Prescription drug · ANDA
Periogard Alcohol Free (chlorhexidine gluconate) NDC 17856-0272
Chlorhexidine gluconate 1.2 mg/mL · Rinse · Buccal · ATLANTIC BIOLOGICALS CORP.
NDC codes
FDA NDC Directory| Package NDC | 11-digit (billing) | Package | Copy |
|---|---|---|---|
| 17856-0272-1 | 17856027201 | 72 CUP, UNIT-DOSE in 1 BOX, UNIT-DOSE (17856-0272-1) / 10 mL in 1 CUP, UNIT-DOSE (17856-0272-5)Marketed from May 7, 2024 | |
| 17856-0272-2 | 17856027202 | 72 CUP, UNIT-DOSE in 1 BOX, UNIT-DOSE (17856-0272-2) / 15 mL in 1 CUP, UNIT-DOSE (17856-0272-4)Marketed from May 7, 2024 | |
| 17856-0272-3 | 17856027203 | 72 CUP, UNIT-DOSE in 1 BOX, UNIT-DOSE (17856-0272-3) / 5 mL in 1 CUP, UNIT-DOSE (17856-0272-6)Marketed from May 7, 2024 |
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)
- Periogard Alcohol Free
- Generic name (nonproprietary)
- chlorhexidine gluconate
- Active ingredients
- Chlorhexidine gluconate — 1.2 mg/mL
- Dosage form
- Rinse
- Route
- Buccal
- Labeler
- ATLANTIC BIOLOGICALS CORP.
- Product type
- Prescription drug
- Marketing category
- ANDA — Abbreviated New Drug Application (generic)Application ANDA 203212
- Marketing start
- Listing expires
- Other FDA classes
- Decreased Cell Wall Integrity (Physiologic effect)
- Identifiers
- Product ID 17856-0272_4abc29e9-a0b5-06cf-e063-6294a90ad874SPL ID 4abc29e9-a0b5-06cf-e063-6294a90ad874SPL set ID f927717e-e743-43c4-a2b3-d5b83f2403b0RxCUI 834127, 834137UNII MOR84MUD8E
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. Buccal products like this are usually dispensed by a pharmacy and billed by NDC.
- NDC on a medical claim
N417856027201followed by a unit qualifier and the quantityPackage 17856-0272-01. 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 PerioGard® (Chlorhexidine Gluconate Oral Rinse USP, 0.12%) is indicated for use between dental visits as part of a professional program for the treatment of gingivitis as characterized by redness and swelling of the gingivae, including gingival bleeding upon probing. PerioGard® has not been tested among patients with acute necrotizing ulcerative gingivitis (ANUG). For patients having coexisting gingivitis and periodontitis, see PRECAUTIONS .
Excerpt only. Read the full label for complete information.
Other NDCs under ANDA 203212
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 |
|---|---|---|---|---|
| Chlorhexidine Gluconate | Chlorhexidine gluconate 1.2 mg/mL | RinseBuccal | VistaPharm, LLC | 66689-106 |
| Periogard Alcohol Freechlorhexidine gluconate | Chlorhexidine gluconate 1.2 mg/mL | RinseBuccal | Colgate Oral Pharmaceuticals, Inc. | 0126-0272 |
| Periogard Alcohol Freechlorhexidine gluconate | Chlorhexidine gluconate 1.2 mg/mL | RinseBuccal | Colgate Oral Pharmaceuticals, Inc. | 0126-0282 |