NDC codes

FDA NDC Directory
Product NDC (as listed)41167-0942Labeler and product segments. Claims need a package NDC.
Product NDC at billing width41167-0942Add 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
41167-0942-14116709420130 mL in 1 BOTTLE, PLASTIC (41167-0942-1)Marketed from Apr 1, 1994
41167-0942-841167094208532 mL in 1 BOTTLE, DISPENSING (41167-0942-8)Marketed from Apr 1, 1994

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)
ACT Anticavity Fluoride Mint
Generic name (nonproprietary)
sodium fluoride
Active ingredients
Sodium fluoride — .2 mg/mL
Dosage form
Rinse
Route
Topical
Labeler
Chattem, Inc.NDC labeler code 41167
Product type
Over-the-counter drug
Marketing category
OTC monograph drugApplication M 021
Marketing start
Listing expires
Identifiers
Product ID 41167-0942_553dd6cd-4557-4444-8a0c-a36efa8a008eSPL ID 553dd6cd-4557-4444-8a0c-a36efa8a008eSPL set ID e81c83a2-363a-442f-8731-2598a4f4c21eRxCUI 240698, 656809UNII 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. Topical products like this are usually dispensed by a pharmacy and billed by NDC.

NDC on a medical claim

N441167094201 followed by a unit qualifier and the quantity

Package 41167-0942-01. 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)

Use aids in the prevention of dental cavities

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 41167-0942

What is NDC 41167-0942?
41167-0942 is the product NDC for ACT Anticavity Fluoride Mint (sodium fluoride), Sodium fluoride .2 mg/mL rinse, listed with the FDA by Chattem, Inc.. It has 2 package NDCs, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
ACT Anticavity Fluoride Mint (Sodium Fluoride).
What is the active ingredient?
Sodium fluoride.
Who is the labeler?
Chattem, Inc., NDC labeler code 41167. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for ACT Anticavity Fluoride Mint?
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 M 021

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

FDA NDC Directory listings under M 021
ProductStrengthForm · routeLabelerProduct NDC
3ECARE Dual FormulaWhiteningToothpastesodium fluorideSodium fluoride .155 g/100gPaste, DentifriceDentalHangzhou Namei Zhikang Technology Co., Ltd.87514-003
Freshen Up twisted peppermintsodium fluorideSodium fluoride .24 g/100gGel, DentifriceDentalDabur India Limited87846-004
TheraBreath Anticavitysodium fluorideSodium fluoride .002 mg/10mLRinseOralChurch & Dwight Co., Inc.10237-265
PERIOE POP Complete Protection Prebiotic Mint Blastsodium fluorideSodium fluoride 1.4 mg/gPaste, DentifriceDentalTai Guk Pharm. Co., Ltd.43136-603
Just For Kidsstannous fluorideStannous fluoride .969 mg/gGelOralSolventum US LLC48878-4070
Brush Buddies Crayola Anticavity Fluoride Strawberrysodium fluorideSodium fluoride .05 g/100mLLiquidOralKingkey MBC Life Technology Group Co.,Ltd73928-038
Crest 3D White Advanced Luminous Mint Daily Whitening Upkeepsodium fluorideSodium fluoride 1.5 mg/gPaste, DentifriceDentalThe Procter & Gamble Manufacturing Company84126-633
3ECARE Dual FormulaToothpastefor sensitiveteethpotassium nitrate sodium monofluorophosphatePotassium nitrate 5 g/100g; Sodium monofluorophosphate 5 g/100gPaste, DentifriceDentalHangzhou Namei Zhikang Technology Co., Ltd.87514-004
Freshen Up Vanilla Mintsodium fluorideSodium fluoride .24 g/100gGel, DentifriceDentalDabur India Limited87846-006
Alcohol-Free Anticavitysodium fluorideSodium fluoride .1 mg/mLLiquidOralTopco Associates LLC36800-482
Anticavity Rinsesodium fluorideSodium fluoride .2 mg/mLMouthwashOralMeijer, Inc.41250-004
Nature Mint Anticavitysodium monofluorophosphateSodium monofluorophosphate 7.6 mg/gPaste, DentifriceDentalBob Barker Company Inc.53247-129
Brush Buddies Brbie Anticavity Fluoride Bubblegumsodium fluorideSodium fluoride .05 g/100mLLiquidOralKingkey MBC Life Technology Group co., LTD.73928-039
Anticavity Rinsesodium fluorideSodium fluoride .2 mg/mLMouthwashOralRetail Business Services, LLC72476-204
Crest 3D White Advanced Charcoal with Stain-Blasting Foamsodium fluorideSodium fluoride 1.5 mg/gPaste, DentifriceDentalThe Procter & Gamble Manufacturing Company84126-634
Freshen Upsodium fluorideSodium fluoride 24 mg/100gGel, DentifriceDentalDABUR INDIA LIMITED87846-007
Colgate Total SF Clean Mintstannous fluorideStannous fluoride 1.1 mg/gPaste, DentifriceDentalColgate-Palmolive Company35000-272
Anticavitysodium fluorideSodium fluoride .1 mg/mLMouthwashOralUnited Natural Foods, Inc. dba UNFI41163-011
Anticavitysodium fluorideSodium fluoride .2 mg/mLMouthwashOralWalmart Inc.49035-581
Maximum Securitysodium fluorideSodium fluoride 2.2 mg/gGel, DentifriceDentalBob Barker Company Inc.53247-130

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