Davimet With Fluoride Tablet, Chewable
NDC Package 59088-170-54

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

Package Information

Davimet With Fluoride (multivitamin, fluoride) tablets is supplementation of the diet with ten essential vitamins.Supplementation of the diet with fluoride for caries prophylaxis.The American Academy of Pediatrics recommends that children up to age 16, in areas where drinking water contains less than optimal levels of fluoride, receive daily fluoride supplements.Davimet™ Multivitamin with Fluoride 0.75mg Chewable Tablets provide 0.75 mg fluoride in tablet form for children 6-16 years of age in areas where the drinking water fluoride level is less than 0.3 ppm. This formulation utilizes a tablet, chewable delivery system. Marketed by Puretek Corporation, this product is identified by NDC 59088-170.

Identification & Billing

NDC Package Code
59088-170-54
Package Description
30 TABLET, CHEWABLE in 1 BOTTLE, PLASTIC
Product Code
59088-170
11-Digit Billing Format
59088017054
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
Davimet With Fluoride
Non-Proprietary Name
Multivitamin, Fluoride
Substance Name
.alpha.-tocopherol Acetate, Dl-; Ascorbic Acid; Cholecalciferol; Levomefolate Calcium; Methylcobalamin; Niacin; Pyridoxine Hydrochloride; Riboflavin; Sodium Ascorbate; Sodium Fluoride; Thiamine Mononitrate; Vitamin A
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
Supplementation of the diet with ten essential vitamins.Supplementation of the diet with fluoride for caries prophylaxis.The American Academy of Pediatrics recommends that children up to age 16, in areas where drinking water contains less than optimal levels of fluoride, receive daily fluoride supplements.Davimet™ Multivitamin with Fluoride 0.75mg Chewable Tablets provide 0.75 mg fluoride in tablet form for children 6-16 years of age in areas where the drinking water fluoride level is less than 0.3 ppm. Davimet™ Multivitamin with Fluoride 0.75mg Chewable Tablets supply significant amounts of Vitamins A, C, D, E, thiamine, riboflavin, niacin, vitamin B6, vitamin B12, and folate to supplement the diet, and to help assure that nutritional deficiencies of these vitamins will not develop. Thus, in a single easy-to-use preparation, children obtain ten essential vitamins and the important mineral, fluoride. Children using Davimet™ Multivitamin with Fluoride 0.75mg Chewable Tablets regularly should receive semiannual dental examinations. The regular brushing of teeth and attention to good oral hygiene practices are also essential. Davimet™ Multivitamin with Fluoride 0.75mg Chewable Tablets is a prescription product for the clinical dietary management of the metabolic processes of caries prophylaxis and provides supplementation of the diet with ten essential vitamins.

Regulatory & Marketing

Labeler Name
Puretek Corporation
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
02-28-2024
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 59088-170-54 identifies a specific commercial package of 30 tablet, chewable in 1 bottle, plastic of Davimet With Fluoride, a human prescription drug labeled by Puretek Corporation. This product is billed for "EA" each discreet unit and contains an estimated amount of 30 billable units per package. This tablet, chewable is formulated for oral use and contains .alpha.-tocopherol acetate, dl-; ascorbic acid; cholecalciferol; levomefolate calcium; methylcobalamin; niacin; pyridoxine hydrochloride; riboflavin; sodium ascorbate; sodium fluoride; thiamine mononitrate; vitamin a 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 Puretek Corporation on February 28, 2024. The current certification is valid through December 31, 2026.

How is this Puretek Corporation product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 59088017054. 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)
59088-170-54
11-Digit CMS (5-4-2)
59088-0170-54

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