Over-the-counter drug · OTC MONOGRAPH DRUG
Antispetic NDC 53942-664
eucalyptol, menthol, methyl salicylate, thymol · Eucalyptol .92 mg/mL + 3 more ingredients · Mouthwash · Oral · Demoulas Super Markets, Inc
NDC codes
FDA NDC Directory| Package NDC | 11-digit (billing) | Package | Copy |
|---|---|---|---|
| 53942-664-12 | 53942066412 | 1500 mL in 1 BOTTLE, PLASTIC (53942-664-12)Marketed from Mar 31, 2022 | |
| 53942-664-77 | 53942066477 | 500 mL in 1 BOTTLE, PLASTIC (53942-664-77)Marketed from Mar 15, 1998 | |
| 53942-664-86 | 53942066486 | 1000 mL in 1 BOTTLE, PLASTIC (53942-664-86)Marketed from Mar 15, 1998 |
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)
- Antispetic
- Generic name (nonproprietary)
- eucalyptol, menthol, methyl salicylate, thymol
- Active ingredients
- Eucalyptol — .92 mg/mLMenthol — .42 mg/mLMethyl salicylate — .6 mg/mLThymol — .64 mg/mL
- Dosage form
- Mouthwash
- Route
- Oral
- Labeler
- Demoulas Super Markets, Inc
- Product type
- Over-the-counter drug
- Marketing category
- OTC monograph drugApplication 505G9a)(3)
- Marketing start
- Listing expires
- Identifiers
- Product ID 53942-664_49f102b7-c27f-c5b1-e063-6394a90af220SPL ID 49f102b7-c27f-c5b1-e063-6394a90af220SPL set ID c346f4e8-3990-49f1-aa8c-410c2f6265a3RxCUI 1043619UNII RV6J6604TK, L7T10EIP3A, LAV5U5022Y, 3J50XA376E
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
N453942066412followed by a unit qualifier and the quantityPackage 53942-0664-12. 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 that leads to gingivitis
Excerpt only. Read the full label for complete information.