NDC codes

FDA NDC Directory
Product NDC (as listed)10129-018Labeler and product segments. Claims need a package NDC.
Product NDC at billing width10129-0018Add 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
10129-018-03101290018031 TUBE in 1 BOX (10129-018-03) / 88.7 mL in 1 TUBEMarketed from Aug 15, 2022

How the 11-digit form is made: The product segment has 3 digits, so one leading zero is added to it (5-3-2 → 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)
Perio Armor
Generic name (nonproprietary)
1.7% hydrogen peroxide
Active ingredients
Hydrogen peroxide — 17 g/100mL
Dosage form
Gel
Route
Dental, Periodontal
Product type
Over-the-counter drug
Marketing category
Unapproved drug (other)
Marketing start
Listing expires
Identifiers
Product ID 10129-018_43e5b743-85d0-4472-e063-6294a90ac4e3SPL ID 43e5b743-85d0-4472-e063-6294a90ac4e3SPL set ID e64fc96f-7ef8-aece-e053-2a95a90a898aRxCUI 1095271UNII BBX060AN9V

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

N410129001803 followed by a unit qualifier and the quantity

Package 10129-0018-03. 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

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