NDC codes

FDA NDC Directory
Product NDC (as listed)11527-704Labeler and product segments. Claims need a package NDC.
Product NDC at billing width11527-0704Add 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
11527-704-42115270704421 TUBE in 1 CARTON (11527-704-42) / 100 mL in 1 TUBEMarketed from Mar 26, 2020

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)
Sodium Fluoride 5000 ppm Sensitive
Generic name (nonproprietary)
sodium fluoride1.1%, potassium nitrate 5%
Active ingredients
Sodium fluoride — 5.8 mg/mLPotassium nitrate — 57.5 mg/mL
Dosage form
Gel, Dentifrice
Route
Dental
Product type
Prescription drug
Marketing category
Unapproved drug (other)
Marketing start
Listing expires
Identifiers
Product ID 11527-704_c850c90a-b9bc-44b7-b30c-3f297f3ae164SPL ID c850c90a-b9bc-44b7-b30c-3f297f3ae164SPL set ID 02f4cf0b-188c-4522-b759-ffe4a9d150e8UNII 8ZYQ1474W7, RU45X2JN0Z

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

N411527070442 followed by a unit qualifier and the quantity

Package 11527-0704-42. 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 and sensitive toothpaste; for twice daily self-applied topical use,following by rinsing, helps reduce the painful sensitivity of the teeth to cold, heat, acid, sweets or contact in adults patients and children 12 years of age and older. It is well established that 1.1% sodium fluoride is safe and extraordinarily effective as a caries preventive when applied frequently with mouthpiece applicators. 1-4 Sodium Fluoride 5000 ppm Sensitive 1.1% sodium fluoride toothpaste with 5% potassium nitrate in a squeeze-tube is easily applied onto a toothbrush. This prescription toothpaste should be used twice daily in place of your regular toothpaste, unles…

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

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