)
  • Decreased Copper Ion Absorption - [PE] (Physiologic Effect)
  • Vitamin A - [CS]
  • Vitamin A - [EPC] (Established Pharmacologic Class)
  • Vitamin B 12 - [CS]
  • Vitamin B 6 - [Chemical/Ingredient]
  • Vitamin B12 - [EPC] (Established Pharmacologic Class)
  • Vitamin B6 Analog - [EPC] (Established Pharmacologic Class)
  • Vitamin C - [EPC] (Established Pharmacologic Class)
  • Vitamin D - [CS]
  • Vitamin D - [EPC] (Established Pharmacologic Class)
    • Sample Package:
    No
    Marketing Category:
    UNAPPROVED DRUG OTHER - An unapproved drug product in a marketing category that is not reflected on a particular list.
    Start Marketing Date:
    09-10-2015
    Listing Expiration Date:
    12-31-2025
    Exclude Flag:
    N
    Code Structure:

    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 disclaimer below.

    Other Product Packages

    The following packages are also available for this product:

    NDC Package CodePackage Description
    52796-173-9090 TABLET, CHEWABLE in 1 BOTTLE

    * Please review the disclaimer below.

    Frequently Asked Questions

    What is NDC 52796-173-12?

    The NDC Packaged Code 52796-173-12 is assigned to a package of 12 blister pack in 1 carton / 1 tablet, chewable in 1 blister pack of Floriva, a human prescription drug labeled by Bongeo Pharmaceuticals, Inc.. The product's dosage form is tablet, chewable and is administered via oral form.

    Is NDC 52796-173 included in the NDC Directory?

    Yes, Floriva with product code 52796-173 is active and included in the NDC Directory. The product was first marketed by Bongeo Pharmaceuticals, Inc. on September 10, 2015 and its listing in the NDC Directory is set to expire on December 31, 2025 if the product is not updated or renewed by the manufacturer.

    What is the 11-digit format for NDC 52796-173-12?

    The 11-digit format is 52796017312. The 11-digit billing format might be required by the Centers for Medicare & Medicaid Services (CMS) and other payers in billing claim forms.

    This package code is originally configured in a 5-3-2 segment 10-digit format and by adding a zero within the original NDC package code we can obtain the converted 11-digit format in a 5-4-2 segment configuration. The table below shows the 11-digit code conversion:

    10-Digit Format10-Digit Original Code11-Digit Format11-Digit Code
    5-3-252796-173-125-4-252796-0173-12