NDC codes

FDA NDC Directory
Product NDC (as listed)0126-0272Labeler and product segments. Claims need a package NDC.
Product NDC at billing width00126-0272Add 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
0126-0272-160012602721600126027216473 mL in 1 BOTTLE, PLASTIC (0126-0272-16)Marketed from Nov 18, 2020

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)
Periogard Alcohol Free
Generic name (nonproprietary)
chlorhexidine gluconate
Active ingredients
Chlorhexidine gluconate — 1.2 mg/mL
Dosage form
Rinse
Route
Buccal
Labeler
Colgate Oral Pharmaceuticals, Inc.NDC labeler code 0126
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 203212
Marketing start
Listing expires
Other FDA classes
Decreased Cell Wall Integrity (Physiologic effect)
Identifiers
Product ID 0126-0272_95ea00bd-fed8-4cc0-84a4-f45c33d87094SPL ID 95ea00bd-fed8-4cc0-84a4-f45c33d87094SPL set ID 1aaad8d7-b6be-43a2-b3a2-12501a2fcdcaRxCUI 834127, 834137UNII 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. Buccal products like this are usually dispensed by a pharmacy and billed by NDC.

NDC on a medical claim

N400126027216 followed by a unit qualifier and the quantity

Package 00126-0272-16. 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 PerioGard® (Chlorhexidine Gluconate Oral Rinse USP, 0.12%) 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. PerioGard® 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 0126-0272

What is NDC 0126-0272?
0126-0272 is the product NDC for Periogard Alcohol Free (chlorhexidine gluconate), Chlorhexidine gluconate 1.2 mg/mL rinse, 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?
Periogard Alcohol Free (Chlorhexidine Gluconate).
What is the active ingredient?
Chlorhexidine gluconate.
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 Periogard Alcohol Free?
2 other product NDCs are listed under this name. See all Periogard Alcohol Free 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 Periogard Alcohol Free NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
Periogard Alcohol Freechlorhexidine gluconateChlorhexidine gluconate 1.2 mg/mLRinseBuccalColgate Oral Pharmaceuticals, Inc.0126-028200126-0282-16
Periogard Alcohol Freechlorhexidine gluconateChlorhexidine gluconate 1.2 mg/mLRinseBuccalATLANTIC BIOLOGICALS CORP.17856-027217856-0272-0117856-0272-0217856-0272-03

Other NDCs under ANDA 203212

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

FDA NDC Directory listings under ANDA 203212
ProductStrengthForm · routeLabelerProduct NDC
Chlorhexidine GluconateChlorhexidine gluconate 1.2 mg/mLRinseBuccalVistaPharm, LLC66689-106
Periogard Alcohol Freechlorhexidine gluconateChlorhexidine gluconate 1.2 mg/mLRinseBuccalColgate Oral Pharmaceuticals, Inc.0126-0282
Periogard Alcohol Freechlorhexidine gluconateChlorhexidine gluconate 1.2 mg/mLRinseBuccalATLANTIC BIOLOGICALS CORP.17856-0272

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