Dexatran Capsule
NDC Package 59088-643-54

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

Package Information

Dexatran (multivitamin) capsules is a medication a multivitamin product used to treat or prevent vitamin deficiency due to poor diet, certain illnesses, or during pregnancy. This formulation utilizes a capsule delivery system. Marketed by Puretek Corporation, this product is identified by NDC 59088-643.

Identification & Billing

NDC Package Code
59088-643-54
Package Description
30 CAPSULE in 1 BOTTLE, PLASTIC
Product Code
59088-643
11-Digit Billing Format
59088064354
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
Dexatran
Non-Proprietary Name
Multivitamin
Substance Name
Calcium Pantothenate; Cupric Sulfate; Cyanocobalamin; Ferrous Fumarate; Folic Acid; Magnesium Sulfate Heptahydrate; Manganese Sulfate; Niacinamide; Pyridoxine Hydrochloride; Riboflavin; Sodium Ascorbate; Thiamine Mononitrate; Zinc Sulfate
Dosage Form
Capsule - A solid oral dosage form consisting of a shell and a filling. The shell is composed of a single sealed enclosure, or two halves that fit together and which are sometimes sealed with a band. Capsule shells may be made from gelatin, starch, or cellulose, or other suitable materials, may be soft or hard, and are filled with solid or liquid ingredients that can be poured or squeezed.
Administration Route
  • Cutaneous - Administration to the skin.
  • Oral - Administration to or by way of the mouth.
Active Ingredient(s)
Pharmacologic Class
Usage Information
This medication is a multivitamin product used to treat or prevent vitamin deficiency due to poor diet, certain illnesses, or during pregnancy. Vitamins are important building blocks of the body and help keep you in good health.

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
02-15-2023
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 59088-643-54 identifies a specific commercial package of 30 capsule in 1 bottle, plastic of Dexatran, 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 capsule is formulated for cutaneous; oral use and contains calcium pantothenate; cupric sulfate; cyanocobalamin; ferrous fumarate; folic acid; magnesium sulfate heptahydrate; manganese sulfate; niacinamide; pyridoxine hydrochloride; riboflavin; sodium ascorbate; thiamine mononitrate; zinc sulfate 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 15, 2023. The current certification is valid through December 31, 2026.

What are the primary indications for this medication?

This medication is a multivitamin product used to treat or prevent vitamin deficiency due to poor diet, certain illnesses, or during pregnancy. Vitamins are important building blocks of the body and help keep you in good health.

How is this Puretek Corporation product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 59088064354. 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)
59088-643-54
11-Digit CMS (5-4-2)
59088-0643-54

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