NDC codes

FDA NDC Directory
Product NDC (as listed)0116-0175Labeler and product segments. Claims need a package NDC.
Product NDC at billing width00116-0175Add the package segment from the table below.
Package NDCs as listed with the FDA, and the 11-digit 5-4-2 form used on claims. The highlighted digit is the added leading zero.
Package NDC11-digit (billing)PackageCopy
0116-0175-1600116017516473 mL in 1 BOTTLE, PLASTIC (0116-0175-16)Marketed from Jun 18, 2009

How the 11-digit form is made: The labeler segment has 4 digits, so one leading zero is added to it (4-4-2 → 5-4-2). Formatting the NDC does not by itself make it billable — the product, package and quantity must match what was dispensed or administered, and payer rules apply. Conversion rules

Product information

Brand name (proprietary)
Chlorhexidine Gluconate
Generic name (nonproprietary)
chlorhexidine gluconate
Active ingredients
Chlorhexidine gluconate — 1.2 mg/mL
Dosage form
Rinse
Route
Oral
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 077789
Marketing start
Marketing end
Other FDA classes
Decreased Cell Wall Integrity (Physiologic effect)
Identifiers
Product ID 0116-0175_50749dac-78e5-2cec-e063-6394a90ac90cSPL ID 50749dac-78e5-2cec-e063-6394a90ac90cSPL set ID 4a3a4cfe-88e0-0a10-e054-00144ff88e88RxCUI 834127UNII MOR84MUD8E

Billing references

What Med-Code can say about coding this product, and where each statement comes from. Nothing here is inferred from the name alone.

HCPCS codeNo match

No HCPCS code in Med-Code's directory. Oral products like this are usually dispensed by a pharmacy and billed by NDC.

NDC on a medical claim

N400116017516 followed by a unit qualifier and the quantity

Package 00116-0175-16. Unit qualifiers: F2 (international unit), GR (gram), ME (milligram), ML (milliliter), UN (unit (each)). The qualifier and quantity depend on what was given. About the N4 qualifier

Product label

Current FDA label (SPL), effective .

Indications (excerpt from the label)

INDICATION: Chlorhexidine gluconate oral rinse is indicated for use between dental visits as part of a professional program for the treatment of gingivitis as characterized by redness and swelling of the gingivae, including gingival bleeding upon probing. Chlorhexidine gluconate oral rinse has not been tested among patients with acute necrotizing ulcerative gingivitis (ANUG). For patients having coexisting gingivitis and periodontitis; see PRECAUTIONS.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under ANDA 077789

Products listed under the same FDA application: other strengths and forms, and repackagers who relabel the same product.

FDA NDC Directory listings under ANDA 077789
ProductStrengthForm · routeLabelerProduct NDC
Chlorhexidine GluconateChlorhexidine gluconate 1.2 mg/mLRinseOralDen-mat Holdings, Llc59883-175
Chlorhexidine GluconateChlorhexidine gluconate 1.2 mg/mLRinseOralXttrium Laboratories, Inc.0116-0301
Chlorhexidine GluconateChlorhexidine gluconate 1.2 mg/mLRinseOralNuCare Pharmaceuticals,Inc.68071-1837
Chlorhexidine GluconateChlorhexidine gluconate 1.2 mg/mLRinseOralAtlantic Biologicals Corps.17856-2001
Chlorhexidine GluconateChlorhexidine gluconate 1.2 mg/mLRinseOralATLANTIC BIOLOGICALS CORP.17856-2002
Acclean Chlorhexidine Gluconate 0.12% Oral Rinsechlorhexidine gluconate 0.12% oral rinseChlorhexidine gluconate 1.2 mg/mLLiquidOralHenry Schein, Inc.0404-4075
Chlorhexidine Gluconate 0.12% Oral Rinsechlorhexidine gluconateChlorhexidine gluconate 1.2 mg/mLLiquidBuccalSage Products LLC53462-003
Chlorhexidine GluconateChlorhexidine gluconate 1.2 mg/mLRinseOralProficient Rx LP63187-685
Major Oral Rinse0.12% chlorhexidine gluconateChlorhexidine gluconate 1.2 mg/mLRinseOralCardinal Health 107, LLC55154-3573
NUPRO Chlorhexidine Gluconatechlorhexidine gluconateChlorhexidine gluconate 1.2 mg/mLRinseOralXttrium Laboratories, Inc.0116-0800
Major Oral Rinse0.12% chlorhexidine gluconateChlorhexidine gluconate 1.2 mg/mLRinseOralCardinal Health 107, LLC55154-3574
Chlorhexidine GluconateChlorhexidine gluconate 1.2 mg/mLRinseOralREMEDYREPACK INC.70518-4494
Acclean Chlorhexidine Gluconate 0.12% Oral Rinsechlorhexidine gluconate 0.12% oral rinseChlorhexidine gluconate 1.2 mg/mLLiquidOralXttrium Laboratories, Inc.0116-4075
Chlorhexidine GluconateChlorhexidine gluconate 1.2 mg/mLRinseOralA-S Medication Solutions50090-0722
Chlorhexidine GluconateChlorhexidine gluconate 1.2 mg/mLRinseOralXttrium Laboratories, Inc.0116-6000
Acclean Chlorhexidine Gluconate 0.12% Oral Rinsechlorhexidine gluconate 0.12% oral rinseChlorhexidine gluconate 1.2 mg/mLLiquidOralXttrium Laboratories, Inc.0116-6720
Sky Oral Rinsechlorhexidine gluconateChlorhexidine gluconate 1.2 mg/mLRinseOralMcKesson63739-052
Chlorhexidine GluconateChlorhexidine gluconate 1.2 mg/mLRinseOralBenco Dental66975-600
Chlorhexidine GluconateChlorhexidine gluconate 1.2 mg/mLRinseOralMedline Industries, LP53329-301
Chlorhexidine GluconateChlorhexidine gluconate 1.2 mg/mLRinseDentalMajor Pharmaceuticals0904-7035

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