Over-the-counter drug · OTC MONOGRAPH DRUG
Anticavity Rinse (sodium fluoride) NDC 11822-4004
Sodium fluoride .5 mg/mL · Mouthwash · Oral · Rite Aid Corporation
NDC codes
FDA NDC Directory| Package NDC | 11-digit (billing) | Package | Copy |
|---|---|---|---|
| 11822-4004-4 | 11822400404 | 532 mL in 1 PACKAGE (11822-4004-4)Marketed from Dec 5, 2022 |
How the 11-digit form is made: The package segment has 1 digit, so one leading zero is added to it (5-4-1 → 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)
- Anticavity Rinse
- Generic name (nonproprietary)
- sodium fluoride
- Active ingredients
- Sodium fluoride — .5 mg/mL
- Dosage form
- Mouthwash
- Route
- Oral
- Labeler
- Rite Aid Corporation
- Product type
- Over-the-counter drug
- Marketing category
- OTC monograph drugApplication M 021
- Marketing start
- Listing expires
- Identifiers
- Product ID 11822-4004_499ea74c-77d5-d1f8-e063-6294a90a8a72SPL ID 499ea74c-77d5-d1f8-e063-6294a90a8a72SPL set ID c1a22692-b955-498a-a7c1-1cd7bfd54bdaRxCUI 240698UNII 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 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
N411822400404followed by a unit qualifier and the quantityPackage 11822-4004-04. 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
Label details couldn’t be retrieved right now. Open the label on DailyMed.
Other NDCs under M 021
Products listed under the same FDA application: other strengths and forms, and repackagers who relabel the same product.
| Product | Strength | Form · route | Labeler | Product NDC |
|---|---|---|---|---|
| Therabreath Whiteningsodium fluoride | Sodium fluoride .243 g/100g | Paste, DentifriceOral | Church & Dwight Co., Inc. | 10237-272 |
| evo ADVANCED WHITENING ANTI-CAVITY FLUORIDE PEPPERMINTsodium fluoride | Sodium fluoride .24 g/100g | Paste, DentifriceDental | Ashtel Studios, Inc. | 70108-204 |
| Dentissesodium fluoride | Sodium fluoride 1.1 mg/g | Paste, DentifriceDental, Oral | Dentisse, Inc. | 70683-0703 |
| ZONSEN Toothpaste,whitetoothpaste | Sodium fluoride .22 g/100g | Paste, DentifriceDental | Wuhan Zonsen Medical Products Co., Ltd. | 72932-016 |
| Brush Buddies Crayola Anticavity Fluoride Strawberrysodium fluoride | Sodium fluoride .02 g/100mL | LiquidOral | Kingkey MBC Life Technology Group co., LTD | 73928-042 |
| Crest 3D White Advanced Deep Clean with Stain-Blasting Foamsodium fluoride | Sodium fluoride 1.5 mg/g | Paste, DentifriceDental | The Procter & Gamble Manufacturing Company | 84126-631 |
| Dr Tichenors With Extra Whitening and Tartar Controlsodium fluoride | Sodium fluoride 2.43 mg/g | Paste, DentifriceOral | Dr. G. H. Tichenor's Antiseptic Company | 11291-243 |
| Hello Whipped Mellow Mint Dream Flavorsodium monofluorophosphate | Sodium monofluorophosphate 1.1 mg/g | Paste, DentifriceDental | Colgate-Palmolive Company | 35000-513 |
| Glowing Whitesodium fluoride | Sodium fluoride .1 mg/mL | MouthwashOral | Demoulas Super Markets, Inc | 53942-435 |
| Crest Premium Plus Breath Bacteria Blaststannous fluoride | Stannous fluoride 1.4 mg/g | Paste, DentifriceDental | The Procter & Gamble Manufacturing Company | 69423-912 |
| Brush Buddies Brbie Anticavity Fluoride Bubblegumsodium fluoride | Sodium fluoride .05 g/100mL | LiquidOral | Kingkey MBC Life Technology Group co., LTD. | 73928-039 |
| Crest 3D White Advanced Glamorous White with Stain-Blasting Foamsodium fluoride | Sodium fluoride 1.5 mg/g | Paste, DentifriceDental | The Procter & Gamble Manufacturing Company | 84126-632 |
| Orajel Kids Supermananticavity toothpaste | Sodium fluoride 1.5 mg/g | Gel, DentifriceDental | Church & Dwight Co., Inc. | 10237-732 |
| Colgate Total Whitening Charcoalstannous fluoride | Stannous fluoride 1.1 mg/g | Paste, DentifriceDental | Colgate-Palmolive Company | 35000-571 |
| Crest 3D White Glamorous Whitesodium fluoride | Sodium fluoride 1.6 mg/g | Paste, DentifriceDental | The Procter & Gamble Manufacturing Company | 69423-914 |
| ZONSEN Gel Fluoridegel fluoride toothpaste | Sodium fluoride .22 g/100g | Gel, DentifriceDental | Wuhan Zonsen Medical Products Co., Ltd. | 72932-015 |
| Crest 3D White Advanced Luminous Mint Daily Whitening Upkeepsodium fluoride | Sodium fluoride 1.5 mg/g | Paste, DentifriceDental | The Procter & Gamble Manufacturing Company | 84126-633 |
| Crest Complete Plus Scope Outlast Ultrasodium fluoride | Sodium fluoride 1.5 mg/g | Paste, DentifriceDental | The Procter & Gamble Manufacturing Company | 69423-918 |
| Brush Buddies Crayola Anticavity Fluoride Watermelonsodium fluoride | Sodium fluoride .02 g/100mL | LiquidOral | Kingkey MBC Life Technology Group co., LTD | 73928-041 |
| AutoBrush Mintsodium fluoride | Sodium fluoride .243 g/100mL | LiquidOral | Lander Enterprises, LLC | 82913-011 |
Showing 20 of 40.