NDC codes

FDA NDC Directory
Product NDC (as listed)0363-1588Labeler and product segments. Claims need a package NDC.
Product NDC at billing width00363-1588Add 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
0363-1588-0900363158809003631588091 TUBE in 1 BOX (0363-1588-09) / 113 g in 1 TUBEMarketed from Oct 28, 2022

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)
Walgreens Sensitive Extra Whitening
Generic name (nonproprietary)
sodium fluoride
Active ingredients
Potassium nitrate — 5 g/100gSodium fluoride — .15 g/100g
Dosage form
Paste, Dentifrice
Route
Dental
Labeler
WalgreensNDC labeler code 0363
Product type
Over-the-counter drug
Marketing category
OTC monograph drugApplication M 022
Marketing start
Listing expires
Identifiers
Product ID 0363-1588_441e7794-1c6d-ea23-e063-6294a90ad145SPL ID 441e7794-1c6d-ea23-e063-6294a90ad145SPL set ID e807b8a0-6d58-a15f-e053-2995a90a2ea1RxCUI 1038929UNII RU45X2JN0Z, 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

N400363158809 followed by a unit qualifier and the quantity

Package 00363-1588-09. 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)

Adults and children 12 years of age and older: apply at least a 1-inch strip of the product onto a soft bristle toothbrush. Brush teeth thoroughly for at least one minute twice a day (morning and evening), and not more than 3 time a day, or as recommended by a dentist or doctor. Make sure to brush all sensitive areas of the teeth. Minimize swallowing. Spit out after brushing. Children under 12 years of age: consult a dentist or doctor.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 0363-1588

What is NDC 0363-1588?
0363-1588 is the product NDC for Walgreens Sensitive Extra Whitening, Potassium nitrate 5 g/100g; Sodium fluoride .15 g/100g paste, dentifrice, listed with the FDA by Walgreens. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Walgreens Sensitive Extra Whitening (Sodium Fluoride).
What is the active ingredient?
Potassium nitrate, Sodium fluoride.
Who is the labeler?
Walgreens, 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 Walgreens Sensitive Extra Whitening?
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.

Other NDCs under M 022

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

FDA NDC Directory listings under M 022
ProductStrengthForm · routeLabelerProduct NDC
Hydrogen Peroxide 3 Percent ReadyInCasehydrogen peroxideHydrogen peroxide 3 mL/100mLLiquidTopicalP & L Development, LLC49580-0268
SalinenasalSodium chloride 6.5 mg/mLSprayNasalBi-Mart37835-998
CVS Health Sensitive Enamel Repairsodium fluorideSodium fluoride .15 g/100g; Potassium nitrate 5 g/100gPaste, DentifriceOralCVS51316-169
Ricola Max Nasal Care Cool MentholmentholMenthol 15.3 mg/1LozengeOralRicola Ag54305-206
Orajel Medicated for Toothache and Gum, Liquidbenzocaine and mentholBenzocaine 200 mg/mL; Menthol, Unspecified form 1 mg/mLLiquidTopicalChurch & Dwight Co., Inc.10237-796
Throat Balm Caramel PectinpectinPectin 3.8 mg/1LozengeOralRicola Ag54305-301
Throat Balm Caramel PectinpectinPectin 3.8 mg/1LozengeOralRicola USA Inc.63667-301
Hydrogen Peroxide 3 Percenthydrogen peroxideHydrogen peroxide 2.65 mL/100mLLiquidTopicalWhole Foods Market42681-6414
Sore throat cherryphenolPhenol 1.4 g/100mLSprayOralDolgencorp, Inc. (DOLLAR GENERAL & REXALL)55910-376
Crest Pro-Health Gum DetoxifyWinter Mintcetylpyridinium chlorideCetylpyridinium chloride .07 g/mLRinseOralThe Procter & Gamble Manufacturing Company84126-648
Crest Kids Advanced Color Changingsodium monofluorophosphateSodium monofluorophosphate 1.6 mg/gPaste, DentifriceDentalProcter & Gamble Manufactura, S de R.L. de C.V.58933-012
Sootheez Berry LemonadepectinPectin 11.5 mg/3.5gLozengeOralBFY LLC72427-4014
Sootheez Organic Wild CherrypectinPectin 11.5 mg/3.5gLozengeOralBFY LLC72427-3714
Quality Choice Oral Pain Reliefbenzocaine 20%, benzalkonium chloride 1%Benzocaine 200 mg/g; Benzalkonium chloride 10 mg/gGelTopicalQuality Choice (CHAIN DRUG MARKETING ASSOCIATION)83324-035
Rite Aid Professional StrengthbenzocaineBenzocaine 20 g/100gLiquidOralRite Aid11822-5340
SENSODYNE Rapid Reliefstannous fluorideStannous fluoride 1.1 mg/gPasteOralHaleon US Holdings LLC0135-0622
Iodent Oral AnalgesicbenzocaineBenzocaine 200 mg/gGelTopicalUnited Exchange Corp.65923-094
Sootheez Organic Wild CherrypectinPectin 11.5 mg/3.5gLozengeOralBFY LLC72427-3714
Topcare Sore Throat Menthol FlavorphenolPhenol 1.4 g/100mLSprayOralTOPCO ASSOCIATES LLC36800-606
Sensodyne Pronamel Gentle Whitening Advancedpotassium nitrate and sodium fluoridePotassium nitrate 50 mg/g; Sodium fluoride 1.15 mg/gPasteDentalHaleon US Holdings LLC0135-0580

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