NDC codes

FDA NDC Directory
Product NDC (as listed)55910-664Labeler and product segments. Claims need a package NDC.
Product NDC at billing width55910-0664Add 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
55910-664-12559100664121500 mL in 1 BOTTLE, PLASTIC (55910-664-12)Marketed from Jul 29, 1994
55910-664-6955910066469250 mL in 1 BOTTLE, PLASTIC (55910-664-69)Marketed from Jul 29, 1994
55910-664-7755910066477500 mL in 1 BOTTLE, PLASTIC (55910-664-77)Marketed from Jul 29, 1994

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
Product type
Over-the-counter drug
Marketing category
OTC monograph drugApplication M505G(a)(3)
Marketing start
Listing expires
Identifiers
Product ID 55910-664_4c0ff1c3-8a5e-67fd-e063-6394a90ad653SPL ID 4c0ff1c3-8a5e-67fd-e063-6394a90ad653SPL set ID 1cfd85f3-ef19-46f6-8225-287a8a0a32fdRxCUI 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

N455910066412 followed by a unit qualifier and the quantity

Package 55910-0664-12. 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.

Full label on DailyMed (opens in a new tab)

Other NDCs under M505G(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 M505G(a)(3)
ProductStrengthForm · routeLabelerProduct NDC
Antigingivitis/Antiplaquecetylpyridinium chlorideCetylpyridinium chloride .7 mg/mLMouthwashOralTopco Associates LLC76162-090
Antigingivitis/Antiplaquecetylpyridinium chlorideCetylpyridinium chloride .7 mg/mLMouthwashOralMeijer, Inc.79481-0900
Antigingivitis/Antiplaquecetylpyridinium chlorideCetylpyridinium chloride .5 mg/mLMouthwashOralMeijer, Inc.79481-0953
Hand Sanitizerethyl alcoholAlcohol 70 mL/100mLGelTopicalUpLift Brands LLC83986-529
Antigingivitis/Antiplaquecetylpyridinium chlorideCetylpyridinium chloride .5 mg/mLMouthwashOralTopco Associates LLC76162-953
b.pure Hand Sanitizer Watermelon ScentedalcoholAlcohol 70 mL/100mLLiquidTopicalFOURSTAR GROUP USA, INC.80684-124
b.pure Hand Sanitizer Lemon ScentedalcoholAlcohol 70 mL/100mLLiquidTopicalFOURSTAR GROUP USA, INC.80684-123
b.pure Hand Sanitizer Green Apple ScentedalcoholAlcohol 70 mL/100mLLiquidTopicalFOURSTAR GROUP USA, INC.80684-125
Antispeticeucalyptol, menthol, methyl salicylate, thymolEucalyptol .92 mg/mL + 3 more ingredientsMouthwashOralTarget Corporation11673-664

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