NDC codes

FDA NDC Directory
Product NDC (as listed)11822-5761Labeler and product segments. Claims need a package NDC.
Product NDC at billing width11822-5761Add 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
11822-5761-2118225761021000 mL in 1 BOTTLE, PLASTIC (11822-5761-2)Marketed from Dec 16, 2019

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)
Alcohol Free Antiseptic
Generic name (nonproprietary)
cetylpyridinium chloride
Active ingredients
Cetylpyridinium chloride — .7 mg/mL
Dosage form
Mouthwash
Route
Oral
Labeler
Rite Aid CorporationNDC labeler code 11822
Product type
Over-the-counter drug
Marketing category
OTC monograph drugApplication 505G(a)(3)
Marketing start
Listing expires
Identifiers
Product ID 11822-5761_49a0328d-3c54-9132-e063-6294a90aeb02SPL ID 49a0328d-3c54-9132-e063-6294a90aeb02SPL set ID 69b8649b-1876-4c3a-a64d-5476edbe0a4aRxCUI 1100924UNII D9OM4SK49P

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

N411822576102 followed by a unit qualifier and the quantity

Package 11822-5761-02. 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)

Use helps control plaque {bacteria} that leads to gingivitis

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 11822-5761

What is NDC 11822-5761?
11822-5761 is the product NDC for Alcohol Free Antiseptic (cetylpyridinium chloride), Cetylpyridinium chloride .7 mg/mL mouthwash, listed with the FDA by Rite Aid Corporation. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Alcohol Free Antiseptic (Cetylpyridinium chloride).
What is the active ingredient?
Cetylpyridinium chloride.
Who is the labeler?
Rite Aid Corporation, NDC labeler code 11822. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Alcohol Free Antiseptic?
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 505G(a)(3)

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

FDA NDC Directory listings under 505G(a)(3)
ProductStrengthForm · routeLabelerProduct NDC
0.025% Capsaicin Pain relief Patchcapsaicin pain relief patch, capsaicin pain relief stripCapsaicin .025 g/100gPatchTopicalXuzhou Lanting Pharmaceutical Co., Ltd85323-001
0.025% Capsaicin Pain relief Patchcapsaicin pain relief patch, capsaicin pain relief stripCapsaicin .025 g/100gPatchTopicalXuzhou Lanting Pharmaceutical Co., Ltd85323-005
0.9% Sodium Chloride Saline Solutionsodium chlorideSodium chloride .009 g/mLLiquidNasalYunqi Cosmetics (Shenzhen) Co., Ltd84763-012
12-Pack Hand Sanitizerisopropyl alcoholIsopropyl alcohol 72 mL/100mLSprayTopicalhandetizer, LLC85782-015
154 Antibacterial Liquid HandchloroxylenolChloroxylenol 1 g/LSoapTopicalWorklife Brands, LLC80434-701
24 7 life by 7 Eleven Antibacterial HAND WIPESbenzalkonium chlorideBenzalkonium chloride .13 g/100gClothTopical7-ELEVEN, INC.10202-402
24 7 life by 7 Eleven Instant Hand Sanitizerethyl alcoholAlcohol 70 mL/100mLGelTopical7-ELEVEN, INC.10202-400
3 in 1 First Aid Wound Carebenzethonium chlorideBenzethonium chloride 1.3 mg/gSolutionTopicalRite Aid Corporation11822-5074
3% Menthol plus 0.083% Capsaicin Pain Relief Patchpain relief patch, pain relief stripMenthol 3 g/100g; Capsaicin 83 mg/100gPatchTopicalXuzhou Lanting Pharmaceutical Co., Ltd85323-008
365 Spiced Balsam Hand Sanitizer Wipesalcohol hand sanitizerAlcohol 2.55 mL/1ClothTopicalWhole Foods Market, Inc.42681-0041
365 Spiced Citrus Hand Sanitizer Wipesalcohol hand sanitizerAlcohol 2.55 mL/1ClothTopicalWhole Foods Market, Inc.42681-0043
365 Winterberry Saffron Hand Sanitizer Wipesalcohol hand sanitizerAlcohol 2.55 mL/1ClothTopicalWhole Foods Market, Inc.42681-0042
4 IN LOOK Ginseng Anit wrink Anti wrinkle essenceniacinamideNiacinamide .5 g/100mLEmulsionTopicalGuangzhou Yanhou Cosmetics Co., Ltd.85977-001
4% Lidocaine Pain Relief Patchlidocaine pain relief patchLidocaine hydrochloride 4 g/100gPatchTopicalXuzhou Lanting Pharmaceutical Co., Ltd85323-002
4% lidocaine plus 1% menthol Pain Relief Patchpain relief patch, pain relief stripLevomenthol 1 g/100g; Lidocaine hydrochloride 4 g/100gPatchTopicalXuzhou Lanting Pharmaceutical Co., Ltd85323-003
5% Menthol Pain Relief Patchpain relief patchLevomenthol 5 g/100gPatchTopicalXuzhou Lanting Pharmaceutical Co., Ltd85323-004
5% Menthol Pain Relief Patchpain relief patchMenthol 5 g/100gPatchTopicalXuzhou Lanting Pharmaceutical Co., Ltd85323-006
5% Menthol Pain Relief Patchpain relief patchMenthol 5 g/100gPatchTopicalXuzhou Lanting Pharmaceutical Co., Ltd85323-007
5% Minoxidil FoamminoxidilMinoxidil .05 g/mLAerosol, FoamTopicalHONG KONG YUEJIE INTERNATIONAL TRADING LIMITED87986-001
5% Minoxidil Hair Care SolutionMinoxidil 5 g/100mLLiquidTopicalShenzhen Linglong Trading Co., Ltd.87376-001

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