PaxLyte

Product NDC
64661-217
11-digit product format
646610217
Labeler code
64661
Product ID
64661-217_27a4406e-5cdf-46d7-bb01-38806ae851cb
Type
HUMAN PRESCRIPTION DRUG
Nonproprietary name
leucovorin, folic acid, levomefolate magnesium, ferrous cysteine glycinate, 1,2-docosahexanoyl-sn-glycero-3-phosphoserine calcium, 1,2-icosapentoyl-sn-glycero-3-phosphoserine calcium, phosphatidyl serine, pyridoxal 5-phosphate, flavin adenine dinucleotide, nadh, cobamamide, cocarboxylase (thiamine pyrophosphate), magnesium ascorbate, zinc ascorbate, magnesium l-threonate and betaine capsule
Dosage form
CAPSULE
Route
ORAL
Labeler
Jaymac Pharmaceuticals
Marketing category
UNAPPROVED DRUG OTHER
Marketing start
2024-08-01
Substance
1,2-DOCOSAHEXANOYL-SN-GLYCERO-3-PHOSPHOSERINE CALCIUM; 1,2-ICOSAPENTOYL-SN-GLYCERO-3-PHOSPHOSERINE CALCIUM; BETAINE; CITRIC ACID MONOHYDRATE; COBAMAMIDE; COCARBOXYLASE; FERROUS CYSTEINE GLYCINATE; FLAVIN ADENINE DINUCLEOTIDE; FOLIC ACID; LEUCOVORIN; LEVOMEFOLATE MAGNESIUM; MAGNESIUM ASCORBATE; MAGNESIUM L-THREONATE; NADH; PHOSPHATIDYL SERINE; PYRIDOXAL PHOSPHATE ANHYDROUS; SODIUM CITRATE; ZINC ASCORBATE
Active strength
6.4; 800; 500; 1.83; 50; 25; 13.6; 25; 1; 2.5; 7; 24; 1; 25; 12; 25; 1.83; 1 mg/1; ug/1; mg/1; mg/1; ug/1; ug/1; mg/1; ug/1; mg/1; mg/1; mg/1; mg/1; mg/1; ug/1; mg/1; ug/1; mg/1; mg/1
Pharmacologic classes
Acidifying Activity [MoA], Anti-coagulant [EPC], Ascorbic Acid [CS], Ascorbic Acid [CS], Calcium Chelating Activity [MoA], Calculi Dissolution Agent [EPC], Decreased Coagulation Factor Activity [PE], Folate Analog [EPC], Folate Analog [EPC], Folic Acid [CS], Folic Acid [CS], Increased Large Intestinal Motility [PE], Inhibition Large Intestine Fluid/Electrolyte Absorption [PE], Methylating Activity [MoA], Methylating Agent [EPC], Osmotic Activity [MoA], Osmotic Laxative [EPC], Vitamin C [EPC], Vitamin C [EPC]
NDC exclude flag
No
Listing certified through
2026-12-31
Current FDA listing
Yes

Additional Listing Data#

Finished product
Yes
Brand name base
PaxLyte
Listing expiration
2026-12-31

Active Ingredients#

Ingredient, Strength table
IngredientStrength
1,2-DOCOSAHEXANOYL-SN-GLYCERO-3-PHOSPHOSERINE CALCIUM6.4 mg/1
1,2-ICOSAPENTOYL-SN-GLYCERO-3-PHOSPHOSERINE CALCIUM800 ug/1
BETAINE500 mg/1
CITRIC ACID MONOHYDRATE1.83 mg/1
COBAMAMIDE50 ug/1
COCARBOXYLASE25 ug/1
FERROUS CYSTEINE GLYCINATE13.6 mg/1
FLAVIN ADENINE DINUCLEOTIDE25 ug/1
FOLIC ACID1 mg/1
LEUCOVORIN2.5 mg/1
LEVOMEFOLATE MAGNESIUM7 mg/1
MAGNESIUM ASCORBATE24 mg/1
MAGNESIUM L-THREONATE1 mg/1
NADH25 ug/1
PHOSPHATIDYL SERINE12 mg/1
PYRIDOXAL PHOSPHATE ANHYDROUS25 ug/1
SODIUM CITRATE1.83 mg/1
ZINC ASCORBATE1 mg/1

Harmonized Identifiers#

Field, Values table
FieldValues
Unii6WJM73T46K, 9ABD9DRK7B, 3SCV180C9W, 2968PHW8QP, F0R1QK73KB, Q57971654Y, 8B4OP7RK5N, ZC44YTI8KK, 935E97BOY8, Q573I9DVLP, 1VZZ62R081, 0N1G678593, 1Y26ZZ0OTM, 4J24DQ0916, 394XK0IH40, F06SGE49M6, 1Q73Q2JULR, 9TI35313XW

DailyMed Product Concepts#

Product concept, Relation, Version table
Product conceptRelationVersionEffective
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ed912195-5da0-0f2f-6f4b-3ef17710cbe3Product name120140508

DailyMed Package Descriptions#

Package NDC, Product, Description table
Package NDCProductDescriptionFormQuantityStrengthSPL version
64661-217-30PaxLyte30 in 1 BOTTLECAPSULE305

DailyMed Billing Units#

Package NDC, Billing unit, Product NDC table
Package NDCBilling unitProduct NDCDailyMed indexing SPLSPL versionEffective
64661-217-30EA - Each64661-217d7cbd535-6ae0-420a-8944-75f409450c5f12025-05-14

DailyMed Dashboard NDC Coverage#

NDC, Dashboard title, SPL version table
NDCDashboard titleSPL versionValidationDashboard ZIP
64661-217PAXLYTE (LEUCOVORIN, FOLIC ACID, LEVOMEFOLATE MAGNESIUM, FERROUS CYSTEINE GLYCINATE, 1,2-DOCOSAHEXANOYL-SN-GLYCERO-3-PHOSPHOSERINE CALCIUM, 1,2-ICOSAPENTOYL-SN-GLYCERO-3-PHOSPHOSERINE CALCIUM, PHOSPHATIDYL SERINE, PYRIDOXAL 5-PHOSPHATE, FLAVIN ADENINE DINUCLEOTIDE, NADH, COBAMAMIDE, COCARBOXYLASE (THIAMINE PYROPHOSPHATE), MAGNESIUM ASCORBATE, ZINC ASCORBATE, MAGNESIUM L-THREONATE AND BETAINE CAPSULE) CAPSULE [JAYMAC PHARMACEUTICALS]4Current NDC, 1 package rows20241222_f520b130-61b3-443e-aaf6-91e094e7a334.zip

Packages#

Package NDC, 11-digit format, Description table
Package NDC11-digit formatDescriptionUnitsMarketing startSampleExclude flagStatus
64661-217-306466102173030 CAPSULE in 1 BOTTLE (64661-217-30) 30 capsule2024-08-01NoNoHistorical