NDC codes

FDA NDC Directory
Product NDC (as listed)0126-0033Labeler and product segments. Claims need a package NDC.
Product NDC at billing width00126-0033Add 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
0126-0033-160012600331600126003316473 mL in 1 BOTTLE, PLASTIC (0126-0033-16)Marketed from Jun 13, 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

Brand name (proprietary)
PreviDent Alcohol Free
Generic name (nonproprietary)
sodium fluoride
Active ingredients
Sodium fluoride — .9 mg/mL
Dosage form
Mouthwash
Route
Dental
Labeler
Colgate Oral Pharmaceuticals, Inc.NDC labeler code 0126
Product type
Prescription drug
Marketing category
Unapproved drug (other)
Marketing start
Listing expires
Identifiers
Product ID 0126-0033_36206573-587a-4512-9efe-cc75f8af46c9SPL ID 36206573-587a-4512-9efe-cc75f8af46c9SPL set ID 28e4f7cd-9fd8-4c7a-9e4b-d747fefc76c0UNII 8ZYQ1474W7

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 drug-specific HCPCS code in Med-Code's directory for this product. The directory is curated and not complete — check the current CMS HCPCS file before billing.

NDC on a medical claim

N400126003316 followed by a unit qualifier and the quantity

Package 00126-0033-16. 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)

INDICATIONS AND USAGE A dental caries preventive, for weekly self-applied topical use. Weekly rinsing with a neutral 0.2% sodium fluoride solution protects against dental caries in adults and pediatric patients. PreviDent ® Rinse provides a ready-to-use preparation for convenient administration and favorable compliance. May be used in areas where drinking water is fluoridated since topical fluoride cannot produce fluorosis. (See WARNINGS for exception.)

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 0126-0033

What is NDC 0126-0033?
0126-0033 is the product NDC for PreviDent Alcohol Free (sodium fluoride), Sodium fluoride .9 mg/mL mouthwash, listed with the FDA by Colgate Oral Pharmaceuticals, Inc.. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
PreviDent Alcohol Free (Sodium Fluoride).
What is the active ingredient?
Sodium fluoride.
Who is the labeler?
Colgate Oral Pharmaceuticals, Inc., NDC labeler code 0126. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for PreviDent Alcohol Free?
None: this is the only finished product listed under this name.
Is there a related HCPCS / J-code?
Not in Med-Code's curated HCPCS directory. See Billing references above.

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