65121-301 NDC - VITA-RX DIABETIC VITAMIN (VITAMIN C, VITAMIN D, VITAMIN E, THIAMINE, RIBOFLAVIN, NIACIN, VITAMIN B6, FOLATE, VITAMIN B12, BIOTIN, PANTOTHENIC ACID, CHROMIUM)

Drug Information

Product NDC: 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

Active Ingredient(s):
  • 10 mg/1 .ALPHA.-TOCOPHEROL ACETATE;
  • 120 mg/1 ASCORBIC ACID;
  • 2.5 mg/1 BIOTIN;
  • 10 mg/1 CALCIUM PANTOTHENATE;
  • .0625 mg/1 CHOLECALCIFEROL;
  • .465 mg/1 CHROMIUM PICOLINATE;
  • .8 mg/1 FOLIC ACID;
  • .0025 mg/1 METHYLCOBALAMIN;
  • 20 mg/1 NIACIN;
  • 12.5 mg/1 PYRIDOXAL PHOSPHATE ANHYDROUS;
  • 1.7 mg/1 RIBOFLAVIN;
  • 1.5 mg/1 THIAMINE MONONITRATE;
  • 150 mg/1 THIOCTIC ACID;
  • 50 mg/1 UBIDECARENONE


Administration Route(s): ORAL

Dosage Form(s): CAPSULE, GELATIN COATED

Pharmacy Class(es):
  • Ascorbic Acid [CS];
  • Nicotinic Acid [EPC];
  • Nicotinic Acids [CS];
  • Vitamin C [EPC];
  • Vitamin D [CS];
  • Vitamin D [EPC]

Labeler Information

Labeler Name: Pure Source, LLC
Product Type: HUMAN PRESCRIPTION DRUG
FDA Application Number:
Marketing Category: UNAPPROVED DRUG OTHER
Start Marketing Date:8/11/2015

Package Information

No. Package Code Package Description Billing Unit
165121-301-0160 CAPSULE, GELATIN COATED in 1 PACKAGE (65121-301-01)

NDC Record

Field Name Field Value Definition
PRODUCT NDC65121-301The labeler code and product code segments of the National Drug Code number, separated by a hyphen. Asterisks are no longer used or included within the product code segment to indicate certain configurations of the NDC.
PRODUCT TYPE NAMEHUMAN PRESCRIPTION DRUGIndicates the type of product, such as Human Prescription Drug or Human Over the Counter Drug. This data element matches the “Document Type” field of the Structured Product Listing.
PROPRIETARY NAMEVita-Rx Diabetic VitaminThe proprietary name also known as the trade name is the name of the product chosen by the medication labeler for marketing purposes.
NON PROPRIETARY NAMEVitamin C, Vitamin D, Vitamin E, Thiamine, Riboflavin, Niacin, Vitamin B6, Folate, Vitamin B12, Biotin, Pantothenic Acid, ChromiumThe non-proprietary name is sometimes called the generic name. The generic name usually includes the active ingredient(s) of the product.
DOSAGE FORM NAMECAPSULE, GELATIN COATEDThe translation of the dosage form Code submitted by the firm.
ROUTE NAMEORALThe translation of the route code submitted by the firm, indicating route of administration.
START MARKETING DATE8/11/2015This is the date that the labeler indicates was the start of its marketing of the drug product.
MARKETING CATEGORY NAMEUNAPPROVED DRUG OTHERProduct types are broken down into several potential Marketing Categories, such as NDA/ANDA/BLA, OTC Monograph, or Unapproved Drug. One and only one Marketing Category may be chosen for a product, not all marketing categories are available to all product types. Currently, only final marketed product categories are included. The complete list of codes and translations can be found at www.fda.gov/edrls under Structured Product Labeling Resources.
LABELER NAMEPure Source, LLCName of Company corresponding to the labeler code segment of the Product NDC.
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; UBIDECARENONEAn active ingredient is the substance responsible for the medicinal effects of a product specified by the substance's molecular structure or if the molecular structure is not known, defined by an unambiguous definition that identifies the substance. Each active ingredient name is the preferred term of the UNII code submitted.
ACTIVE NUMERATOR STRENGTH10; 120; 2.5; 10; .0625; .465; .8; .0025; 20; 12.5; 1.7; 1.5; 150; 50 
ACTIVE INGRED UNITmg/1; mg/1; mg/1; mg/1; mg/1; mg/1; mg/1; mg/1; mg/1; mg/1; mg/1; mg/1; mg/1; mg/1 
PHARM CLASSESAscorbic Acid [CS], Nicotinic Acid [EPC], Nicotinic Acids [CS], Vitamin C [EPC], Vitamin D [CS], Vitamin D [EPC] 

Download Record

Download this NDC record in Text format: Export

Download this NDC record in Excel (CSV) format: Export

Download this NDC record in XML format: Export

This page was last updated on: 2/1/2023