Folvitra

Product NDC
85622-004
11-digit product format
856220004
Labeler code
85622
Product ID
85622-004_11b9233c-0951-4fbb-9ea4-07955cca265b
Type
HUMAN PRESCRIPTION DRUG
Nonproprietary name
Folic Acid, Vitamin D3
Dosage form
TABLET
Route
ORAL
Labeler
Blue Heron Pharmaceuticals, LLC
Marketing category
UNAPPROVED DRUG OTHER
Marketing start
2025-09-11
Substance
CHOLECALCIFEROL; FOLIC ACID
Active strength
125; 1 ug/1; mg/1
Pharmacologic classes
Vitamin D [CS], Vitamin D [EPC]
NDC exclude flag
No
Listing certified through
2026-12-31
Current FDA listing
Yes

DailyMed Product Concepts#

Product concept, Relation, Version table
Product conceptRelationVersionEffective
91c62db0-0295-c81c-d10a-0856c259edd6Product name220200428
d32bc2b8-0bb7-2216-87aa-24639646e202Product name320190619
60c52429-fcef-eb54-2387-43bc9e4f296bProduct name120140508

DailyMed Package Descriptions#

Package NDC, Product, Description table
Package NDCProductDescriptionFormQuantityStrengthSPL version
85622-004-30Folvitra30 in 1 BOTTLETablet301

DailyMed Billing Units#

Package NDC, Billing unit, Product NDC table
Package NDCBilling unitProduct NDCDailyMed indexing SPLSPL versionEffective
85622-004-30EA - Each85622-004f5a43355-daaa-4d3d-84a8-d2d8da751f5a12026-01-08

DailyMed RxNorm Mappings#

RxCUI, RxNorm string, TTY table
RxCUIRxNorm stringTTYDailyMedSPL version
1720258vitamin D3 125 MCG (5000 UNT) / folate 1700 MCG DFE (1000 mcg folic acid) Oral TabletPSN3dc97474-9d81-4056-b382-376c41514d581
1720258cholecalciferol 5000 UNT / folic acid 1 MG Oral TabletSCD3dc97474-9d81-4056-b382-376c41514d581
1720258Cholecalciferol 5000 UNT / folate 1 MG Oral TabletSY3dc97474-9d81-4056-b382-376c41514d581
1720258vitamin D3 125 MCG / folic acid 1000 MCG Oral TabletSY3dc97474-9d81-4056-b382-376c41514d581
1720258vitamin D3 5000 UNT / folic acid 1 MG Oral TabletSY3dc97474-9d81-4056-b382-376c41514d581

Packages#

Package NDC, 11-digit format, Description table
Package NDC11-digit formatDescriptionUnitsMarketing startSampleExclude flagStatus
85622-004-308562200043030 TABLET in 1 BOTTLE (85622-004-30) 30 tablet2025-10-13NoNoHistorical