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  5. NDC Package Code: 65121-301-01 Vita-rx Diabetic Vitamin

NDC Package 65121-301-01 Vita-rx Diabetic Vitamin

Vitamin C,Vitamin D,Vitamin E,Thiamine,Riboflavin,Niacin,Vitamin B6,Folate,Vitamin - View Billable Units, 11-Digit Format, RxNorm

Table of Contents

    1. Package Information
    2. 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:
65121-301-01
Package Description:
60 CAPSULE, GELATIN COATED in 1 PACKAGE
Product Code:
65121-301
Proprietary Name:
Vita-rx Diabetic Vitamin
Non-Proprietary Name:
Vitamin C, Vitamin D, Vitamin E, Thiamine, Riboflavin, Niacin, Vitamin B6, Folate, Vitamin B12, Biotin, Pantothenic Acid, Chromium
Substance Name:
.alpha.-tocopherol Acetate; Ascorbic Acid; Biotin; Calcium Pantothenate; Cholecalciferol; Chromium Picolinate; Folic Acid; Methylcobalamin; Niacin; Pyridoxal Phosphate Anhydrous; Riboflavin; Thiamine Mononitrate; Thioctic Acid; Ubidecarenone
Usage Information:
Suggest use: As a dietary supplement, adults take one (1) capsule daily preferably with a meal or as recommended by a physician.
11-Digit NDC Billing Format:
65121030101
Product Type:
Human Prescription Drug
Labeler Name:
Pure Source, Llc
Dosage Form:
Capsule, Gelatin Coated - A solid dosage form in which the drug is enclosed within either a hard or soft soluble container made from a suitable form of gelatin; through a banding process, the capsule is coated with additional layers of gelatin so as to form a complete seal.
Administration Route(s):
  • Oral - Administration to or by way of the mouth.
    • Active Ingredient(s):
  • .ALPHA.-TOCOPHEROL ACETATE 10 mg/1
  • ASCORBIC ACID 120 mg/1
  • BIOTIN 2.5 mg/1
  • CALCIUM PANTOTHENATE 10 mg/1
  • CHOLECALCIFEROL .0625 mg/1
  • CHROMIUM PICOLINATE .465 mg/1
  • FOLIC ACID .8 mg/1
  • METHYLCOBALAMIN .0025 mg/1
  • NIACIN 20 mg/1
  • PYRIDOXAL PHOSPHATE ANHYDROUS 12.5 mg/1
  • RIBOFLAVIN 1.7 mg/1
  • THIAMINE MONONITRATE 1.5 mg/1
  • THIOCTIC ACID 150 mg/1
  • UBIDECARENONE 50 mg/1
    • Pharmacologic Class(es):
  • Ascorbic Acid - [CS]
  • Nicotinic Acid - [EPC] (Established Pharmacologic Class)
  • Nicotinic Acids - [CS]
  • 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:
    08-11-2015
    Listing Expiration Date:
    12-31-2024
    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.

    Frequently Asked Questions

    What is NDC 65121-301-01?

    The NDC Packaged Code 65121-301-01 is assigned to a package of 60 capsule, gelatin coated in 1 package of Vita-rx Diabetic Vitamin, a human prescription drug labeled by Pure Source, Llc. The product's dosage form is capsule, gelatin coated and is administered via oral form.

    Is NDC 65121-301 included in the NDC Directory?

    Yes, Vita-rx Diabetic Vitamin with product code 65121-301 is active and included in the NDC Directory. The product was first marketed by Pure Source, Llc on August 11, 2015 and its listing in the NDC Directory is set to expire on December 31, 2024 if the product is not updated or renewed by the manufacturer.

    What is the 11-digit format for NDC 65121-301-01?

    The 11-digit format is 65121030101. 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
    5-3-265121-301-015-4-265121-0301-01