NDC codes

FDA NDC Directory
Product NDC (as listed)0363-1045Labeler and product segments. Claims need a package NDC.
Product NDC at billing width00363-1045Add 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
0363-1045-430036310454300363104543473 mL in 1 BOTTLE, PLASTIC (0363-1045-43)Marketed from Mar 15, 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)
Oral Sore Antiseptic
Generic name (nonproprietary)
hydrogen peroxide, menthol
Active ingredients
Hydrogen peroxide — 1.5 mg/mLMenthol — 1 mg/mL
Dosage form
Liquid
Route
Oral
Labeler
Walgreen Co.NDC labeler code 0363
Product type
Over-the-counter drug
Marketing category
OTC monograph drugApplication m022
Marketing start
Listing expires
Identifiers
Product ID 0363-1045_4aa443c8-bb2f-8f00-e063-6394a90a430dSPL ID 4aa443c8-bb2f-8f00-e063-6394a90a430dSPL set ID 55807b18-42ed-45a7-845e-fcf7f5d70d04UNII BBX060AN9V, L7T10EIP3A

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

N400363104543 followed by a unit qualifier and the quantity

Package 00363-1045-43. 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)

uses first aid to help protect against bacterial contamination in minor oral wounds for temporary pain relief and temporary use in cleansing minor wounds or minor gum inflammation resulting from: minor dental procedures dentures orthodontic appliances accidental injury other irritations of the mouth and gums canker sores aids in the removal of: phlegm mucus other secretions associated with occasional sore mouthUses

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 0363-1045

What is NDC 0363-1045?
0363-1045 is the product NDC for Oral Sore Antiseptic, Hydrogen peroxide 1.5 mg/mL; Menthol 1 mg/mL liquid, listed with the FDA by Walgreen Co.. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Oral Sore Antiseptic (Hydrogen Peroxide, Menthol).
What is the active ingredient?
Hydrogen peroxide, Menthol.
Who is the labeler?
Walgreen Co., NDC labeler code 0363. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Oral Sore Antiseptic?
3 other product NDCs are listed under this name. See all Oral Sore Antiseptic 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 Oral Sore Antiseptic NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
Oral Sore Antiseptichydrogen peroxide, mentholHydrogen peroxide 15 mg/mL; Menthol 1 mg/mLLiquidOralRetail Business Services, LLC72476-02472476-0024-43
Oral Sore Antiseptichydrogen peroxide, mentholHydrogen peroxide 1.5 mg/mL; Menthol 1 mg/mLLiquidOralRite Aid Corporation11822-302411822-3024-04
Oral Sore Antiseptichydrogen peroxide, mentholHydrogen peroxide 15 mg/mL; Menthol 1 mg/mLLiquidOralH E B37808-02437808-0024-43

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