Kolorz Sixty Second Fluoride Foam Cotton Candy NDC 25047-763

NDC codes

FDA NDC Directory

Product NDC (as listed)25047-763Labeler and product segments. Claims need a package NDC.

Product NDC at billing width25047-0763Add 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 NDC	11-digit (billing)	Package	Copy
25047-763-44	25047076344	125 g in 1 CAN (25047-763-44)Marketed from Nov 22, 2006

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): Kolorz Sixty Second Fluoride Foam Cotton CandySuffix: COTTON CANDY
Generic name (nonproprietary): sodium fluoride
Active ingredients: Sodium fluoride — 1.23 g/g
Dosage form: Aerosol, Foam
Route: Dental
Labeler: DMG AMERICA, LLC
Product type: Prescription drug
Marketing category: Unapproved drug (other)
Marketing start: Nov 22, 2006
Listing expires: Dec 31, 2026
Identifiers: Product ID 25047-763_abc23b24-2fa2-410c-b452-e57a3bca7af2SPL ID abc23b24-2fa2-410c-b452-e57a3bca7af2SPL set ID 427f25e6-e50a-407a-a6f0-512123e381e4RxCUI 248389, 1093170UNII 8ZYQ1474W7UPC 0043413434130, 0043415434152

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

N425047076344 followed by a unit qualifier and the quantity

Package 25047-0763-44. 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 Oct 1, 2021.

Indications (excerpt from the label)

INDICATIONS For the topical application of fluoride to aid in the protection against dental caries. Shake can thoroughly for at least 30 seconds before each use. Hold can completely upside down to dispense. See package insert for dosage information. Figure

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)