NDC codes

FDA NDC Directory
Product NDC (as listed)0116-6720Labeler and product segments. Claims need a package NDC.
Product NDC at billing width00116-6720Add 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
0116-6720-040011667200400116672004118 mL in 1 BOTTLE (0116-6720-04)Marketed from Aug 22, 2016

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

Generic name (nonproprietary)
chlorhexidine gluconate 0.12% oral rinse
Active ingredients
Chlorhexidine gluconate — 1.2 mg/mL
Dosage form
Liquid
Route
Oral
Labeler
Xttrium Laboratories, Inc.NDC labeler code 0116
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 077789
Marketing start
Listing expires
Other FDA classes
Decreased Cell Wall Integrity (Physiologic effect)
Identifiers
Product ID 0116-6720_340158b9-5070-ed62-e063-6394a90aa4dfSPL ID 340158b9-5070-ed62-e063-6394a90aa4dfSPL set ID 4a2a6bb8-85b0-6c36-e054-00144ff8d46cRxCUI 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

N400116672004 followed by a unit qualifier and the quantity

Package 00116-6720-04. 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)

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)

About NDC 0116-6720

What is NDC 0116-6720?
0116-6720 is the product NDC for Acclean Chlorhexidine Gluconate 0.12% Oral Rinse, Chlorhexidine gluconate 1.2 mg/mL liquid, listed with the FDA by Xttrium Laboratories, Inc.. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Acclean Chlorhexidine Gluconate 0.12% Oral Rinse (Chlorhexidine Gluconate 0.12% Oral Rinse).
What is the active ingredient?
Chlorhexidine gluconate.
Who is the labeler?
Xttrium Laboratories, Inc., NDC labeler code 0116. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Acclean Chlorhexidine Gluconate 0.12% Oral Rinse?
1 other product NDC are listed under this name. See all Acclean Chlorhexidine Gluconate 0.12% Oral Rinse NDCs.
Is there a related HCPCS / J-code?
Not in Med-Code's curated HCPCS directory. See Billing references above.

Other finished products listed under the same name: strengths, forms and labelers.

Other Acclean Chlorhexidine Gluconate 0.12% Oral Rinse NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
Acclean Chlorhexidine Gluconate 0.12% Oral Rinsechlorhexidine gluconate 0.12% oral rinseChlorhexidine gluconate 1.2 mg/mLLiquidOralXttrium Laboratories, Inc.0116-407500116-4075-01

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
Acclean Chlorhexidine Gluconate 0.12% Oral Rinsechlorhexidine gluconate 0.12% oral rinseChlorhexidine gluconate 1.2 mg/mLLiquidOralXttrium Laboratories, Inc.0116-4075
Chlorhexidine GluconateChlorhexidine gluconate .12 mg/mLLiquidOralXttrium Laboratories, Inc.0116-0101
Chlorhexidine GluconateChlorhexidine gluconate 1.2 mg/mLRinseOralXttrium Laboratories, Inc.0116-0175
Chlorhexidine GluconateChlorhexidine gluconate 1.2 mg/mLRinseOralXttrium Laboratories, Inc.0116-0301
Chlorhexidine GluconateChlorhexidine gluconate 1.2 mg/mLRinseOralXttrium Laboratories, Inc.0116-1999
Chlorhexidine GluconateChlorhexidine gluconate 1.2 mg/mLRinseOralXttrium Laboratories, Inc.0116-2001
Chlorhexidine GluconateChlorhexidine gluconate 1.2 mg/mLRinseOralXttrium Laboratories, Inc.0116-6000
Chlorhexidine GluconateChlorhexidine gluconate 1.2 mg/mLRinseDentalMajor Pharmaceuticals0904-7035
Chlorhexidine GluconateChlorhexidine gluconate 1.2 mg/mLRinseOralAtlantic Biologicals Corps.17856-2001
Chlorhexidine GluconateChlorhexidine gluconate 1.2 mg/mLRinseOralATLANTIC BIOLOGICALS CORP.17856-2002
Chlorhexidine GluconateChlorhexidine gluconate 1.2 mg/mLRinseOralA-S Medication Solutions50090-0722
Chlorhexidine GluconateChlorhexidine gluconate 1.2 mg/mLRinseOralMedline Industries, LP53329-301
Chlorhexidine GluconateChlorhexidine gluconate 1.2 mg/mLRinseOralDen-mat Holdings, Llc59883-175
Chlorhexidine GluconateChlorhexidine gluconate 1.2 mg/mLRinseOralProficient Rx LP63187-685
Chlorhexidine GluconateChlorhexidine gluconate 1.2 mg/mLRinseOralDarby Dental Supply, LLC66467-2560
Chlorhexidine GluconateChlorhexidine gluconate 1.2 mg/mLRinseOralBenco Dental66975-600
Chlorhexidine GluconateChlorhexidine gluconate 1.2 mg/mLRinseOralNuCare Pharmaceuticals,Inc.68071-1837
Chlorhexidine GluconateChlorhexidine gluconate 1.2 mg/mLRinseOralPreferred Pharmaceuticals, Inc.68788-9546
Chlorhexidine GluconateChlorhexidine gluconate 1.2 mg/mLRinseOralREMEDYREPACK INC.70518-4494
Chlorhexidine Gluconate 0.12% Oral Rinsechlorhexidine gluconateChlorhexidine gluconate 1.2 [iU]/mLLiquidBuccalXttrium Laboratories, Inc.0116-0003

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